|Upgradation of Health Institutions|
|Infrastructure development under NRHM mainly consists of undertaking up-gradation of all the Community Health Centres and select General/ District /Taluk / Block PHCs / PHCs and other medical institutions. In the initial phase the work of the115 CHCs were taken up as per the guideline of Indian Public Health Standards. Agencies with experience in Health Construction like Hindustan Latex Ltd, Hindustan Prefab Ltd and Kerala Health Research and Welfare Society have been hired as implementing agencies for the civil works on turnkey basis. Of the 115 CHCs taken up for upgradation through HLL, Work has been fully completed in more than 100 CHCs. The entire CHC upgradation work is expected to be completed by December 2010.|
Other works include the upgradation of the General hospitals, District hospitals, Taluk hospitals, and other institutions in the State. Work has been fully completed in 9 institutions and the other works at various stages shall be completed by March 2010. One of the major works is the construction of a new block and renovation of the old building at IMCH Kozhikode which alone is estimated around `33 crores. A modern sewage treatment plant was constructed for the Kozhikode medical college campus and the construction was completed in record time.
Procurement and installation of equipments to all heath care institutions has been initiated through Kerala Medical Services Corporation Limited. Bio-Medical Engineers have been appointed to take care of the equipment needs and maintenance in the Health sector. Equipments worth `44.9 crores distributed to various government hospitals as part of improvement in the quality of services of government health institutions. Equipments worth ` 5.12 crores distributed to Community Health Centres, equipments worth `12.3 crores distributed to Taluk Headquarters Hospitals, equipments worth ` 22.5 crore to District Hospitals and equipments worth ` 4.8 crores to Medical College hospitals.
Bridging the critical shortage of manpower has always been a matter of concern. The Government has taken bold steps to implement compulsory rural services for doctors and bonded services and internship for Nurses and contract appointment of Specialists. Around 1200 doctors were employed on contract basis. In order to ensure the Government Policy of 1:4 Nurse to bed ratio, over 1500 nurses were appointed in the State in various health institutions in the State. To ensure the presence of doctors on a 24 X & basis, doctors were appointed in two additional shifts i.e. 3 PM to 8 PM (evening shift) and 8 PM to 8 AM (night shift) in selected health institutions which is being maintained. Through Compulsory Rural Services MBBS and Specialist Doctors are posted for services in Rural and Difficult Rural areas. Deployment of Specialists especially gynecologists in the CHCs has helped increase deliveries in Peripheral Hospitals with concomitant decrease the load in tertiary level hospitals. Further 5 CHCs per district is being converted to baby friendly hospitals to promote deliveries in the peripheral hospitals.
Owing to a better management of Human resources now
Through Arogyakeralam, Untied funds & Annual Maintenance Grants and Hospital Development Societies are given to the health institutions towards undertaking various developmental activities in the institutions. An amount of `48.38 crores are being released every year under this head
||Annual Maintenance Grant
(for institutions with own buildings)
|Hospital Development Societies|
|Sub Centre (SC)||10,000/ institution||10,000/ SC||c1,00,000/institution|
|Primary Health Centre (PHC)||25,000/ institution||50,000/ PHC|
|Community Health Centre (CHC)||1,00,000/institution||1,00,000/institution|
Taluk Head Quarters Hospital,
Speciality Hospitals, District Hospital