MHF&W PDF
MHF&W PDF
MHF&W PDF
ACHIEVEMENTS
&
NEW INITIATIVES
President Shri Pranab Mukherjee at a function to celebrate “India’s Victory Over Polio”, in New Delhi
on February 11th, 2014. The Prime Minister, Dr. Manmohan Singh, the Chairperson, National Advisory Council,
Smt. Sonia Gandhi, Union Minister of Health and Family Welfare, Shri Ghulam Nabi Azad, The Leader of
Opposition in Lok Sabha, Smt. Sushma Swaraj and other dignitaries are also seen.
President Shri Pranab Mukherjee, Union Minister of Health and Family Welfare, Shri Ghulam Nabi Azad, Minister of
State for Health & Family Welfare, Smt. Santosh Chowdhary, Director General, World Health Organisation,
Dr. Margaret Chan and Health Ministers of South East Asian Countries who attended 31st meeting of WHO-SEARO
Health Ministers meeting in New Delhi on September 10, 2013.
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FIVE YEARS (2009-2014)
ACHIEVEMENTS
&
NEW INITIATIVES
Infrastructure:
●● NRHM seeks to strengthen public health delivery system at all levels as per IPHS. More
than 27,400 new construction works have been sanctioned till December 2013, since
the inception of the Mission. These include 23315 Sub Centres (SC) and 3389 Primary
Health Centres, 526 Community Health Centres, 85 Sub District Hospitals and 93 District
Hospitals. Of these, 14881 works have been completed.
●● Over the last five years, the number of new construction works sanctioned under NRHM
increased from about 7500 to over 27,400.
●● In addition, 29,703 facilities have been taken up for major renovation and up-gradation
till December 2013. These include 16954 Sub Centres, 8475 Primary Health Centres,
3009 Community Health Centres, 606 Sub District Hospitals and 659 District Hospitals.
Of these, 21238 works have been completed.
●● The numbers of First referral Units (FRUs) has increased significantly from 940 in 2005
to 2653 in 2013-14.
●● There are now 8743 PHCs which are working round the clock, compared to 1263 in
2005.
Human Resources
●● Augmentation of human resources (HR) is one of the key thrust areas under NRHM. In
2013,the total number of technical HR supported under NRHM increased to 1.49 lakh,
which includes 23079 doctors/ specialists including AYUSH doctors, 35172 Staff Nurses,
20011 para-medics including AYUSH paramedics and 70891 ANMs.
●● Similarly in the same period, the total HR supported for programme management increased
to 10311 which includes 590 District Programme Managers, 601 District Accounts Managers,
4579 Accountants at Block level and 4541 Accountants at PHC level
●● Further, multi-skilling of doctors is being supported under NRHM to overcome the
shortage of specialists.
●● Monetary incentives such as hard areas allowances and special packages are provided
to staff in difficult and most difficult areas. Non-Monetary incentives such as preferential
admission in post graduate courses for staff serving in difficult areas and improving
accommodation arrangements in rural areas have also been introduced.
ASHA
●● The total number of ASHAs engaged by States/UTs increased from 7.06 lakh in 2009 to
8.90 lakh in 2013.
●● To further enhance the skill of ASHAs, they are now being trained on Home Based New
Born Care and have been provided HBNC kits. This is to improve newborn care practices
at the community level and early detection and referral of sick new born babies in first
42 days of life.
●● For career progression of ASHAs, States have been asked to give priority to ASHAs
in ANM/ GNM schools, subject to their meeting the eligibility criteria. Five states have
already implemented this initiative.
●● A proposal for certification of ASHAs to enhance competency and professional credibility of
ASHAs by knowledge and skill assessment has been approved recently. The certification
will be done by National Institute of Open Schooling (NIOS).
●● The cost norms for ASHAs have been enhanced from Rs. 10,000 per ASHA to Rs. 16,000
per ASHA
●● The rates of existing performance based incentives for ASHAs have been enhanced and
fresh incentives have also been introduced including those for routine activities so as to
ensure that each ASHA gets at least Rs. 1000 a month.
Free Drugs:
●● Extremely high out of pocket expenditure on health care due to high cost of drugs
and diagnostics have proved to be deterrent in provision of accessible and affordable
healthcare for all.
●● Under NRHM, a concerted effort was made to sensitize the states towards the huge
benefits of free essential drugs and funding available under the Mission was leveraged
to support and reward states that agreed to launch free drugs initiative by increasing their
own state budget for this purpose.
●● Upto 5% additional funding (over and above the normal allocation of the state) under the
NRHM was introduced as an incentive from last year i.e. 2012-13 for those states that
introduce free medicines scheme.
●● In addition, funding within their annual allocation under the Mission was provided for free
medicines initiative as supplemental to their state budget.
●● Funding was also provided to strengthen systems for introducing free medicines e.g
ware houses, drug testing labs, procurement systems and capacities, quality assurance
and IT infrastructure for improved logistics
●● 28 states have now notified policy/scheme of free drugs with limited or substantial help
under NRHM.
●● From the current year, substantial funding (more than 50% of what the State budget
provides) is available to States to implement the NHM Free Drugs Service Initiative.
Community Participation
●● To ensure involvement of the communities in over-seeing the provisioning of health
care and to redress the public grievances, a total of 31358 Rogi Kalyan Samitis (RKS)
and 511670 Village Health Sanitation and Nutrition Committees (VHSNCs) have been
created under NRHM.
●● Further, during the last five years Rogi Kalyan Samities have been sanctioned Rs 6005.43
Crores as untied funds, annual maintenance grants and corpus grants.
Untied Grants:
●● To allow greater flexibility and facilitate responsive allocation to public health facilities the
united grants (annual maintenance grants, RKS corpus grants and untied grants) have
been enhanced and merged into a single pool.
●● Further 50% of untied grants have been linked to caseloads and performance. This will
enable allocation of funds to facilities based on number of patients, fund utilization, range
of services etc.
Mandatory Disclosures:
●● To ensure transparency and improve accountability under NHM, mandatory disclosures
of key services by States in public domain have been prescribed. These include facility
wise deployment of all HR, facility wise service delivery data, details of services provided
by Mobile Medical Units and ambulance services, procurements, construction of public
health facilities etc
The Union Minister for Health & Family Welfare, Shri Ghulam Nabi Azad flagging off the ‘Nagu-Magu’, an ambulance
service for pregnant women, in the presence of the Chief Minister of Karnataka, Shri K. Siddaramaiah,
at Bangaluru on January 20, 2014.
●● At the “’Call to Action’’ summit at Mahabalipuram in February 2013, India took the
lead in articulating ‘A Strategic approach to Reproductive Maternal, Newborn, Child
and Adolescent health (RMNCH+A)’. This approach, for the first time, brings focus
on adolescents as a critical life stage and linkages between child survival, maternal
health and family planning interventions.
●● The approach aims to strengthen the referral linkages between community and
facility based health services. It also lays emphasis on health systems strengthening
as the foundation on which technical interventions must be overlaid for effective
outcomes. Following the National Call to Action where this strategic approach was
unveiled, State Calls to Action have been organised across the country to ensure
quick implementation.
Reproductive Health
●● The Total Fertility Rate has declined from 3.2 in 2000 to 2.4 in 2012 (SRS-2012), with 23
States and UTs having already achieved the replacement level of fertility of 2.1.
●● Rate of decline of TFR has accelerated by 52.3% during 2006-2011 as compared to
2000-2005. Ratea of decline from 2000 to 2005 was 9.38% and from 2006 to 2012 was
14.29%.
●● As per 2011 census, India’s population is 1.21 billion. This decade (2001-2011) has
witnessed the steepest decline in growth rate, since independence, from 21.54% in
1990-2000 to 17.64% in 2001-2011.
●● For the first time, there is a significant fall in the growth rate of population in the Empowered
Action Group (EAG) States after decades of stagnation.
●● Against a back drop of a declining TFR and CBR, performance in sterilization and IUCD
insertions have stood firm in the last 3-4 years.
●● Family Planning Program has been repositioned to not only achieve population
stabilization but also to reduce maternal mortality and infant and child mortality. More
emphasis is now being given to the healthy spacing between births.
Maternal Health
●● Maternal Mortality Ratio (MMR) in India was exceptionally high in 1990 with 600 women
dying during child birth per hundred thousand live births. Approximately 1.5 lakh women
were dying every year on account of complications related to pregnancy and child
birth. The global MMR at the time was much lower at 400. There has however, been an
accelerated decline in MMR in India. In 2011, MMR in the country has declined to 178
against a global MMR of 210. The number of maternal deaths stands reduced by 70%.
India’s share among global maternal deaths has declined significantly from 27.3% in
1990 to 16.4% in 2011
●● State of the art Maternal and Child Health Wings (MCH wings) have been sanctioned
at District Hospitals/ District Women’s Hospitals and other high case load facilities at
sub- district level, as integrated facilities for providing quality obstetric and neonatal care.
More than 28,400 beds for women & children are being added across 470 health facilities
in 18 States.
●● For bringing pregnant women to health facilities for ensuring safe delivery and emergency
obstetric care, Janani Suraksha Yojana (JSY), a demand promotion scheme was launched
in April 2005. The number of JSY beneficiaries has risen from 7.39 lakhs in 2005 to more
than 106.00 lakhs in 2013, with the expenditure on this scheme increasing from Rs 38.29
crores to Rs 1640 crores . Institutional deliveries in India have risen sharply from 47% in
2008 to over 84 % now.
Smt. Sonia Gandhi, Chairperson NAC launching JSSK in Mewat (Haryana) on June 01, 2011
Mother and Child Tracking System (MCTS) & Mother and Child Tracking Facilitation
Centre (MCTFC)
●● MCTS is a name based web based service that captures the details of pregnant women
and children up to 5 years and aims to ensure that every pregnant woman gets complete
and quality ANC and PNC and every child receives a full range of immunization services.
Over 10.5 crore pregnant women and children have been registered in MCTS till now.
●● ANMs and ASHAs are given system generated work-plans that contains list of services
due to pregnant women and children in their jurisdiction. In addition, SMSes on services
due to pregnant women and children are being sent to ANMs, ASHAs, pregnant women
and parents of children about due services.
●● MCTS system is increasingly making use of opportunity to directly communicate with
the ANMs, ASHAs and pregnant women and parents of young children on their mobiles.
Over 8.92 Crore mobile numbers of beneficiaries have so far been captured. This facility
will inter-alia be used for:
oo Sending appropriate health promotion messages in voice and text to beneficiaries
that are relevant according to the month of pregnancy or age of the child.
oo Transfer of JSY benefits to pregnant women as is presently being done in 121 DBT
districts.
oo Transfer of ASHA payments directly into their accounts. This will help to ensure that
ASHAs receive full range of incentives payment timely and regularly as it will be easy
to monitor ‘which all ASHAs have not received payments for which activities in which
block’ etc.
oo Training of ASHAs through an IVR system as per need and requirement.
Child Health
●● Encouraging progress has been made in the country in terms of reducing child mortality
rates. In 1990, when the global U5M rate was 88 per 1000 live births, India carried a much
higher burden of child mortality at 118 per 1000 live births. In 2012, the gap between the
global and India’s under five mortality has substantially narrowed. India’s child mortality
of 52 per 1000 Live births is close to the global average of 48. Overall global under five
mortality has declined by 44.8% whereas India achieved 54.4% decline in the same
period (1990-2012). Number of child deaths has been reduced from approximately 30
lakhs in 1990 to nearly 14 lakhs in 2012.
●● Seven states have already achieved MDG 4 target of under five mortality of less than 38
viz., Kerala (13), Tamil Nadu (24), Delhi (28), Maharashtra (28), Punjab (34), Karnataka
(37), and West Bengal (38).
●● India has the largest annual birth cohort of 2.6 crore babies born in different geographical,
climatic and socio-cultural conditions. Initiatives have been started to provide both home
based care and facility based care.
●● A three tier approach for treatment and referral of sick newborns at health facilities has
been adopted representing a huge scale up of infrastructure and facilities for care of the
newborns since 2008.
●● In order to strengthen the care of sick, premature and low birth weight newborn Special
New born Care Units (SCNU) have been established at District Hospitals and Tertiary
Care Hospitals. These are 12-20 bedded units, with 4 trained doctors and 10-12 nurses
and support staff with provision of 24x7 services to sick newborns.
oo 507 Sick New Born Care Units (SNCUs) are currently functioning at district hospitals
and medical colleges. This is a 175 % increase over a baseline of 184 SNCUs
functional in 2008.
oo Yearly admissions of newborns in SNCUs have now exceeded 5 lakhs.
●● Another smaller unit known as the Newborn Stabilisation Unit (NBSU), which is 4 bedded
unit providing basic level of sick newborn care , established at Community Health Centres/
First Referral Units. Provision of newborn care at these units increases the chances of
survival for babies with health conditions requiring observation and stabilization soon
after birth or in the period thereafter.
oo 1737 New Born Stabilisation Units (NBSUs) have been established at First Referral
Units. This is a 55% increase over a baseline of 1120 units in 2010.
●● Recognizing that events at the time of birth are critical to newborn survival, Newborn
Care Corners (NBCC) are established at delivery points and providers trained in basic
newborn care and resuscitation through Navjaat Shishu Suraksha Karyakram (NSSK).
Saturation of all delivery points with SBA and NSSK trained personnel and functional
new born corners are the topmost priority under the national programme. Linkages with
sick newborn care at health facilities at FRUs and DH are in place to refer newborns
requiring special/advanced newborn care.
oo Currently 13,653 NBCCs are functional across the country and 1, 24,352 health care
providers have been trained under the Navjaat Shishu Suraksha Karyakram.
●● The Home Based Newborn Care Scheme launched in 2011 provides for immediate
postnatal care (especially in cases of home delivery) and essential new born care to all
newborns up to the age of 42 days. Frontline workers (ASHAs/ANMs) are being trained
The Union Minister of Health and Family Welfare, Shri Ghulam Nabi Azad releasing a set of nine publications at the Call
for Action Summit at Mamallapuram, Tamil Nadu on February 07, 2013. The Minister of State for Health and Family
Welfare, Shri Gandhiselvan and the US Ambassador to India, Ms Nancy Powell are also seen.
Hon’ble President, Shri Pranab Mukherjee giving Polio drops to a child at Rashtrapati Bhawan in presence of
Shri Ghulam Nabi Azad, Union Minister of Health & FW and Smt. Santosh Choudhry, Minister of State for Health & FW
Maintaining vigilance
●● All children upto 5 years of age need to be protected against polio until polio is eradicated
globally to mitigate the risk of importation.
●● Two national and three sub-national polio immunization campaigns are planned in 2014.
●● In each nationwide polio campaign, 2.3 million vaccinators immunize nearly 172 million
children.
●● The first National Immunization round has been conducted on 19th January, 2014.
●● The Programme continues to focus and reach out to the most vulnerable populations
including migrants, under-served and marginalized communities, and children in 40 lakh
high risk areas (HRAs).
●● 450 transit vaccination teams immunize 8 million children on the move. Nearly 100,000
of them on running trains in UP, Bihar, West Bengal, Delhi and Maharashtra.
●● The migrant population is also tapped for polio immunization during major festivals such
as Diwali, Chhat, Id, Holi, and at congregations such as Ajmer Urs.
●● To mitigate the risk of polio virus importation through travellers, continuous polio
immunization posts have been set up along the international borders with Pakistan,
Nepal, Bangladesh, Myanmar and Bhutan in order to vaccinate all children upto age of 5
years crossing the border into India.
Emergency Response
●● Government of India has declared that any case of polio virus importation would be
treated as public health emergency. Nearly 200 rapid response team members are being
trained and reoriented on an ongoing basis.
●● Over 40,000 health facilities across the country are reporting cases of Acute Flaccid
Paralysis (AFP) as part of polio surveillance.
●● More than 120,000 stool specimens are tested annually in the 8 WHO accredited
laboratories in India, one of them being the global specialized laboratory.
●● To further step up the vigil, surveillance has been expanded to cover 5 sites, viz., Mumbai,
Delhi, Kolkata, Patna and Punjab.
●● To help eradicate polio globally, India continues to share experience and best practices
with polio endemic and re-infected countries of Pakistan, Afghanistan, Nigeria, Syria and
Somalia.
Adolescent Health
●● India is home to 253 million adolescents (10-19 years) constituting about one fourth of
the population -this represents an unprecedented opportunity that can transform the
social and economic fortunes of the country. In order to ensure holistic development of
this strong population, the Ministry of Health and Family Welfare has initiated various
schemes and programmes.
●● Major achievements and initiatives under Adolescent Health programme are summarised
below:
●● RKSK is a paradigm shift from the existing clinic-based services to promotion and prevention
and reaching adolescents in their own environment, such as in schools and communities.
●● Key drivers of the program are community based interventions like peer educators,
facility based counselling, involvement of parents and the community through a dedicated
adolescent health day; Social and Behaviour Change Communication; and strengthening
of Adolescent Friendly Health Clinics across levels of care.
Medical Education
Achievements
●● Since May, 2009 18,412 MBBS seats and 10358 PG seats have been created.
●● 97 new medical colleges, including six new AIIMS, have been established since May,
2009.
At present, there are 387 medical colleges with a capacity of 51,979 MBBS seats and 24,196
PG seats.
Relaxation in norms in infrastructure for opening of new medical colleges and
intake capacity:
●● Land requirement relaxed from 25 acres to 20 acres.
●● In Metropolitan cities of Mumbai, Kolkata, New Delhi and Chennai and ‘A’ class cities
of Ahmedabad, Hyderabad, Pune, Bangalore and Kanpur, requirement of land would
be 10 acres.
●● Land requirement of 10 acres extended to three other cities with population of more than
25 lakhs viz. Jaipur, Lucknow and Surat.
●● In hilly areas and notified tribal areas, North Eastern States and Union Territories of
Andaman & Nicobar Islands, Daman & Diu, Dadra & Nagar Haveli and Lakshadweep
land can be in two pieces at a distance of not more than 10 km.
●● The relaxation to set up a medical college in two pieces of land and to utilize an existing
district hospital extended to 8 underserved states of Bihar, Chhattisgarh, Jharkhand,
Madhya Pradesh, Orissa, Rajasthan, Uttar Pradesh and West Bengal for 5 years.
●● The relaxation has been further extended to the remaining States as well to enable state
governments to set up new medical colleges by utilizing the existing district hospitals.
Hon’ble President, Shri Pranab Mukherjee presenting the degree at the 40th Annual Convocation of AIIMS in New Delhi on
16th October 2012 in presence of Union Minister of Health & Family Welfare, Shri Ghulam Nabi Azad
Amendments in MCI Regulations for increase in intake capacity of MBBS (UG seats):
●● Maximum intake at MBBS level has been raised from 150 to 250.
●● Required bed occupancy reduced from 70% to 60% at inception and 80% to 75% at 3rd
renewal
●● Bed Occupancy for North Eastern States & Hill States reduced from 60% to 50% at
inception and 80% to 60% at subsequent renewals.
●● Companies registered under the Companies Act allowed to establishing medical
colleges.
●● For the academic year 2013-14, enhancement of intake capacity at UG level from 50/100
to 100/150 seats allowed without inspection by MCI during the first year for Government
and Private Medical Colleges with 10 years’ standing(amendment being notified).
The President, Shri Pranab Mukherjee presenting the Florence Nightingale Awards 2013 to meritorious nursing personnel,
on the occasion of the International Nurses Day, at Rashtrapati Bhavan, in New Delhi on May 12, 2013
New Initiatives
●● For the first time, to overcome the acute shortage of nurses and ANMs in states with poor
health indicators and under-served areas, the Ministry of Health and Family Welfare has
sanctioned 269 GNM and ANM colleges which will increase capacity by an additional
20000 trained persons each year. An amount of ` 2030 crores is being spent on the
scheme.
●● National Nursing Portal, envisaged as a ‘Single Window’ for all facts and statistics related
to Nursing fraternity in India both at the state including UT and central level was launched
on 14thFebruary 2013. The National Nursing Portal is an online resource centre for
nurses, students, nursing institutions, national and state nursing councils and boards,
Ministry of Health and Family Welfare and all stakeholders.
Paramedical Education
New Initiatives
In order to promote quality through standardization of paramedical education and to augment
Human Resources in Allied Health Sciences, Government of India has decided to set up
one National Institute of Paramedical Sciences (NIPS) at Delhi and 8 Regional Institute of
Paramedical Sciences (RIPS) at Chandigarh, Lucknow, Bhopal, Hyderabad, Coimbatore,
Bhubaneshwar, Bhagalpur and Nagpur and also to support State Government Medical
Colleges for conducting Paramedical Courses & enhancing capacity.
●● E
xpert Committees have been constituted for developing and recommending roadmap
for setting up of Centre of Excellence at six AIIMS for various disciplines like nursing,
oncology. ophthalmology, mental health etc.
●● E
xpert Committee was constituted for
developing protocols for patient care and
trauma care at six new AIIMS and the
recommendations have been received.
▪▪ or AIIMS, Rae Bareli in the second
F
phase of PMSSY, Government of Uttar
Pradesh identified 148.15 acres of land,
out of which approx. 98 acres of land has
already been transferred to this Ministry.
▪▪ ivil work for construction of housing
C
complex at AIIMS, Rae Bareli is in full
Newly constructed AIIMS Patna swing.
●● The upgradation programme of 58 identified medical college institutions broadly
envisages improving health infrastructure through construction of Super Speciality
Blocks/Trauma Centres etc. and procurement of medical equipments for existing as well
as new facilities.
▪▪ Out of 13 medical colleges taken up
for upgradation in the first phase of
PMSSY, civil work at the following
eight medical college institutions has
been completed.
oo Trivandrum Medical College;
oo G
ovt. Mohan Kumaramangalam
Medical College, Salem;
Newly constructed AIIMS Raipur
Department of Laboratories
●● New Infrastructure was created for upcoming advanced microbiology lab.
●● New Sections like Modular Microbiology, Immunology, virology, Advanced Bacteriology
introduced.
●● New equipment put in place to strengthen for better identification of pathology for
patients care.
●● Newer tests started for Hepatitis A & E ELISA, Amoebic serology & Malaria antigen tests.
Trauma Centre
●● Setting of Trauma Centre to manage critical Neuro trauma and Ortho traumas with
modern equipments including minimum invasive surgery.
Safdarjung Hospital
Achievements during 2008-2013
●● The Deptt. (CTVS) has installed state-of-art equipments in OT & ICU.
●● Residential Hostel for MBBS Students at VMMC has been constructed (2008-2010).
Re-developed Lady Hardinge Medical College, Hospital and Hostel New Delhi, 2012-13
Patient Care:
●● AIIMS continues to provide health care to patients from all over the country. The details
of the same are as below:
Infrastructure:
●● Renovation of patient wards, registration hall of Raj Kumari Amrit Kaur OPD, OPD at Cardio
Neuro Centre has been remodeled in a patient friendly manner with better aesthetics.
●● The main casualty of AIIMS has been renovated, along with 12 operation theatres of the
main hospital to improve the sterility and functionality.
●● Outreach OPD at Jhajjar, Haryana, completed and OPD started on 24.11.2012. The
cost of the project was 12.25 crore.Construction of Underground Parking at Masjid Moth
Campus with a parking facility of 435 cars has been completed with a project cost of
Rs.54 crores.
●● National Cancer Institute
at Jhajjar Campus
has been approved by
Cabinet at a cost of Rs
2035 crores. Foundation
stone of the Institute was
laid by the Prime Minister
on 3rd January 2014.
●● The work of constructing
New Hostel block
comprising 346 rooms
(area of construction
– 26500 sqm) with an
estimated project cost
of Rs. 72.85 crore has
already started. Expected
date of completion is Prime Minister looking at model of National Cancer Institute at the time of
March 2014. foundation stone laying ceremoney at Jhajjar, Haryana
Health Education Text Books : Development of Text Books on Health Education for school
curriculum from Class III to X standard is under process.
Funds
Total cost of the programme during 12th Plan, is estimated to be about Rs. 11,000 crore, out
of which cost for the programme till district level is Rs. 8096 crore ( share of Government of
India will be Rs.6535 crore and that of State Governments will be Rs. 1561 crore). The funds
for programme activities would be provided to the States under NCD Flexi-Pool through
State PIPs of respective States/UTs.
For State Cancer Institutes(SCI) Tertiary Care Cancer Centers (TCCCs), a provision of
providing one time grant of Rs 120.00 crore per SCI and Rs 45.00 crore per TCCC has
been made under a separate Centrally Sponsored Scheme. This grant will be used for
procurement of equipments and building construction with the Centre:State share as 75:25
except for NE & Hilly States where the share will be 90:10.
During 2014-15, the programme will be scaled up to cover majority of the districts
to provide one stop facility in district hospitals and Community Health Centres, for
diagnosis, treatment and follow up of major Non Communicable Diseases under the
programme.
Summary of achievements
▪▪ The Global Adult Tobacco Survey (GATS), India was conducted during 2009-10, to
monitor prevalence of tobacco use and track key tobacco control indicators across
the country.
▪▪ The coverage of National Tobacco Control Programme (NTCP) has been up-scaled
from existing 42 districts of 21 states to 53 districts of 29 states in 2013. Approval
has been obtained from Empowered Programme Committee (EPC) under NHM for
scaling the programme to more than 600 Districts, in a phase-wise manner during
12th Five Year Plan.
▪▪ State-level Coordination Committees are in place in 19 NTCP states and District-
level Coordination Committees have been set up in 37 NTCP districts.
▪▪ Steering Committees to monitor the implementation of Section-5 of COTPA have
been established at the state-level in 19 NTCP states and at district-level in 36 NTCP
districts.
▪▪ With consistent follow up by Ministry of Health & Family Welfare 33 States/UT’s
have issued orders for implementation of the central Food Safety Regulations
prohibiting manufacture, sale and storage of Gutka and Pan Masala containing
tobacco and nicotine.
▪▪ Guidelines for Tobacco Free Educational Institutions were developed and adopted by
the Central Board of Secondary Education (CBSE).
▪▪ Operational guidelines for implementation of National Tobacco Control Programme
(2012) and Law Enforcers Manual (2013) have been developed.
▪▪ The Ministry of Health & Family Welfare co-hosted ‘The International Conference on
Public Health Priorities in the 21st Century: The Endgame for Tobacco’ in New Delhi
from September 10-12, 2013.
Unioun Minister of Health & FW, Shri Ghulam Nabi Azad, flagging off Rally on World No Tobocco day on 31-05-2012
Union Minister of Health & FW, Shri Ghulam Nabi Azad, opening the new Geriatrics OPD at AIIMS in New Delhi
New Initiatives:
¾¾ Supply/procurement of Salt Testing Kits for qualitative iodized salt testing at the
community level for creating awareness and to promote consumption of adequately
iodized salt.
¾¾ Performance based payment to ASHA for monitoring quality of iodized salt in the
community.
Achievements
●● National Vector Borne Disease Control Programme(NVBDCP) deals with the six vector
borne diseases Malaria, Dengue, Chikungunya, Japanese Encephalitis, Kala-azar and
Lymphatic Filariasis.
●● A World Bank assisted project for an initial amount of US $ 250 million was sanctioned. Out
of which US $ 170 million was cancelled. The project completed in December, 2013.
●● A Global Fund assisted Intensified Malaria Control Project-II (IMCP-II) for an amount of
US $ 90.97 million (Rs.465.35 crores approx.,i.e by different conversion rate) i.e including
USD 3.98 of balance carry forwarded from Round 4, for malaria control in 86 districts of
7 NE states has been approved.
●● Kala-azar and Lymphatic Filariasis are targeted for elimination by 2015.
●● Implementation of prevention and control activities for vector borne diseases is done by
the State Governments.
Malaria
●● Number of persons screened for Malaria annually have been around 10 crore.
●● 35.3% reduction in Annual Parasite Incidence of Malaria: Form 1.36 per 1000 population
in 2008 to 0.88 per 1000 population in 2012.
●● 58.8% reduction in annual reported malaria deaths: From 1055 in 2008 to 519 in 2012.
●● Around 14 million rapid diagnostic tests annually are used by peripheral health workers
and ASHAs in the remote and inaccessible areas for detection of cases and providing
treatment at the community level.
Launching of new malaria drugs on the occasion of World Malaria Day 2012 in Delhi
Kala-azar
●● Kala-azar is targeted for elimination by 2015 by reducing number of Kala-azar cases to
less than 1 per 10,000 population.
●● Rapid Diagnostic Kits and Miltefosine oral drugs introduced and scaled up for prompt
diagnosis and treatment of Kala-azar.
●● New combination treatment of shorter duration introduced in 2014 in identified endemic
KA districts for better treatment compliance shall be expanded in other districts in
phased manner.
●● Free diet support to patient and one attendant.
●● Incentives to patient for loss of wages @ Rs. 50/- per day during the period of treatment.
●● Incentive of Rs.200/- to Kala-azar activist/volunteers including ASHAs for referring a
case and ensuring complete treatment.
Dengue/Chikungunya
●● 67% reduction in Dengue case fatality rate: from 0.6% in 2008 to 0.2% in 2013.
●● Number of sentinel surveillance hospitals increased from 137 to 394 for Dengue and
Chikungunya.
●● 14 Apex Referral Laboratories have been set up for referral and quality control services
and linked with sentinel hospitals.
●● National Institute of virology, Pune has been entrusted for supply of IgM kits for
detection of cases after 5th day onwards to all the identified laboratories for Dengue
and Chikungunya.
●● A Mid Term Plan for prevention and control of Dengue & Chikungunya has been
developed and circulated to States for implementation.
Lymphatic Filariasis
●● Lymphatic Filariasis has been targeted for elimination by the year 2015.
●● The elimination of Lymphatic Filariasis targets interruption by reducing microfilaria rate
less than 1% in community and validating by absence of any new infection.
●● Government of India launched this strategy in 2004 for covering all endemic districts.
●● All the 250 endemic districts in 15 states and 5 UTs are being covered. The coverage has
improved form 72% in 2004 to 85.50% in 2012.
●● The overall microfilaria rate has been reduced from 1.24% in 2004 to 0.45 in 2012. More
than 186 out of 250 districts have reported less than 1% mf rate.
●● Validation test by Transmission Assessment Survey (TAS) for MDA stoppage has been
successfully conducted in Goa, Daman & Diu, Puducherry and one district of Tamil Nadu.
●● Process of validation is being done in 46 districts where MDA has been stopped.
Tuberculosis
Achievements
●● The Incidence of Tuberculosis has come down from 209/lakh population in 2005 to 176/
lakh population in 2012
●● Prevalence has come down from 365/ lakh population in 2005 to 230/lakh population
in 2012
●● Mortality rate from Tuberculosis has reduced from 36 in 2005 to 22 in 2012
●● RNTCP has treated 7.1 million cases during the last five years and 3.2 lakh deaths have
been reported by the Programme.
●● During the last five years 1.3 million additional deaths have been averted.
●● In May 2012 a web based TB case management system (NIKSHAY) had been rolled
out across the country where in the diagnosis and treatment details of each registered
Tuberculosis Patient is available for better case and programmatic management.
●● The NIKSHAY has been awarded “Gold Specific Sectoral National Award” (Focus Sector
for 2013-14_ Health Care) for e-Governance 2013-14.
●● The notification of all cases of Tuberculosis has been made mandatory with effect from
June 2012.
●● Ban on Commercial serology tests for TB diagnosis has been notified by the Gazette
of India : G.S.R. 432 (E), which prohibits the import of the Sero-diagnostic test kits for
tuberculosis & G.S.R. 433 (E) which prohibits the manufacture, sale, distribution and use
of the sero-diangostic test kits for tuberculosis.
●● More than 13,000 Designated Microscopy Centres (DMCs) are functional throughout the
country for quality assured diagnosis of pulmonary Tuberculosis.
●● Nationwide coverage of programmatic management of drug resistant TB services under
RNTCP has been achieved.
●● Interventions have focused on improving services for HIV-infected patients, with intensified
TB case finding at HIV care settings and linking with TB treatment; and for TB patients with
provider initiated HIV testing and counselling, provision of ART and decentralised CPT.
●● To improve access to tribal and other marginalized groups the programme has developed
a Tribal action plan which is being implemented with the provision of additional TB Units
and DMCs in tribal/difficult areas, additional staff, compensation for transportation of
patient & attendant and higher rate of salary to contractual staff.
●● The ACSM activities are inbuilt into the programme and are implemented intensively
from the National level to the most peripheral level till the community. RNTCP has a well-
conceived ACSM strategy in place.
●● Efforts are being made to involve all care providers through collaborative partnerships
with NGOs, CBOS, professional associations, faith based organisations, medical colleges
and private healthcare establishments across the country
Leprosy
NATIONAL LEPROSY ERADICATION PROGRAMME
Achievements
●● The Prevalence Rate has been recorded as 0.73 in March, 2013.
●● Annual New Case Detection Rate was 10.78 in the year 2012-13.
●● Number of centres providing Reconstructive Surgery for correction of the disability among
Leprosy Affected Persons has been increased to 110.
●● Special Activity Plan in the 209 high endemic districts in 16 States/UTs was carried
out with emphasis on house to house survey to detect hidden cases and to put them
under treatment.
●● The scheme of involvement of ASHA under NRHM for leprosy work was streamlined which
helped in detection of more female cases and in improving treatment completion rate.
●● A National Sample Survey for estimation of incidence of new leprosy cases and disability
load was carried out by National Jalma Institute of Leprosy and other Mycobacterial
Diseases (an ICMR institute) in the country in 2010-11.
●● The 12th Five Year Plan has been approved with component of Additional Human
Resource in high endemic districts and in high endemic blocks/urban areas to support
the implementation of the programme activities in the States/UTs.
●● Since the introduction of Multi-Drug Therapy (MDT), there has been remarkable progress
in the elimination of leprosy as a public health problem, defined as less than 1 case per
10,000 population, at the National level in December 2005. The Anti-leprosy drugs (MDT)
are being supplied free of cost through WHO.
Epidemiological Situation:
●● 33 States/UTs have achieved leprosy elimination i.e. Prevalence Rate (PR) less than
1 case per 10,000 population out of 35 States/UTs by 2012-13. Only Chhattisgarh and
Dadra & Nagar Haveli are yet to achieve elimination. However, three states namely Bihar,
Maharashtra and West Bengal achieved elimination earlier have shown slight increase
in PR (1-1.2) in the year 2012-13 due to the effect of special activities. A total of 528
Districts out of 649 Districts have achieved the elimination level.
●● At the end of March 2013, there are 91743 leprosy cases on record (under treatment).
●● In 2012-13, total 134752 new leprosy cases were detected and put under treatment
giving Annual New Case Detection Rate (ANCDR) of 10.78/100,000 population.
Public Health
National Centre for Disease Control (NCDC)
Functions:-
●● Nation – wide surveillance for major communicable diseases
●● Disease outbreak investigation and management
●● Responding to Public Health Emergencies of International Concern
●● Coordination of public health institutes
The Union Minister of Health and Family Welfare, Shri Ghulam Nabi Azad unveiling the plaque to lay the foundation stone
of the New Complex of National Centre for Disease Control in Delhi on April 28, 2013
Effectively responded to SARS, avian flu, outbreak of Pandemic Influenza-A (H1N1) and
Crimean-Congo Haemorrhagic Fever (CCHF). Up-gradation work of the National Centre for
Disease Control (NCDC), at an estimated cost of ` 382 crore, started in January 2013.
Under a Memorandum of Understanding
(MOU) signed with Centres for Disease
Control and Prevention (CDC), Atlanta
(USA), a Global Disease Detection–India
Centre (GDD-IC) has been established
at NCDC. NCDC supports the testing for
variou sinfectious diseases every year
and provides referral diagnostic support
for communicable diseases to states
and UTs. NCDC supports the National
Polio Surveillance Programme from
2010 onwards to test samples of Acute
New Complex of National Centre for Disease Control, Flacid Paralysis (AFP). NCDC supports
Delhi 3
Manpower development:-
●● Master of Public Health (Field Epidemiology): In last four years, 40 students have passed
out. Presently 11 students are undergoing training course.
●● Three months Regional Field Epidemiology Training Programme (FETP) for the health
professionals of South East Asia region countries. In last four years, 62 officers from
South East Asia region including India were trained in FETP.
Drugs Regulations
In the 12th Five Year Plan, an outlay of ` 1800 crores has been made by the Central
Government for strengthening of CDSCO.
●● Development of Infrastructure:
▪▪ New Buildings of zonal offices of CDSCO at Mumbai, Hyderabad, and Chandigarh.
▪▪ Sub-zonal offices of Hyderabad and Ahmadabad upgraded to zonal offices.
▪▪ Established Pharmazone at Hyderabad Airport.
▪▪ Created new sub-zonal offices at Jammu, Chandigarh, Bangalore, Goa, and also
proposed two more sub-zonal offices at Indore and Gouwhati.
▪▪ New Drug Testing Laboratories being established at Chandigarh and Hyderabad.
●● Enforcement:
▪▪ Drugs and Cosmetics Act, 1940 amended in 2008 for enhancing penal provisions for
manufacture and sale of Spurious and adulterated Drugs, provision for establishment
special Courts by the States/UTs. Certain offences being made cognizable and non-
bailable.
▪▪ The Drugs and Cosmetics (Amendment) Bill, 2013 was introduced in the RajyaSabha
on 29th August, 2013 for up-gradation and restructuring the Drugs Regulatory
framework for ensuring the manufacture and sale of safe and efficacious drugs in the
country. It has been proposed to create a Central Drug Authority.
▪▪ A new Schedule H1 containing certain antibiotics, anti-TB drugs and habit forming
drugs has been incorporated under the Drugs and Cosmetics Rules, 1945 for having
stricter regulatory control over these drugs.
▪▪ More than 100 import licenses have been cancelled for violations of conditions of
license.
▪▪ Introduced “whistle blower policy” to motivate the public and provide information to
the regulators on movement of spurious drugs.
▪▪ Registration process for Import of Cosmetics initiated
▪▪ The drugs considered harmful for human consumption were prohibited under the
Drugs and Cosmetics Act, 1940.
▪▪ Initiated inspection of Clinical Trial Centres.
▪▪ Introduced a system of registration of Clinical Trials (Clinical Trial Registry)
●● National Regulatory Authority Assessment by WHO
WHO conducted an extensive four day audit from 10-14 December, 2012 in respect of
the vaccine clearance procedures adopted by the National Regulatory Authority (NRA)
i.e. office of the Drugs Controller General (India), and was satisfied that the procedures
adopted by the NRA are stringent enough and the international community can be assured
that the vaccines permitted for manufacture by the said authority are of high quality, safe
and efficacious.
●● Transparency in approval process:
▪▪ Introduced Information Technology Enabling System (File Tracking System, Posting
of approval/quarry details on CDSCO website).
▪▪ WHO declared CDSCO is a functional National Regulatory Authority (NRA) (2012).
The Secretary, Department of Health and Family Welfare and the Commissioner, U.S. Food and Drug Administration
exchanging the signed MoU in the field of Health & Medicine, in presence of the Union Health Minister,
Shri Ghulam Nabi Azad on 10th February 2014.
The Union Minister for Health and Family Welfare, Shri Ghulam Nabi Azad releasing the 7th Edition of Indian
Pharmacopoeia 2014, in New Delhi on November 04, 2013.
Pharmacovigilance
●● The Pharmaco-vigilance Programme of India (PvPI) was launched on 14.07.2010.
The programme was recast in the year 2011 and entrusted for running to the Indian
Pharmacopoeia Commission. 300 medical colleges across the country will be involved
in the programme. The basic purpose of the programme is to ensure:
▪▪ Monitoring of Adverse Drug Reactions (ADRs) in the country for safeguarding public
health.
▪▪ Enabling the maintenance of a data-base on the efficacy and safety of new drugs
after their introduction into the market.
▪▪ Database to be a useful input for review of market approvals for such drugs.
●● With the objective to consolidate the laws relating to food and for laying down science
based standards for articles of food and to regulate their manufacture, storage,
distribution, sale and import, to ensure availability of safe and wholesome food for human
consumption and for matters connected therewith or incidental thereto, the Food Safety
and Standards Act was enacted and the Food Safety and Standards Authority of India
(FSSAI) was established in 2008.
●● The Food Safety and Standards Rules and the following FSS Regulations, have been
notified in 2011 :-
▪▪ Food Safety and Standards (Licensing and Registration of Food businesses)
Regulations, 2011
▪▪ Food Safety and standards (Packaging and Labelling) Regulations, 2011
▪▪ Food safety and standards (Food product Standards and Food Additives) Regulations,
2011
▪▪ Food safety and standards (Prohibition and Restriction on Sales) Regulations, 2011
▪▪ Food safety and standards (Contaminates, Toxins and Residues) Regulations, 2011
▪▪ Food Safety and Standards (Laboratory and Sampling Analysis) Regulations, 2011
▪▪ Food Safety and Standards Authority of India (Transaction of Business at its Meetings)
Regulations, 2010
●● Simultaneously, the enactments and orders mentioned in the Second Schedule of the
Act (including the Prevention of Food Adulteration Act) and the Milk and Milk Products
Regulations, 1992 have been repealed w.e.f. 5.8.2011.
●● FSS Act has been made operational from 5.8.2011. The food regulatory framework has
now moved from limited prevention of food adulteration regime to safe and wholesome
food regime.
●● Operationalizing the Enforcement structure at the Centre as well as the State
level: All the States have operationalized the FSS (Licensing and Registration of Food
businesses) Regulations, 2011. Till date around 4,35,898 licenses and 14,45,836
registrations have been issued by the State Governments. At the Central level, 12,348
licenses have been issued till 30.11.2013.
●● Initiatives taken by FSSAI for fixing of standards of food articles are as follows :
▪▪ Draft standards for caffeinated beverages have beennotified.
▪▪ Limit of Trans Fatty Acid in partially hydrogenated vegetable oil has been notified.
▪▪ Draft notification for fixing standards for Antibiotics in Honey has been notified to the
WTO.
▪▪ Standards for Olive Oil have been notified.
▪▪ Draft standards for certain Food Additives have been notified and stake-holder
comments are under review.
●● Ministry of Health and Family Welfare is the first ministry of Government of India who
has engaged community radio empanelled with DAVP at DAVP rates for broadcast of the
programme of half an hour at grass root level for common masses.
●●The Department’s thematic display of Health
Pavilion during IITF 2010 at Pragati Maidan,
New Delhi was awarded the Gold Medal.
Further the Health Pavilion on the theme of
“Health with Equity” at IITF 2013 was again
awarded Silver Medal for its attractive display
on various Health Issues.
●●The IEC Division also participated in
campaign through Red Ribbon Express II
& III. The year long awareness programme,
initiated by MOHFW, highlighted the various
initiatives launched by the Ministry to take
Health Pavilion at IITF, Pragati Maidan, health services to the doorsteps of the
New Delhi, 2013 people livingin the backward regions of the
country.
●● The IEC Division has utilised the field units of Directorate of Field Publicity and Song
and Drama Division to spread
Health Messages through group
communication initiatives such as
Folk Songs, Drama, Nukkad Natak,
other performing art forms etc.
●● An initiative to promote Health
messages at major pilgrim centres
of the country through hoardings,
access cards and other media
options was undertaken. The
programme has already started at
Tirupati Devasthanam as Health
messages have been printed on
the access cards which are used
by millions of pilgrims visiting
World Population Day programme at India Gate New Delhi.
Tirumala.
and beneficiaries. The Helpdesk Service Provider (HSP) agency has been selected and the
helpdesk is expected to be operational soon.
A module has been added in the MCTS portal so that States / UTs may utilise it to make calls
for validation of MCTS data, getting feedback and raising awareness about national mother
and child health related programmes. Many States / UTs have already operationalized this
feature for their respective jurisdictions. MoHFW is encouraging the remaining States / UTs
to operationalize this feature.
2.11.3 National Health Portal (NHP)
In pursuance of the recommendation of National Knowledge Commission, the Ministry has
decided to set up and operationalize National Health Portal (NHP) which will provide easy
access to health related information for various stake holders like common man, health
professionals, academia Government Departments, etc. in Hindi, English and other major
regional languages.
Health Minsiters of South East Assia Region Countries with Union Health Minister Shri Ghulam Nabi Azad
at New Delhi on 10th September 2013
In order to control the spread of HIV/AIDS, the Government of India is implementing the
National AIDS Control Programme (NACP) as a 100% centrally sponsored scheme.
Consolidating the gains made till now, National AIDS Control Programme Phase-IV aims
to accelerate the process of reversal and further strengthen the epidemic response in India
through a cautious and well defined integration process over the next five years.
Status of Implementation of Key Interventions:
●● Targeted Intervention (TI):
The key risk groups covered
through Targeted Intervention
(TI) programme include:
Core High Risk Groups
(HRGs)-Female Sex Workers
(FSW), Men who have Sex
with Men (MSM) including
Transgenders (TGs), Injecting
Drug Users (IDU) and Bridge
Populations- Migrants
and Truckers. Various
components of Targeted
Intervention programme
includes: Behaviour Change
communication, Condom
promotion, Treatment for Chairperson National Advisory Council, Smt. Sonia Gandhi inaugurating
Red Ribbon Express, 2009
Department of AYUSH
Achievements
Mainstreaming of AYUSH
Under the Centrally Sponsored Scheme for Development of AYUSH Hospitals & Dispensaries,
grant-in-aid amounting to ` 623.93 Crore was given to the States/UT Governments for
establishment of AYUSH facilities in 803 Additional Primary Health Centers/ Primary Health
Centers, 113 Community Health Centers, 24 District Hospitals and for up-gradation of
379 exclusive AYUSH hospitals and 415 Dispensaries for one-time as well as recurring
expenditure purpose. Further in the Financial Year 2012-13, 1191 Primary Health Centers,
287 Community Health Centers, 111 District Hospitals were provided with recurring financial
assistance. Financial assistance was also provided for supply of Essential drugs to 11068
dispensaries in the Financial Year 2012-13.
During 2011-12, Department of AYUSH also supported for setting up of 6 units of 50 bedded
integrated AYUSH Hospitals at Manipur, Mizoram, Tripura, Jammu & Kashmir, Uttarakhand
and Himachal Pradesh and 5 units of 10 bedded integrated AYUSH Hospital at Arunchal
Pradesh, Assam, Meghalaya, Nagaland and Sikkim.
A Total number of 11925 AYUSH doctors and 4785 AYUSH para-medics have been appointed
on contract basis at Primary Health Centers and Community Health Centers with assistance
from NRHM mission flexipool.
In 2011-12, a new component of “Setting up of 50/10 bedded integrated AYUSH Hospitals”
was introduced under the Centrally Sponsored Scheme for Development of AYUSH Hospitals
and Dispensaries in the Northern Eastern states and other hilly states of Jammu & Kashmir,
Uttarakhand and Himachal Pradesh.
The Union Minister of Health & Family Welfare releasing the book UNANI System of Medicine
The Union Minister for Health and Family Welfare, Shri Ghulam Nabi Azad addressing the
first International Conference on Traditional Medicine in February, 2013 in New Delhi
Pharmacopoeial Standards
The Pharmacopoeia Commission of Indian Medicines (PCIM) has been set up to develop
the Pharmacopoeial Standards of Ayurveda, Siddha Unani Drugs.
International Cooperation
●● The major achievements under International Cooperation are as follows:
▪▪ “International Conference on Traditional Medicine for South – East Asian Countries”
was organized by the Department of AYUSH in collaboration with the WHO Regional
office for South – East Asia during 12-14 February, 2013.
●● The details of the MoUs signed/in pipeline during the last five years are as follows:
▪▪ Department of AYUSH and signed an MoU with Government of Malaysia to strengthen,
promote and develop cooperation in the field of Traditional Systems of Medicine
between countries on 27.10.2010.
Other Achievements
●● After the long persuasion by the Department of AYUSH, first time NSSO has collected
information on AYUSH along with 68th annual round of NSS on Socio –Economic Survey
conducted during July 2011- June 2012. The information from the NSS round will be
useful in better understanding of AYUSH system in India.
●● Department has undertaken evaluation of the Centrally Sponsored Schemes (CSS) and
Central Sector Scheme (CS) by the third party independent agencies. Twenty seven
components of the CSS and CS are being evaluated by the six evaluation agencies and
the evaluation is at advance stage.
●● A publication “AYUSH In India” has been streamlined and now being published regularly
on annual basis since 2010. The publication contains useful information on AYUSH
infrastructure such as hospitals and dispensaries, registered practitioners, number of
UG/PG colleges, outlay-expenditure on AYUSH etc.
●● Good Clinical Practice (GCP) Guidelines in clinical trials in Ayurveda, Siddha and Unani
Medicines have been published in March 2013.
●● Essential Drug Lists (EDLs) of Ayurveda, Siddha, Unani and Homoeopathy Medicines
have been published in March 2013.
●● Manual of Procedural guidelines for inspection of Ayurveda, Siddha and Unani Drug
Testing Laboratories have been published in March 2013.
●● The proposal for creation of 13 posts for establishment of Central Drug Controller for
Ayurveda, Siddha, Unani and Homoeopathy drugs has been approved.
In conclusion, the Department has made significant strides during the last five years and has
been successful not only in widening its outreach but also in the promotion and propagation
of Indian Systems of Medicines, nationally and globally.
The Union Minister for Health and Family Welfare, Shri Ghulam Nabi Azad launching the Thalassaemia Diagnostic Kit, in
New Delhi on December 17, 2013. The Minister of State for Health & Family Welfare, Shri A.H. Khan Choudhury and the
DG, ICMR and Secretary, Department of Health Research, Dr. V.M. Katoch are also seen.
Infrastructure Development
●● Asia’s first BSL IV laboratory was established at NIV, Pune to deal with most dangerous
lethal infections like hemorrhagic fevers, agents of bioterrorism.
●● National Institute for Research on Environmental Health was established at Bhopal
on 11th October, 2010
Inauguration and dedication to the Nation of Asia’s first BSL-4 laboratory, Pune by
Shri Ghulam Nabi Azad, Minister of Health and Family Welfare in December, 2012
International Collaboration
●● Several rounds of negotiations were
held with partner agencies / countries
to develop programmes in mutually
identified areas, Strengthening
Indian researchers’ capabilities-88
ICMR International Fellowships
were awarded during last 5 years,
Approx. 330 exchange visits
were processed and supported
under international mobility mode
of collaboration of approved
research projects. The international
collaboration helped the scientists of
India and other countries to develop
collaborative links–25 JWGs and
34 workshops were conducted.
Secretariat for South Asian Forum
for Health Research (SAFHeR) for DHR-National Institute for Health and Care Excellence-MoU Co-
enhancing regional cooperation signed by Secretary, DHR and DG, ICMR in London, UK
was transferred to ICMR. on 14th June, 2013
The Union Minsiter of Health and Family Welfare, Shri Ghulam Nabi Azad launching the Cervical Cancer Diagnostic Kit-
AB Magnivisualizer- developed by Institute of Cytology and Preventive Oncology, in New Dlhi on December 23, 2013. The
Minsiters of State for Health & Family Welfare, Smt. Santosh Chowdhary and Shri A. H. Khan Choudhury are also seen.
●● Work initiated for two Regional, 3 state level and 5 Medical College Level labs.
●● Asia’s first BSL IV laboratory was established at NIV, Pune to deal with most dangerous
lethal infections like hemorrhagic fevers, agents of bioterrorism
Grant-in-Aid Scheme
●● Grant-in-Aid for Inter-sectoral Convergence & Coordination for Promotion & Guidance
on Health Research, has been approved at a cost of Rs 1242 crores.
Genetic Disorders
●● Haemoglobinopathies in tribal areas of MP were mapped by the RMRCT, Jabalpur. Based
on the recommendation of the centre the Government of MP has established clinics in 5
districts for the laboratory diagnosis of haemoglobinopathies in phase-I.
Non-communicable Diseases
oo ICPO,Noida is involved in an Indo-German programme for development of chimeric
DNA- based vaccine against Human Papillomavirus type 16.
▪▪ For the first time a manually curated database termed Cervical Cancer Gene Database
(CCDB, http://crdd.osdd.net/raghava/ccdb) has been developed.
Nutrition
▪▪ Based on ICMR co-ordinated work on pesticide residues in carbonated water, the
Ministry of Health and Family Welfare issued the final Gazette notification, No. 357
“Prevention of Food Adulteration which implements the tolerance limits of pesticide
residues for carbonated water (1 ppb for individual pesticide residues).
▪▪ The Centre for Promotion of Nutrition Research and Training with special focus on
North-East, Tribal and Inaccessible Population (ICMR), New Delhi has contributed
immensely in the area of Nutrition.
▪▪ National Nutrition Monitoring Bureau (NNMB) has been carrying out periodic
surveys across the 10 states of the country to study the time trends in the diet
and nutritional status. Six additional NNMB units have been sanctioned in 2012,
in non-NNMB states.
ACHIEVEMENTS
&
NEW INITIATIVES
President Shri Pranab Mukherjee at a function to celebrate “India’s Victory Over Polio”, in New Delhi
on February 11th, 2014. The Prime Minister, Dr. Manmohan Singh, the Chairperson, National Advisory Council,
Smt. Sonia Gandhi, Union Minister of Health and Family Welfare, Shri Ghulam Nabi Azad, The Leader of
Opposition in Lok Sabha, Smt. Sushma Swaraj and other dignitaries are also seen.
President Shri Pranab Mukherjee, Union Minister of Health and Family Welfare, Shri Ghulam Nabi Azad, Minister of
State for Health & Family Welfare, Smt. Santosh Chowdhary, Director General, World Health Organisation,
Dr. Margaret Chan and Health Ministers of South East Asian Countries who attended 31st meeting of WHO-SEARO
Health Ministers meeting in New Delhi on September 10, 2013.
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