DISTRICT PROFILE NAINITAL (2008) Introduction Nainital, the 'Lake District' of India is a valley having a pear-shaped lake of two miles in circumference, and surrounded by mountains like Naina (2,615 m), Deopatha (2,438 m), and Ayarpatha (2,278 m). The highest peak of the district is Baudhansthali 2623 mts. high near Nainital town. Nainital thrives mainly on the tourism industry. District headquarters are located in Nainital town. Nainital is surrounded by Almora district in the north, Udham Singh Nagar district in the south, Champawat district in the east, and Pauri Garhwal in the west. River Kosi arising out of Koshimool near Kausani is the main river of the district, which flows on the western side of the district. Nainital receives snowfall between December and February. Further details of the district can be seen as under: Area (Sq. km.) 3,422 Total Population (projected - 2008) 762,909 Urban (%) 35.27 Rural (%) 64.73 Male (%) 52.46 Female (%) 47.54 Scheduled Caste (%) 19.42 Scheduled Tribe (%) 0.65 Sex Ratio (M:F) 1000: 906 No. of Nyay Panchayats 4,411 No. of Gram Sabha 450 No. of Villages 1,108 Total No. of School - Primary 913 Junior High School 230 High School 198 Intermediate 198 Graduate 01 Post Graduate 04 Literacy Rate (%) 79.6 Male Literacy Rate (%) 87.4 Female Literacy Rate (%) 70.9 No. of Urban Slums 5 JJ Cluster Data Not Available Persons Affected with Leprosy Homes 4 No. of PAL living in these homes 135 Health Facilities in District The rural health care system is a three tier structure. It has Sub-center at the most peripheral level, Primary Health Centre at the intermediate level and Community Health Centre at the secondary level. The population covered by a Sub Centre, Primary Health Centre and Community Health Centre are 3,000-5,000, 20,000-30,000 and 100,000, respectively. In addition, there are Private Voluntary Healthy Facilities, also. As per Uttarakhand government organizational set up, the District is headed by a District Magistrate, who is also the chair person District Profile Nainital Uttarakhand 2008 Page 1 of 7
of the Integrated District Health Society of Nainital district. The District health set up of Uttarakhand government is headed by the Chief Medical Officer followed by a Deputy CMO as second-in-command. Chief Medical Superintendent looks after the Uttarakhand government hospitals in the district. There are 248 government health care facilities in the district, as can be seen from the table given below. Category Number District Hospitals/ Base Hospital 02 No. of CHC 04 No. of PHC 06 No. of APHC 12 No. of FW/MCH Centres 136 Female Hospitals 04 Uraban Health Posts/ Maternity Centres 03 Leprosy Hospital (Local & Int I NGO) 01 Any other allopathic Hospital 32 Ayurvedic Hospital 36 Homeopathic Hospitals 10 Mobile Dispensary 01 Medical Collage 01 Staff Position in the District Following is the list of Health Personnel employed under Uttarakhand Government. Figures related to other health agencies are not available. Category Approved Number In Position Leprosy Training received (No. trained) Medical Officers 209 148 Data Not Available Pharmacist 140 134 Data Not Available Health Supervisor(F) 26 24 Data Not Available Health Supervisor(M) 38 30 Data Not Available NMS 166 162 Data Not Available NMA 69 08 Data Not Available ASHA 06 Data Not Available Data Not Available Epidemiological picture of the District PR and ANCDR both have declined steadily over the past 5 years since 2003-04. However, the other epidemiological indicators like MB cases, Female cases, Child Cases, Grade II Cases amongst new cases have not shown any definite pattern over these past 5 years. District Profile Nainital Uttarakhand 2008 Page 2 of 7
1.2 1 0.8 0.6 0.4 0.2 0 PR & ANCDR over the past 5 years 2003-04 2004-05 2005-06 2006-07 2007-08 100 80 60 40 20 0 Other Epidemiological Indicators over the past 5 years 2003-04 2004-05 2005-06 2006-07 2007-08 Financial Year Financial Year MB Proportion Child Proportion ANCDR PR Gd II Proportion Female Proportion Treatment Completion Rate (TCR) in the District Multibacillary cases registered in the year 2005-06 35.00 Paucibacillary cases registered in the year 2006-07 64.28 Low TCR of both Paucibacillary and Multibacillary cases could possibly be due to the fact that majority of patients are from outside the state of Uttarakhand who come here to seek better jobs. Programme Support NLR has placed a one Leprosy Programme Advisor (LPA), who is a medical doctor with training in leprosy and having experience of working in public health activities. He is covering 6 districts with his head quarter at Haldwani (Nainital) The LPA is visiting this district and transferring his skills, and providing guidance to District Nucleus (DN) so that DN improves their supervisory activities and in turn quality of leprosy services are improved, which will be provided through GHC staff. Through support from this LPA, following support activities have been completed in Nainital District in the year 2008. On the basis of information available in the district, LPA has prepared the district profile of Nainital District. During first quarter of 2008, situational analysis of functioning of District Nucleus (DN) was conducted. On the basis of this analysis, weaknesses, of the functioning of DN, were identified and following activities were planned to overcome these weaknesses. Support in Supervision: NLR LPA initiated & motivated DN for the preparation of Advance Tour programme, Activity Under Taken Report and Checklist for supervision, Gantt Chart and Supervisory Report. LPA supports the District Nucleus and visits peripheral health care facilities along with District Nucleus Team and provides them on the job technical support in carrying out supervision of the peripheral GHC staff and in performing Cohort study. LPA also assists and transfers his skills required in preparation of Annual Plan of Action and monitoring of activities in the district. DN team of Nainital district was supported by LPA, in preparation of monthly reports including Quarterly Performance Reports and Monthly Reporting Formats. District Profile Nainital Uttarakhand 2008 Page 3 of 7
Training of Pharmacists and Storekeepers: In the third quarter of 2008 LPA facilitated the training of Pharmacists and storekeepers in the district; so as to streamline the MDT management with special emphasis on indenting of MDT. 10 out of 16 Pharmacists participated in this workshop. Management of Lepra Reactions and Complicated Cases : LPA supported the DN in management of lepra reactions and complicated cases and maintenance of records & generation of reports related to it. LPA also supported the D.N. in Case Validation, Health Education and IEC Activities Outcome Preparation of ATP will be done in future also. Preparation of Gantt Chart and Supervisory Report in future also. Cohort study for the reporting year 2007-2008 (MB-35% & PB-64.28%) Improvement in record keeping. Improvement in MDT management Improvement in technical skill of D.N. Improvement in Retrieval of Absentees. Improvement in Healthy Contact. Preparation of need based result oriented POA for the year 2009-2010 REHABILITATION Promotion of self care On the basis of experience in other countries, NLR India has initiated the support to the District Nucleus in providing guidance, support and motivation to Persons Leprosy living in leprosy colonies/settlements and in selection of cases for Microcellular Rubber Footwear and Reconstructive Surgeries s. This support is provided for promoting self care of the anesthetic eyes, hands and feet, by the persons themselves. NLR has provided one Non Medical Supervisor, working as SCG coordinator to provide support to DN and supervise the functioning of self care groups in colonies. This page contains information of the progress made so far in the district. The progress made, in self care, will be updated regularly There are 4 colonies for Persons Affected by leprosy. Brief of these colonies is as under: 1. Kushth Ashram Moti Nagar, Haldwani-Nainital Kushth Ashram Moti Nagar, Haldwani-Nainital 86 47 06 25 31 4
As per NLR Self Care Group (SCG) Guidelines, following activities have been completed in this Self Care Groups formed 5 Head (Pradhan):Mr. Bisan Singh Pradhan Contact no. NA 2. Rajpura Kushth Ashram, Haldwani-Nainital Rajpura Kushth Ashram, Haldwani-Nainital 115 41 02 18 24 As per NLR Self Care Group (SCG) Guidelines, following activities have been completed in this Self Care Groups formed 4 Self care practice started Head (Pradhan):Mr. Khushi Ram Contact no. 05946-281500 3. Manav Seva Shiv Mandir Kushth Ashram, Lalkuan-Nainital Manav Seva Kushth Ashram, Lalkuan-Nainital 33 28 3 19 17 As per NLR Self Care Group (SCG) Guidelines, following activities have been completed in this Self Care Groups formed 3 Head (Pradhan):Mr. Makar Singh Contact no. NA 5
4. Banwari Kushth Viklang Ashram Ramnagar Nainital Banwari Kushth Viklang Ashram Ramnagar -Nainital 19 19 02 14 12 As per NLR Self Care Group (SCG) Guidelines, following activities have been completed in this Self Care Groups formed 2 Stake Holders meetings Head (Pradhan):Mr. R.N.Lakhotia Contact no. 251357-252215 6
Contact address of District Officials Dr. Asha Mathur Chief Medical Officer C.M.O. Office Nainital Tel: 05942-235285 Fax: Not Available E-mail not Available Dr. Prakash Verma In-Charge District Leprosy Officer C.M.O. Office Nainital Tel: 05944-246081 Fax: Not Available E-mail not Available Mr. Suraj Singh Khampa N H A C.M.O. Office Nainital Tel: 05942-235285 Fax: Not Available E-mail not Available Dr. V. S. Pal NLR Leprosy Programme Advisor Netherlands Leprosy Relief India Branch Villa Garima, Plot No. 15, T.H.D.C. Colony Tea Estate, Banjarawala Dehradun 248001 (UK) Mob 09412006248 E-mail pal_vijai_ddn@yahoo.com 7