HEALTH CARE, HUMAN SERVICE AND FAMILY WELFARE DEPARTMENT Ensuring qualitative healthcare services has been one of the topmost priority missions of the State Government. Fostering a health society through quality healthcare, services for all citizens of remotest villages of West Sikkim has been the vision of Health Care, Human Service and Family Welfare Department. Indicators in the field of health care and services showcase that West Sikkim is progressing in an upward spiral. STATUS OF HEALTH CENTRES: Particulars 2016-17 Dist. Hospital s s Govt. Building 1 7 39 Rented 0 0 2 (Gangyap & Daramdin ) Under Construction 0 0 1 (Gangyap ) DCWC Tashiding Yuksam District Hospital Dentam Rinchenpong Mangalbaria Soreng Sombaria 1
Darap Legship Lingchom NaKu- Chumbong Nambu Pelling Rimbik Sakyong Gangyap Karjee Kongri Gerethang Melli- Aching Thingling Bongten Hee- Yangthang Karmatar Radu- Khandy Uttray Bermok Boom-Reshi Deythang Samdong Yangsum Zeel- Hathidunga Kamling Khanisherbong Reshi Buriakhop Chakung Chumbong Dodak Naya- Bazar Pakkigaon Singling Tharpu Zoom Daramdin Okhray Ribdi Tickpur Photo: District Hospital 2
Photo: Soreng Formation of committees: 1. District Health Mission 2. District Health Society 3. Rogi Kalyan Samiti at District and 7 s 4. VHSNC DHM (District Health Mission) and DHS (District Health Societies) have been formed and Hon ble Zilla Adhayksha and District Collector are designated Chairman respectively. RKS/HMS (Rogi Kalyan Samitis/Hospital Management Society) has also been formed in all the health centres including Hospital Monitoring committee at District Hospital. The BDO (Block Development Officers) are the Chairman of RKS for the respective Primary Health Centres. Grievance Redressal Mechanism of RKS: Under the Grievance redressal mechanism of RKS, the suggestion/complaint box is placed in District Hospital & 7. During the meeting of RKS committee, the committee members will check the suggestion/complain box and accordingly, they discuss in the meeting. Monitoring committee of RKS: Monitoring committee of RKS District Hospital, visite at least twice in a year and submits the report on inspection (visit Hospital wards & collect patient feedback) of hospital to DMS. After the submission of inspection report, the meeting of executive body is called and accordingly rectification is done, and reports have been submitting the District Collector & Chairperson, Zilla Adhakshya/West. Some of the important issues which were raised on executive body meeting were discussed during the meeting with RKS/HMS Governing Body. Monitoring of RKS Fund/Accounts has been done regularly be statutory audit & AG audit and report has been distributed to respective member of Governing Body of RKS VHSNC (Village Health Sanitation & Nutrition Committee) are formed under every ASHA village whose main responsibility is to make a health plan of their respective villages and are shouldered with the responsibility to supervise and monitor every health activities at the village level. 3
Indicators West District Sikkim India MMR (Maternal Mortality 15 numbers 2 numbers 167/100000 Rate) IMR (Infant Mortality Rate) 22/1000 (HMIS) 18/1000 (SRS-2016) 37/1000 (SRS-2016) TFR (Total Fertility Rate) 1.2 1.2 2.51 Crude Birth Rate 12.5 (C.N.A) 17 (SRS-2016) 20.8 (SRS-2016) ACHIEVEMENT OF HEALTH CARE SERVICES Sl.no Services 2011-2012 2012-2013 2013-2014 2014-2015 2015-2016 1 2 3 4 Total ANC Registered % 1 st trimester registration to total ANC registration (within 12 Weeks) % Pregnant women received 3 ANC to total ANC registration % Pregnant women given 100 IFA to total ANC registration 2393 2231 53% (1258) 61% (1352) 87% (2074) 73% (1738) 88% (1965) 69% (1537) 2183 2118 1963 71% (1548) 83% (1807) 88% (1914) 84% (1781) 90% (1899) 93% (1975) 85% (1666) 92% (1811) 91% (1782) 5 Total Delivery 1796 1935 1886 1862 1812 6 % Institutional Delivery to Total Delivery 76% 84% 90% 98% 98% 7 % Home Delivery to Total Delivery 24% 16% 10% 2% 2% No. of JSY 8 Beneficiaries (Inst. 637 518 485 612 578 Delivery) No. of JSY 9 Beneficiaries (Home 25 13 14 3 1 Delivery) 10 Full Immunization 2034 1983 1868 1838 1785 11 IUCD Acceptor 536 364 528 616 454 12 PPIUCD Acceptor - - 45 154 114 13 OCP Users 1900 1816 2114 2251 2161 14 Condom Users 815 773 818 813 934 Source: West District Health Management & Information System 4
WEST DISTRICT FACT SHEETS Sl.no Indicators DLHS-4 (2012-13) NFHS-4 (2015-16) 1 Mothers who had Antenatal check-up in the 56.1% 81.2 % first trimester (%) 2 Mother who had at least 4 ANC visits (%) 82.7% 84.9% 3 Mothers who consumed iron folic acid for 71.8% 66.8% 100 days or more when they were pregnant (%) 4 Institutional Delivery (%) 73.7% 94.6% 5 Institutional Delivery in public facility (%) 66.4% 88.6% 6 Mothers who received financial assistance 31.7% 43.1% under JSY for births delivered in an institution (%) 7 Children under age 3 years breastfed within 59.2% 73.2% one hour of birth (%) 8 Current use of Family Planning any method 70.8% 65.8% 9 Any Modern FP method 55.6% 64.3% 10 Female Sterilization 12.8% 22.1% 11 Male Sterilization 3.0% 4.9% 12 IUCD/PPIUCD 10.9% 12.9% 13 OCP 21.2% 16.9% 14 Condom 3.1% 5.4% Source: DLHS -4 (2012-13) & NFHS-4 (2015-16) PROGRMME UNDER NATIONAL HEALTH MISSION A) RCH FLEXIPOOL:Reproductive Maternal Newborn Child Health + Adolescent (RMNCH+A) B) National Health Mission (NHM) Flexible Pool C) Immunisation D) National Iodine Deficiency Disorders Control Programme (NIDDCP) E) Integrated Disease Surveillance Programme (IDSP) F) National Vector Borne Disease Control Programme (NVBDC) G) National Leprosy Eradication Programme (NLEP) H) Revised National TB control Programme (RNTCP) I) National Programme for Control of Blindness (NPCB) J) National Mental Health Programme (NMHP) K) National Programme for the Healthcare of the Elderly (NE) L) National Programme for Prevention and Control of Deafness (NPPCD) M) National Tobacco Control Programme (NTCP) N) National Oral Health Programme (NOHP) O) National Programme for Prevention and control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCDS) Communitisation: o Rogi Kalyan Samiti / Hospital Management Society (RKS/HMS) o Village Health Sanitation & Nutrition Committee (VHSNC) o Accredited Social Health Activist (ASHA) o Village Health Nutrition Day (VHND) 5
The Chief Minister s Comprehensive Annual and Total Check-up for Healthy Sikkim (CATCH), which provides comprehensive healthcare (promotive, preventive and curative) on an annual and periodical basis is a path breaking initiative envisioned by the Hon ble Chief Minister of Sikkim. As of 2016, during the 1 st Round, 95% population have been covered or registered and in 2 nd round a total of 71% individuals have been covered or registered with lab investigation. Out of that, 63% have been issued health card. New programme: PMSMA: Pradhan Mantri Surakshit Matriva Abhiyan has been launched by the Ministry of Health & Family Welfare GOI on 8th August 2016.The programme aims to provide assured comprehensive & quality Antenatal Care, Free diagnostics & counselling Services, detection, referral, treatment & follow up of all high risk & complicated pregnancies. It is held on 9 th of every month where Antenatal Mothers will be provided all the essential Maternal Health Services. Programme is being implemented in Sikkim since September 2016. MAA: (Mother s Absolute Affection programme for Breastfeeding promotion) This Programme was launched on 05th August 2016 by Union Minister of Health & Family welfare, GOI. The Goal of the MMA Programme is to promote, protect, & support of Breast feeding practices through health systems to achieve higher breastfeeding rates. Mission Indradhanush: The Ministry of Health & Family welfare GOI has lunched Mission Indradhanush in December 2014 as a specific drive to vaccinate all unvaccinated & partially vaccinated children up to 2 years. The mission focuses on interventions to improve full immunization coverage from 83 % to at least 90 % children in the next 5 years. The objective of mission Indradhanush is to ensure high coverage of children & pregnant women with all available vaccines through the country. Under Rastriya Bal Swasthya Karyakam (RKSK) programme, 840 Peer Educators were selected, out of that 480 PE are trained. KAYAKALP: An initiative under Swachh Bharat Abjiyan, started in the year 2015-16 with an objective to encourage or promote cleanliness, hygiene, infection control and sanitation linked to positive health outcomes, KAYAKALP programme has been initiated by the Department where best performing public health facilities are felicitated with cash prize and citation at the state level. Under West District, Dentam was declared as the winner with Rinchenpong securing the second place. Position Name of Health Facility Marks obtained (Total=150 marks) 1 st Dentam 134 (89%) 2 nd Rinchenpong 117 (78%) 3 rd Mangalbaria 111 (74%) 4 th Yuksam 106 (70%) 5 th Soreng 105 (70%) 6 th Somabria 94 (62%) 6
7th Tashiding 92 (61%) Contact Numbers: Sl.no Name of Officers Designation Place of Posting Contact No. 1 Dr. Thinlay Wongyal Addl. Director cum Dist. Hospital 9733076770 CMO, West 2 Dr. T. N. Bhutia Addl. Director cum Dist. Hospital 9474767727 DRCHO, West 3 Dr. Anusha Lama Jt. Director cum DMS, Dist. Hospital 9733020950 West 4 Dr. Bikash Pradhan Jt. Director cum DTO, Dist. Hospital 9733076784 West 5 Mr. Digam Gurung Dist. Programme Dist. Hospital 9735065916 Manager, West 6 Mr. Bikram C. Rai Dist. Accounts Dist. Hospital 9775481283 Manager 7 Dr. Bipendra Sharma MO I/C Tashiding 8972869458 8 Miss. Munna Rai BPAM Tashiding 9593267067 9 Dr. Reena Tamang MO I/C Yuksam 9593287007 10 Mrs. Laxmi Rai BPAM Yuksam 9800630901 11 Dr. Kanchan Gurung MO I/C Dentam 9647852368 12 Mr. Avinash Pradhan BPAM Dentam 9609875460 13 Dr. Lasa Hang Limboo MO I/C Rinchenpong 9734552221 14 Miss. Bindu Rai BPAM Rinchenpong 9775316075 15 Dr. Lalit Rai MO I/C Mangalbaria 8116213117 16 Mr. Yapchung Bhutia BPAM Mangalbaria 9735993218 17 Dr. Birendra Subba MO I/C Soreng 9733137085 18 Mrs. Deeya Thapa BPAM Soreng 9775952662 19 Dr. B.K. Chawhan MO I/C Sombaria 7407254321 20 Mr. Avinash Roka BPAM Sombaria 8509823129 7