Chapter 6. Medical Education, Training & Research 6.2 MEDICAL COUNCIL OF INDIA 6.3 DENTAL COUNCIL OF INDIA

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1 Medical Education, Training & Research Chapter The Centre has setup regulatory bodies for monitoring the standards of medical education, promoting training and research activities. This is being done with a view to sustain the production of medical and Para-medical manpower to meet the requirements of the health care delivery system at the Primary, Secondary and Tertiary levels in the country. This chapter discusses the status of these activities conducted by the various bodies and institutions. 6.2 MEDICAL COUNCIL OF INDIA The Medical Council of India was established as a statutory body under the provisions of the Indian Medical Council Act 1933 which was later replaced by the Indian Medical Council Act, 1956 (102 of 1956). The main functions of the Council are: ª Maintenance of uniform standard of Medical education at undergraduate and post-graduate level; ª Maintenance of Indian Medical Register; ª Reciprocity with foreign countries in the matter of mutual recognition of medical qualifications; ª Provisional/permanent registration of doctors with recognised medical qualifications, registration of additional qualifications, and issue of Good Standing Certificates for doctors going abroad ª Continuing Medical Education, etc INSPECTIONS The Medical Council of India from April 2003 to November 2003 carried out 10 periodical inspections of medical colleges for continuance of recognition of MBBS degree already recognised, 4 inspections of medical colleges for recognition of MBBS degrees, 39 inspections for increase of MBBS seats including renewal of permission in medical colleges and 14 inspections for establishment of new medical colleges under Section 10A of the IMC Act The Council received compliance reports from medical colleges on the defects and deficiencies pointed out by the Council Inspectors in their inspection reports. 46 inspections were carried out for verification of inspectors compliance submitted by the medical colleges. Further, the Council also carried out 153 inspections for starting of post- graduate medical courses at various colleges/institutions and 43 inspections for increase of seats for which the request was received through Central Government under Section 10A of the IMC Act The Council also carried out 183 inspections for recognition of postgraduate qualifications and 2 inspections for continuance of recognition of post graduate courses and 2 inspections for recognition of non-teaching hospitals for housemanship REGISTRATION The Council has registered 471 doctors with their additional qualifications under Section 26 of the Indian Medical Council Act, The Council also issued 867 Good Standing Certificates to doctors who desired to seek registration with Medical Councils of foreign countries. Further, the Council issued 259 provisional and 803 permanent registration Certificates under Section 25(2) and 23 of the IMC Act 1956 respectively CONTINUING MEDICAL EDUCATION During the year , the Council has planned to hold 150 CME programmes. Till November 2003, 127 CME programmes have been approved of which 33 Continuing Medical Education programmes have already been held at various medical institutions in the country ACCOUNTS & ESTABLISHMENT The following outlay has been approved by the Central Government as Grant-in-aid (Plan & Non-Plan) for the year :- Outlay approved Plan (including C.M.E.) Non-Plan (Rs) 100 lakh 60 lakh A sum of Rs. 4,64,18,145/- has been received by the Council till November, 2003 from other resources in addition to Grants-in-aid received from the Central Government. 6.3 DENTAL COUNCIL OF INDIA The Dental council of India is a statutory body constituted by an act of Parliament viz., Dentists Act, 1948 with the main objective of regulating the Dental Education, 55

2 Dental Profession, Dental ethics in the country and recommend to the Government of India to accord permission to start new Dental College, higher course of studies and increase of seats. For this purpose the council periodically carries out inspections to ascertain the adequacy of courses and facilities available for the teaching of Dentistry During the said period, the Central Government on recommendation of the Council, has permitted ª Establishment of 21 new Dental colleges; ª Starting of MDS Courses in 26 specialties at 6 Dental Colleges; ª Increase in admission capacity in BDS Course in 6 Dental colleges; and ª Increase of seats in MDS Course in 9 specialties at 3 Dental Colleges The Central government on recommendation of the Council has also renewed its permission for ª 2nd year MDS Courses in 11 Dental Colleges in 34 specialties; ª 2nd/ 3rd/4th year BDS Course in 45 Dental Colleges; ª Increase in admission capacity in 2nd/3rd/4th year BDS Course in 13 Dental colleges; and ª Increase of seats in 2nd Year MDS Course in 10 specialties at 4 Dental Colleges The Council granted its permission to start Dental Mechanic Course at 1 Dental College and Dental Hygienist Course at 1 Dental College. The Council has also recognized the Dental Mechanic and Dental Hygienist Courses of 1 Dental College The Council's Inspectors/ Visitors have conducted 291 Inspections of various Dental Colleges in the country during this period The Government of India on the recommendation of the Council had issued 9 notifications for recognition of BDS/ MDS qualifications awarded by 6 Universities under Section 10(2) and 10(4) of the Dentists Act, A sum of Rs. 16 Lakhs was given as grant in aid to the Council during the year PHARMACY COUNCIL OF INDIA Pharmacy council of India is a statutory body constituted under section 3 of the Pharmacy Act, 1948, which regulates the profession and practice of pharmacy. The council is responsible for ª Prescribing minimum standards of education required for qualification as a pharmacist; ª Uniform implementation of educational standard; ª Approval of course of study and examination for pharmacists; ª Withdrawal of approval; ª Approval of qualification granted outside India; and ª Maintenance of central register of Pharmacists The council conducted the following activities during the period April 2003 to March 2004: ª Arranged 130 inspections of diploma and degree Institutions; ª Approved extension of approval to 211 Institutions; ª Granted approval to 44 new Institutions; At present there are 355 approved institutions imparting Diploma in Pharmacy to 20,980 students per annum and 201 approved institutions imparting degree in Pharmacy to 10,980 students per annum The total budget of the Council for the year is Rs Lakhs. Grant in aid of Rs. 10 Lakhs was given to the Council from the Non-Plan Budget of the Central Government. 6.5 INDIAN NURSING COUNCIL OBJECTIVE: Indian Nursing Council is a statutory body constituted under the Indian Nursing Council Act, It is responsible for regulation and maintenance of uniform standard of Training for Nurses, Midwives, Auxiliary Nurse Midwives and Health Visitors As per the information available with the Indian Nursing Council, 635 General Nursing & Midwifery Schools, 237 Auxiliary Nurses and Midwives Schools, 165 B.Sc. (N) Colleges, 30 Post Basic B.Sc (N) College and 29 M.Sc (N) Colleges, recognized by Indian Nursing Council, are functioning in the Country NO. OF NURSES REGISTERED The total number of Nursing personnel registered in the 56

3 State Registers upto 31st March 2003 is given below: Nurses (GNM & BSc.) 8,39,862 Auxiliary Nurse Midwives 5,02,503 Health Visitors 40,536 TOTAL 13,82, The Council has conducted Inspection of the following institutions during Ist January, 2003 to 31st March 2004: - Diploma Nursing Schools No. of Colleges BUDGETARY PROVISION A sum of Rs. 20 Lakhs under Plan and Rs. 10 Lakhs in Non Plan was given as grant - in - aid to the Council during the year POLICY ON ESTABLISHMENT OF NEW MEDICAL COLLEGE At present, there are 222 medical colleges in the country. All these medical colleges have been recognised/ approved by the Medical Council of India/Government of India. Out of these 222 medical colleges, 121 are Government Medical Colleges and the remaining are private medical colleges. The admission capacity in the above colleges is about students per year In the past, during the 6th and 7th Five Year Plan periods, the policy of government has been to discourage opening of new medical colleges in the county, as the existing medical colleges were considered to be sufficient to meet the medical manpower needs of the country. This policy was reviewed after 1991, when it was recognised that a large number of posts of doctors were lying vacant in many places especially in rural areas and there was tremendous pressure for gaining admission into medical colleges. As a result, new colleges were getting established even without basic requirements of infrastructure, equipment and faculty. In order to check the mushrooming of medical colleges, the President of India promulgated an Ordinance on 27th August, 1992 to amend the Indian Medical Council Act, The above Ordinance was converted into an Act of Parliament on 2nd April, The main provision of this Act relates to seeking prior permission of the Central Government before establishing an institution imparting education in medical sciences, increasing the intake of students or introducing a new or higher course of study After the enactment of the Indian Medical Council (Amendment) Act, 1993 and the Regulations issued thereunder, the Central Government have permitted establishment of 73 medical colleges; 59 in private sector and 14 in Government sector till date Six AIIMS like institutions in states of Bihar (Patna), Chhattisgarh (Raipur), Madhya Pradesh (Bhopal), Orissa (Bhuvneshwar), Rajashtan (Jaipur) and Uttranchal (Rishikesh) are also being setup for upgradation for medical faclities and providing quality medical education with an in take of 100 students per year for under graduate courses and PG/Doctral Courses in 35 speciality/super-speciality disciplines PAYMENT OF SUBVENTION TO PRIVATE MEDICAL COLLEGES As per the direction of the Hon'ble Supreme Court vide its order dated , the Central Government shall provide a subvention of Rs.5,000/-per annum in respect of every student admitted in a private medical college, whether admitted against free/merit seat or against a payment seat, but not in respect of a student admitted against N.R.I./Foreign Student Quota. The subvention shall be made and continued until the student complete the course or for a period of five years whichever is earlier. The subvention amount by the Central Government is sent directly to the concerned college, towards fee, every year, commencing with academic year The Hon'ble Supreme Court in a judgment dated in the TMA Pai Foundation case has allowed freedom to fix a reasonable fee to the private unaided institutions. Therefore, there shall be no payment of subvention henceforth in respect of students admitted as per the new fee structure in pursuance of the said judgement. 6.7 DEVELOPMENT OF NURSING SERVICES OBJECTIVE Development of Nursing Services has the overall objective to provide quality Nursing Services SCHEMES The following Schemes are operated: a) Training of Nurses; b) Strengthening of Schools and Colleges of Nursing; c) Recurring assistance to the Schools sanctioned during IXth Plan period; d) Delhi Nurses Colony. a) TRAINING OF NURSES (i) Objective : To update the knowledge and skill of the Nursing personnel in the area of Nursing 57

4 (ii) (iii) (iv) (v) Speciality, Educational Technology and Management Technique. Duration : 10 days Venue : College of Nursing at the State Level. No. of participants : 30 per course. Cost : Rs. 50,000/- per training programme. b) STRENGTHENING OF SCHOOLS AND COLLEGE OF NURSING i) Objective : To improve the quality of Training imparted at the existing School and Colleges of Nursing. ii) Component : To procure Audio Visual Aids/improvement of Library, addition and alteration of the building and transport. iii) Pattern of Assistance : Rs.3 lakh per Institution. iv) No. of schools of Nursing/Colleges strengthened : 91 c) RECURRING ASSISTANCE TO THE SCHOOLS SANCTIONED DURING IXTH PLAN PERIOD. The Scheme of Opening of Schools of Nursing has been discontinued in the Tenth Plan period. However, the recurring assistance to those Schools which were sanctioned during the Ninth Plan period will be given as per the approved pattern of assistance for five years. d) DELHI NURSES COLONY To provide residential accommodation for the Nursing personnel working in Central Govt. Hospitals in Delhi, residential complex with 413 dwelling units at Srinivaspuri at an estimated cost of Rs. 36 crores has been completed BUDGETARY PROVISION : Expenditure incurred (under Plan) from 1st January, 2003 to 31st March, 2004 under various scheme was Rs crores. A sum of Rs Crores has been allocated for the Xth Plan period for development of Nursing Services. 6.8 RAJ KUMARI AMRIT KAUR COLLEGE OF NURSING, NEW DELHI i) OBJECTIVE : The Rajkumari Amrit Kaur College of Nursing, New Delhi, a subordinate organization of the Ministry of Health and Family Welfare was established in 1946 with the object of developing and demonstrating model programmes in Nursing Education. The College works in close association with health centres, hospitals, medical centres and allied agencies for teaching undergraduates, post-graduates and also for continuing education of Nursing personnel. ii) PROGRAMME OF STUDY ª B.Sc. (Hons) Nursing 46 seats per batch (4 year programme) ª M.Sc. Nursing 16 seats per batch (2 year programme) Selection of students is done on the basis of All India Entrance Examination. iii) CLINICAL TEACHING AND PATIENT CARE Education and related practical training is provided in selected hospitals, Medical centers, Community Centre and speciality departments in Delhi in the area of Medical, Surgical, Paediatrics, Psychiatric and Obstetrical Nursing and community Health Nursing. (iv) COMMUNITY FIELD TEACHING AND SERVICES The Institute provides the following community based teaching/services at its sub-centre at Chawda. Sr. Programme No. of No. activities 1 Health Education Mass Health Education Project 11 3 Successfully cases motivated for family planning by students 57 4 Domicillary Midwifery cases conducted 42 5 Post-natal care given Comprehensive Family Care given 656 (v) CHILD GUIDANCE CENTRE The Institute also provides services to Chidren with mental/ speech disorders. A total number of 1636 cases are registered in the centre out of which 370 were registered during the year. vi) BUDGETARY PROVISION A provision of Rs. 85 lakhs in Plan and Rs lakhs under non plan was made for the college in the budget for the year

5 6.9 ALL INDIA ENTRANCE EXAMINATION FOR ADMISSION TO MBBS/BDS COURSES, 2003 CONDUCTED BY CENTRAL BOARD OF SECONDARY EDUCATION (CBSE) The 16th All India Pre-Medical/ Pre- Dental Entrance Examination was conducted by the Central Board of Secondary Education (CBSE) on for 15% All India Quota seats in Medical/ Dental courses at 452 centres spread all over the country. Out of 2,42,841 candidates registered, 2,15,883 appeared in the Entrance Examination. The result was declared on candidates were placed in the merit list and 1135 in waiting list. Allotment was made to 1484 candidates in Medical and 144 in Dental courses in 118 Medical/ Dental Colleges. Allotment of colleges and courses to the successful candidates were made as per their rank through online computer system in two rounds. The whole admission process of 15% All India Quota of MBBS/ BDS seats was completed by ALL INDIA ENTRANCE EXAMINATION FOR ADMISSION TO 25% POST- GRADUATE SEATS CONDUCTED BY A.I.I.M.S. NEW DELHI. In compliance with the directions of the Hon'ble Supreme Court of India, the All India Institute of Medical Sciences, New Delhi conducted the 16th All India Entrance Examination for admission to 25% All India Quota PG Medical/Dental courses on All India basis. The Entrance Examination was held at 62 Centres in 15 Capital Cities in the country on A total of candidates were registered and candidates appeared in the examination for admission to MD/MS/Diploma and MDS courses. The result was declared on for enabling the allotment of seats for the merit/wait listed candidates in 87 Medical and 15 Dental Colleges all over India. There were 1418 recognised/approved seats in MD/ MS/Diploma courses and 53 approved seats in MDS courses under the 25% All India P.G. Quota for The allotments were made to the successful candidates by personal appearance from to The admission process to All India Quota PG/Diploma seats was completed by 6 April ALLOCATION OF MEDICAL/DENTAL SEATS FROM CENTRAL POOL MBBS AND BDS SEATS: A Central Pool of MBBS and BDS is maintained by the Ministry of Health and Family Welfare by seeking voluntary contribution from the various States having medical colleges and certain other Medical Education Institutions. In the academic session , 248 MBBS and 21 BDS seats were contributed by the States and medical institutions. These seats were allocated to the beneficiaries of the Central Pool, viz., States/Union Territories which do not have medical/dental colleges of their own, Ministry of Defence (for the wards of Defence Personnel), Ministry of Home Affairs (for the children of para-military personnel), Cabinet Secretariat, Ministry of External Affairs (for meeting diplomatic/bilateral commitments and for the children of Indian staff serving in Indian Mission abroad), Ministry of Human Resource Development (for Tibetan Refugees) and Indian Council for Child Welfare (for National Bravery Award winning children). A new category of 'Civilian Terrorist Victims' was also added for which 4 MBBS seats were allocated but the final allotment could not be made as no nominations were received in time MDS SEATS: There are 4 MDS seats in the Central Pool contributed by Government of Uttar Pradesh which are allotted to the inservice doctors sponsored by the States/Union Territories without MDS teaching facility on a rotational basis. For the academic session , in-service doctors sponsored by the States of Mizoram, Jammu & Kashmir, Tripura and Sikkim were nominated against these seats POST GRADUATE MEDICAL SEATS FOR FOREIGN STUDENTS: There are 5 P.G. medical seats in the Institute of Medical Sciences, Banaras Hindu University, Varanasi, reserved for foreign students in a calendar year. The foreign students against these seats are nominated by the Ministry of Health & Family Welfare on the advice of Ministry of External Affairs. During the year 2003, these seats were allocated to the candidates from Nepal (1 seat), Maldives (1 seat) and Mauritius (3 seats) 6.12 NATIONAL BOARD OF EXAMINATION The National Board of Examination established in 1975 became an independent autonomous body of the Ministry of Health & Family Welfare in The aim of the Board is to elevate the standards of post-graduate examination in medical subject. 59

6 The main purpose for establishing the National Board of Examination was to set up an examining body that could evolve a pattern for the conduct of high and uniform standard of postgraudate and posdoctoral examinations in medical sciences for the award of Diplomate of National Board which are equivalent to MD/ MS/DM/MCh of other Indian Universities as recognized by the Government of India and the Medical Council of India ACTIVITIES It conducts post-graduate and post-doctoral examinations of high and uniform standard at the national level in 43 medical disciplines. The successful candidates are awarded Diplomate of National Board Degree, which is reconized as equivalent of post-graduate/post doctoral level qualification of Indian Universities (and is included in the First Schedule of the Indian Medical Council Act, 1956). The Board conducts primary and final examinations twice a year in 14 Centres all over the country including abroad at London. More than 10,000 candidates in primary examination and 8000 candidates in Final Examinations are appearing in the Board's examinations every year. So far 12,000 candidates have been awarded the Diplomate of National Board in different specialities. The Board has been pioneering the implementation of the concept of Objective Structured Clinical Examination. In this regard the concept of OSCE method of evaluation has been introduced in the subjects of ENT, Ophthalmology, Obstt and Gynaecology. The Board plans to slowly implement this technique in all other subjects as well ACCREDITATION The Board is the prime national level organisation that has set a mechanism for imparting non-formal mode of teaching and training in the sphere of higher medical education. The Board encourages tapping of the rich resources in terms of equipments, trainined manpower available in the private and public sector for training and teaching in higher medical education. With the increasing acceptance of alternative mode of post-graduate examination through the NBE there has been a commensurate increase in applicants from private and public sectors institutions for accreditation for purpose of NBE training. The Board has so far recognised 180 hospitals and institutions all over the country in the private and public sector for the purpose of training for post-graduate and postdoctoral examinations SCREENING TEST The Government of India has entrusted the conduct of Screening Test for the candidates who have undergone training abroad to the National Board of Examinations. The purpose of the screening test is for registration with the Medical Council of India or any State medical Council and qualifying the same shall not confer any other right whatsoever on a candidate. Examination is held twice a year i.e. March & October in New Delhi. During the year under report the two examinations were held in September, 2003 & March candidates appeared and 510 candidates have passed the examination BUDGET The Institute has been provided Rs lakhs under Plan for the year NATIONAL ACADEMY OF MEDICAL SCIENCES, NEW DELHI The National Academy of Medical Sciences (NAMS), New Delhi was established in 1961 as a registered society with the objective of promoting the growth of medical sciences. It recognizes talent and merit throughout the country in the form of election of Fellows and Members of the Academy As on 31st March 2004, the NAMS has on its rolls 7 Hony. Fellows, 726 Fellows and 3158 Members candidates were given scrolls of Fellowship and Membership of the Academy at the Ceremonial occasion of the convocation of Academy at Indore Of the 10 Orations and Six Awards of the Academy for the year Orations and 6 Awards were awarded to the eminent Medical Scientists of the Country CONTINUING MEDICAL EDUCATION PROGRAMME Continuing Medical Education Programme is being implemented by NAMS since 1982 as per pattern approved by the Government of India to keep medical professionals abreast with newer current problems of the country and update their knowledge in those fields for the required delivery of health care and also to help medical students in preparing for post-graduate examinations of various universities and National Board of Examination During , CME programmes have been held on Dengue, Encephalites, Geriatric Services in New Millennium. In addition financial assistance has been provided to various medical institutions for conducting 27 seminars and workshops and other C.M.E. programmes The CME programme also covers Human Resource Development by sending Junior Scientists to Centres of 60

7 excellence providing training in advanced methods and techniques. Six Medical Scientists/Teachers have completed such advanced training in selected areas at the specialized Centres The budgetary provision for NAMS during under plan was Rs.50 lakhs and Rs.12 lakhs under non-plan ALL INDIA INSTITUTE OF MEDICAL SCIENCES All India Institute of Medical Sciences (AIIMS) was established in 1956 by an Act of Parliament as an institution of national importance. AIIMS was conceived to be a centre of excellence in modern medicine with comprehensive training facility. This was in pursuance to the recommendations made by the Bhore Committee in The institute has been entrusted to develop patterns of teaching in undergraduate and postgraduate medical education in all its branches so as to demonstrate a high standard of medical education to all medical colleges and other allied institutions in India, to bring together at one place educational facilities of the highest order for the training of personnel in all important branches of health activity and to attain self-sufficiency in postgraduate medical education. For pursuing academic programmes, the AIIMS has been kept outside the purview of the Medical Council of India. The Institute awards its own degrees. The AIIMS continues to be a leader in the field of medical education, research and patient-care in keeping with the mandate of the Parliament. The Institute is fully funded by the Government of India. However, for research activities, grants are also received from various sources including national and international agencies. While the major part of the hospital services are highly subsidized for the patients coming to the AIIMS hospital, certain categories of patients are charged for treatment/services rendered to them. Professor P.Venugopal, Head of CTVS Department, assumed charge as Director of the Institute on 1st July, MEDICAL EDUCATION I) UNDERGRADUATE MEDICAL EDUCATION This year the Institute admitted 50 students to its MBBS course, 19 Students to B.Sc Nursing (post-certificate) course, 50 students to B.Sc. (Hons) in Nursing Course, 9 students to B.Sc.(Hons.) in Ophthalmic Techniques and 7 Students to B.Sc.(Hons.) in Medical Technology in Radiography. Para-medical courses like B.Sc (Hons.) in Nursing, Ophthalmic Techniques, Medical Technology in Radiography and Speech and Hearing continued to be popular and attracted students from other countries also. II) POST GRADUATE MEDICAL EDUCATION During session i.e. for the courses commencing in July 2003 and January 2004, 332 students were admitted to various postgraduate, post-doctoral and superspeciality courses i.e. M.D, M.S, M.D.S, M.H.A, Ph.D, M.Ch, D.M, and M.Sc in various specialities. 24 candidates belonging to the Schedule Caste, and 10 belonging to the Scheduled Tribes got admission to the postgraduate courses. The Institute provides full time postgraduate and post-doctoral courses in 47 disciplines. In the year under review, 158 postgraduate students qualified for various degrees and 83 students qualified for various superspeciality degrees. The guiding principle in postgraduate training is to train them as teachers, researchers and above all as competent doctors to manage and treat the patients independently. 424 candidates from various organizations and State Governments received short term training at various departments of the institute during the year. A centre is also being established for Dental Education and research for imparting Dental Education and patient care. Prosthodontics, periodontics, orthodontics, oral pathology, oral and maxilliofacial surgery etc. are among many specialities proposed at this centre. III) CONTINUING MEDICAL EDUCATION The institute organized a number of workshops, symposia, conferences & training programmes in collaboration with various national and international agencies during the year. Professionals from various institutions all over the country participated in these seminars and workshops and benefited with update knowledge. Guest & Public lectures were organized by visiting experts and faculty of AIIMS. (IV) TRAINING FOR LONG TERM/SHORT TERM, WHO-IN- COUNTRY FELLOWSHIP AND ELECTIVE TRAINING TO THE FOREIGN NATIONALS STUDENTS The institute is also providing short/long term training, WHO-in-Country Fellowship and elective training to the Foreign Nationals students. During the period 424 students were trained under these programmes. 61

8 V) TRAINING FOR SCHEDULED CASTES (SC) AND THE SCHEDULED TRIBES (ST) CANDIDATES The SC and ST candidates are given due consideration and weightage in accordance with the Govt. of India guidelines in all selections. During the current year 32 SC/ST candidates were selected for various undergraduate courses.10 SC/ST candidates were selected to the MBBS course, 3 candidates were admitted to B.Sc. (Hons.) Ophthalmic Technique, 1 candidate was admitted to B.Sc (Hons.) Medical Technology in Radiography course, 1 candidate was admitted to B.Sc. (Hons.) in Speech and Hearing Course, 5 candidates were admitted to B.Sc. Nursing Post-Certificate course and 12 candidates were admitted to B.Sc. (Hons) Nursing course during the year INTERNATIONAL ROLE The Institute continues to provide consultancy services in several neighboring countries under bilateral agreements or under the aegies of international agencies. During the institute trained 40 WHO-Sponsored candidates to fulfill its international obligations RESEARCH The All India Institute of Medical Sciences is a leader in the field of teaching and research which are conducted in 50 disciplines, having more than 800 research publications by its faculty and researcher in a year, besides publishing books. Major research works are in the areas of Polio Vaccination, & Diarrheal disease. Over 325 research projects are continuing during this period. Research grants totaling to Rs crores (aprox.) have been received from various international and national funding agencies during the year PATIENT-CARE SERVICES AIIMS being a premier tertiary care hospital caters not only to the patients from India but also from neighbouring countries like Nepal, Bangladesh, Sri Lanka, Bhutan and other Asian Countries. At present it has an OPD attendance of over 16,51,968, in patients admissions of over 74,856 and conducts more than 89,822 surgical procedures in a year. The details of patient care services during April 2003 to December 2003 are : ª No. of admissions including Private ward and CNC ª No. of Discharges (Including CNC) (Based on daily Census) ª O.P.D attendance (main Hospital) 10,99,417 ª No. attended Emergency Care Services 1,19,976 ª No. of Major Operations (Including CNC) 15,775 ª No. of Minor operations (Including CNC) 51,152 Assistance has been provided to 1659 poor and indigent patients during the Financial year to the extent of Rs. 2,04,05,856/ DR.RAJENDRA PRASAD CENTRE FOR OPHTHALMIC SCIENCES Dr. Rajendra Prasad Centre for Ophthalmic Sciences attended to patients in the General OPD, patients in Emergency and patients in Specialty clinics during the financial year The number of admitted patients were and surgical procedures were conducted during this period. Average percentage of Bed occupancy is 86%. On an average the Centre handles 1354 cases and perform 72 operations per working day. New day care patient facility for cartract surgery started on March 23, 2004 and Retina and Low Vision Aid labs are functioning properly. The Telemedicine Facility has also been established for provision of consultancy to physicians/surgeons at SNM Hospital, Leh ACHIEVEMENTS OF CARDIO THORACIC & VASCULAR SURGERY DEPARTMENT The department of Cardio thoracic and Vascular Surgery has been actively involved in the care of the patient who need operation for Coronary Artery Disease, Valvular Heart Disease and Congenital heart Disease. The department carried out more than 3000 operations including the maximum experience to the transplant in the country including implantation of Ventricular Assist Devices. The department is known nationally and internationally for its work on Valves repairs, Ross procedures, Minimally invasive cardiac surgery, surgery for Neonates and infants including complex cardiac lesions and surgery for Univentricular Heart Repair. It has been actively involved in the research activity and has published many article of importance in national and international Journals. The department of Cardiothoracic & Vascular Surgery has initiated the stem cell research programme whereby the damaged myocardium can be restored to normalcy by neomyogenesis. The research is also being extended to the stem cell therapy in diabetes. The early results are encouraging. The department has also acquired davinci 62

9 Robotic System and has started robotic coronary artery bypass surgery. Other modalities of minimally invasive and off pump CABG are continued. The department leads the country in the management of complex congenital cardiac lesions especially in neonates and infants. In valvular heart disease, the department excels the other centre in reparative valve procedures and Ross' operation ACHIEVEMENTS OF THE DEPARTMENT OF CARDIOLOGY During the year , the Department of Cardiology, AIIMS treated new patients, outpatients and 7433 indoor cases. The important newer facilities initiated during this time include: ª the Stem Cell transplantation for treatment of ischemic cardiomyopathy in collaboration with the department of Cardiothoracic Surgery, BRAIRCH - Institute of Rotary Cancer Hospital. ª Treatment of complex arrhythmias using Electroanatomic mapping CARTO System. ª Radiofrequency perforation for the treatment of valvar atresia. In addition, the department has opened two new clinics (prosthetic valve clinic, peripheral vascular disease clinic) to facilitate patient care. The newer important research activities include use and evaluation assessment of drug eluting stent for Coronary artery disease, tissue Doppler imaging for ventricular asynchrony for bivenricular pacing CARDIO THORACIC SCIENCES CENTRE, AIIMS In the year , a total of 1,20,353 patients attended CT Centre OPD (New and Old 97164). A new state of art 16 slice CTNS scanner was installed in CT Center in May The latest technology robotic surgical system was installed for operating CTVS patients in June 2003 and five robotic surgeries have been performed. Foundation stone for a new CTNS Tower was laid on 5th October, 2003 by Hon'ble Prime Minister. The new CT Tower will have 80 private ward rooms for Cardio-Thorocic and Neuro Sciences patients. The additional seven-storyed C.N.Tower is expected to be completed in the year 2004 thereby further enhancing the patient care facilities. Hon'ble PM laying foundation stone for new CTNS Tower on 5th October, NEUROSCIENCES CENTRE In the year , a total of patients attended OPD (New and Old 58880). Package system was introduced for the Neuro Surgery patients in NS Center since April 2003 for better convenience of the patients and for ensuring good quality surgical consumables at a lesser cost to the patients ORGAN RETRIEVAL BANKING ORGANIZATION (ORBO) Organ Retrieval Banking Organization which was set up by the Ministry of Health & Family Welfare as a national facility & nodal center for the country at All India Institute of Medical Sciences(AIIMS), New Delhi in the year 2002, with a purpose of encouraging organ donations, fair and equitable distribution of human organs and optimum utilization of human organs, is now working round-the-clock since January ª Established a dedicated four-digit-help line 1060 for public enquiries regarding organ donation and transplantation. ª Established an exhaustive detailed website(www.orbo.org) with facility to down load the donor forms and facility for correspondence. ª Printed brochures and posters for wide dissemination at public areas. 63

10 IMPORTANT ACHIEVEMENTS AND NEWER FACILITIES AT DR.B.R.AMBEDKAR INSTITUTE OF ROTARY CANCER HOSPITAL IRCH which was a 70 bedded, 2 storey buidling has been upgraded to a 200 bedded, 7 storey building. It has modern, upto date and sophisticated machinery and equipments of international standards in Radiotherapay, Radiodiagnosis and other units. It is ready to take on the challenge of ever increasing patient care activities as also the academic requirements related to research, teaching and scientific knowledge. The Hon'ble Prime Minister inaugurated this center on 5th October Hon'ble Prime Minister of India in AIIMS IRCH is currently functioning through 8 disciplines namely Medical Oncology, Radiation Oncology, Surgical Oncology, Laboratory Oncology, medical Physics, Anesthesiology, Radiodiagnosis and Preventive and community Oncology. Radiotherapy dept has best of the equipments capable of delivering latest form of therapy with high degree of precision and accuracy. This includes a digitally networked duel energy linear accelerator with multi leaf collimator, latest remote afterloading system, advanced 3-dimensional treatment planning system and simulator. Radiodiagnosis unit of IRCH has vacuum assisted advanced Mammography Unit, first of its kind in India for conducting stereotactic breast biopsy. State of Art multi slice CT Scanner is also available. Medical Physics unit helps irradiation of blood products with cesium irradiator. Also measures radiation dose with the help of thermo luminiscent dosimeter (TLD). Unit of anesthesiology provides pain and palliative care to advanced cancer patients. Some of the major achievements are as follows: ª IRCH is one of the few centers in the country to have established hematopoietic stem cell transplant program; more than 200 transplants have been performed. In collaboration with department of CTVS, stem cell transplant program has recently been extended to treat myocardial Ischemia also. ª While innovative research related to liberation of cytokines from fetal liver is ongoing, Medical oncology department has also carried out research in traditional Yogic methods. ª Preventive Oncology program to bring awareness about cancer among masses and screening have been initiated. Over 10,000 people have been secreened so far. ª Radiodiagnosis unit has established methods to carry out transrectal sextant biopsy of prostate to detect prostate cancer early. Also radiofrequency ablation of liver cancer has been started by this unit. ª This existing surgical OT has been modified and designed to perform intra operative high dose rate brachytherpay procedures along with surgical oncology department which is first of its kind in the country CENTRE FOR COMMUNITY MEDICINE Like previous years, Centre for Community Medicine continued with its assigned responsibilities of teaching and training of undergraduates, post-graduates, B.Sc. Human Biology, Nursing students and volunteers from colleges and schools; research and provision of comprehensive health care services to rural and urban slum populations. All services provided by this centre are community based. The Centre has a widely acclaimed model of rural health services at Ballabgarh in the neighbouring state of Haryana. Apart from providing comprehensive health services at the doorsteps of people of 28 villages with a population of over 78,000, it also has a secondary level care hospital at Ballabgarh which attracts patients from far and wide. The project has achieved significant successes in terms of improving health of mothers and children of the area. The Centre, through its Urban Health Programme and Family Health Exercise programmes also caters to urban slums of Delhi having a population of about 60,000. A Mobile Health Clinic of CCM visits these slums 5 times a week and provides preventive, promotive and primary level curative services. CCM also runs a Sex and Marriage Counselling 64

11 Clinic (SMCC) in AIIMS Hospital - a unique service of its own kind. Similarly, the Centre is in the forefront of providing health education to the communities it serves -- through Health Exhibitions, Health melas, Baby shows and Role Plays etc. The Centre has also established an AIDS Education & Training Cell for prevention of HIV/AIDS. Amongst its various activities, this cell has an interactive telephone helpline called 'Shubhchintak' to answer queries of general public on HIV/AIDS. This helpline is quite popular and also an internet based helpline called "e-shubhchintak. BUDGET For , the Central Government has provided a budget of Rs crores (Rs crore in plan and Rs crore in Non-plan) to AIIMS JAWAHARLAL INSTITUTE OF POST GRADUATE MEDICAL EDUCATION AND RESEARCH (JIPMER), PONDICHERRY Jawaharlal Institute of Postgraduate Medical Education and Research(JIPMER) is a Central Government Institution financed and administered by the Government of India, Ministry of Health and Family Welfare through the Directorate General of Health Services. This Institute is affiliated to Pondicherry University. The primary functions of this Institute are patient care, teaching, training and research. During the year under review, the Institute has made all round progress in all its activities The hospital outpatient department receives more than 4700 patients, old and new, daily not only from Pondicherry but also from other parts of the country. The Inpatient departments have 912 beds distributed among various medical, surgical and super specialities. Most of the patients receive specialised and general treatment without any cost to them, all free except for those few patients who are admitted to special wards A Cobalt teletherapy Unit and Brachytherapy unit are available in the Department of Radiotherapy. Department of Cardiology is equipped with a sophisticated 'Cardiac Cath Laboratory' and specializing in non-surgical management of heart diseases. It is emerging as number one Centre for implantation of 'pace makers'. The hospital has a whole body CT scan (Somatom Plus). In addition, a number of ultrasound equipment for non-invasive imaging, high pressure liquid chromatography, automated cell counter, autoanalysers for biochemical parameters and blood gas analyzer, etc. exist in this Hospital. Expert medical and paramedical staff handle these equipments Total number of admissions was 61532, number of out patients attended were , out-patient daily average was 3465, bed occupancy rate was 116.5%, average in patient per day was 1076, total number of operations were 44262, total number of investigation performed were 14,12,949, total number of out-patients attendance in Rural Health Centre, Ramanathanpuram was and total number of out-patient attendance in Urban Health Centre, Kurichikuppam was One hundred and seventy five Open-heart operations were performed during the above period totally free of cost to the poor patients with excellent results This Institute runs Medical and Para-medical training courses, leading to M.B.B.S., MD/MS and Diploma in various specialities, Post-doctoral course i.e. D.M. (Cardiology), M.Ch.(Genito-Urinary Surgery), M.Ch., (Cardio-Thoracic and Vascular Surgery), M.Sc. in Medical Biochemistry, B.Sc. (Medical Laboratory Technology), Ph.D. Programme in the Pre-para clinical subjects. All admissions are made on All India basis competitive Entrance Examination. Students from all over the country appear in these examinations and merit is the sole criterion for admission The Institute organized a number of Seminars and Conferences during the year under review. The Library of the Institute has more than books and total number of books collection in SC/ST book bank is around A modern blood bank with all facilities exist in this hospitals. Each Unit of blood that is issued is tested for AIDS and Hepatitis B & C viruses. Some of the services added in the Institution are:- (a) The department of Mircobiology has introduced a wide range new diagnostic tests important of which are: ª Western Blot and Dot ELISA for hydatid disease and cysticercosis. ª ELISA based test for hepatitis B antigen detention, and antibodies detection in cytomegalovirus virus, rubella virus and herpes virus infections. ª Biphasic medium for blood culture. (b) Various departments, particulary Departments of Anaestheology, Neurology and pediatrics, have been upgraded by addition of new equipments. 65

12 6.16 POSTGRADUATE INSTITUTE OF MEDICAL EDUCATION AND RESEARCH, CHANDIGARH The Postgraduate Institute of Medical Education and Research Chandigarh was declared as an Institute of " National Importance" and became an Autonomous Body by an Act of Parliament (Act 51 of 1966), on 1st. April The Institute is fully funded by the Government of India. The main objectives of the Institute are: - ª To develop patterns of teaching of undergraduate and post graduate medical education in all its branches so as to demonstrate a high standard of medical education; ª To bring together as far as may be in one place educational facilities of the highest order for training of personnel in important branches of health activity; and ª To attain self-sufficiency in postgraduate medical education to meet the country's need for specialists and medical teachers TRAINING PROGRAMMES Postgraduate Institute of Medical Education & Research, Chandigarh offers courses for the award of the degrees of MD/MS/DM/M.Ch./Ph.D. M.Sc. Medical Technology and Medical Biotechnology/B.Sc. Medical Technology (Laboratory and X-ray), B.Sc. Audiology and Speech Therapy, Bachelor of Physical Therapies and Operation Theatre Assistant Courses. On , the number of candidates on the rolls of the Institute was MD/MS 377, MDS 12, DM 78, M.Ch. 55, M.Sc. Biochemistry 8, M.Sc. Biotechnology 10, M.Sc. Pharmacology 5, Ph.D. 112, B.Sc. MLT ( Laboratory) 49, B.Sc. MLT(X-ray)31, B.Sc. MLT Radiotherapy 2, B.Sc. Audiology and Speech Therapy 11, Bachelor of Physical Therapies ( B.Ph.T.) 33, Operation Theatre Assistant 10, M.Sc. MLT ( Microbiology with Bacteriology & Mycology as special subject) 3, M.Sc. ;MLT ( Pathology with Cytology as special subject) 1, M.Sc. MLT ( Biochemistry) 2, M.Sc. (Speech & Hearing) 3, M./SC. MLT Microbiology with Virology as a special subject 1, M.Sc. MLT Micriology with Parasitology as a special susbject 1 and M.Sc. MLT Pathology with Immunopathology as a special subject 2, and M.Sc. MLT (Radiology with Radiodiagnosis as special subject ) 1. The first batch of MD Transfusion Medicine passed out during this year NATIONAL INSTITUTE OF NURSING EDUCATION The College of Nursing has been upgraded as National Institute of Nursing Education inaugurated and dedicated to the Nation by Hon'ble Mrs. Sushma Swaraj, Hon'ble Health Minister on It got designated as WHO collaborating center for Nursing and Midwifery Development From the College of Nursing, 9 M.Sc. Nursing, 15 B.Sc. Nursing (Post Basic), and 40 B.Sc. Nursing (4 years) students have passed out in the last year up to Two workshops (10 days duration) were organized for nursing personnel of northern India HOSPITAL SERVICES NEW OPD BLOCK During the year 2003 (1st January to 31st December), a total number of 10,55,544 patients attended the hospital. More than 3,000 patients attend it every day. Comprehensive diagnostic and therapeutic services under one roof are provided with 85 Special Clinics. EMERGENCY COMPLEX 150 bedded New Emergency Complex provides comprehensive life saving medical services to the patients under one roof. Diagnostic facilities like X-ray/Ultrasound/ ECG and lab. Investigations provided round-the-clock. Four Emergency Operation Theatres functioning round the clock with fourteen bedded Post-Operative recovery ward. A total of 35,587 patients reported in the Emergency out of which 20,655 patients were admitted during the year, from to INPATIENT AREA 1294 bedded hospital includes intensive care areas like ICU (Intensive care unit), CCU (Coronary care unit), RCU (Respiratory Intensive care unit), NICU (Neonatal Intensive care unit), Paediatric Intensive care unit (PICU), Tetanus care unit (TCU), Neurosurgery Intensive care unit (NCU). Ultramodern, diagnostic facilities, General wards provide services to all the specialities. Five Private wards have 98 rooms. A total of 44,499 patients were admitted during the year from to A total of number of operations were performed during the year The Nehru Hospital, PGI, Chandigarh has got the stateof-art diagnostic and therapeutic equipments like, Digital Subtraction Angiography, C.T.Scan, Echocardiography, Magnetic Resonance Imaging, Cath Lab., Auto Analyzers, Electron Microscope, Dialysis Equipment, Blood Counters, 66

13 Gamma Camera, ICU Monitoring System and Paetiatric and Neonatology Monitoring Systems. Diagnostic and Therapeutic Facilities introduced during the year ª Multislice CT scan ª peripheral blood stem cell collection and cryopreservation for stem cell Transplantation ª Digital Radiology System ª Vertebroplasty, coeliac axis, ganglion block, I.V.C. filter placement and Carotid stenting. ª Telecardiology launched linking two Civil Hospitals in rural community of Punjab to Coronary Care Unit ª First successful autologous Stem Cell Transplant in a case of Multiple Myeloma. ª Cochlear implants started ª Mw vaccine accepted as and adjunct in treatment of multibacillary leprosy ª Fuzzy control device for detecting depth of Anaesthesia initiated ª Nanotechnology based drug delivery systems for antitubercular drugs developed ª DNA based diagnosis for genetic disorder like Wilson and Cystic Fibrosis started ª HPV virus detection facility started ª Low resolution DNA based HLA typing for HLA-DR-DQ has been started ª OCT, Electro physiology, Ultrasonicbiomicros- copy, Heigelberg Retinal Tomography, Corneal Topography, Confocal Corneal Microscope set up ª Urodynamic Machine and Equipment in NSICU NEW PROCEDURES ª technique of "Sono-Enteroclysis" for the evaluation of small bowel which is cheap and without radiation hazards. ª a new endoscopic method for palliation of malignant hilar biliary obstruction with unilateral metal stenting without contrast ª endoscopic intraluminal brachytherapy in patients with malignant biliary obstruction ª technique of " Orthotopic Neobladder Reconstruction" (reconstruction of urinary reservoir connected to the urethra allowing the patient to pass urine normally after surgical removal of the bladder for curative treatment of bladder cancer). ª Assisted Reproductive Technology for In-vitro Fertilization and Embryo-Transfer (IVF-ET) was started ª Cerebral Re-vascularization started ª endotherapy for various pancreatic diseases standardized and the diagnosis and treatment Helocobacter pylori infection indigenized ª technique of intralesional steroids in the management of benign esophageal strictures developed and usefulness of through the scope balloon dilatation of corrosive-induced gastric outlet obstruction shown ª developed acute viral hepatitis ELISA kit for simultaneous detection of Hepatitis A virus, Hepatitis B virus and Hepatitis E virus infection from single patient samples ª a cheap in-house antiendomycial test for patients of celiac disease standardised ª Initiated techniques of Polymerase Chain Reaction (PCR) in detecting genome of mycobactrum tuberculosis in the eye ª Presurgical Nasolaveolar Molding started ª the technique of distraction osteogenesis for successfully lengthening the bone has also been introduced in cleft palate management ª A new procedure in hydronephrosis (Modified Anderson- Hyne's Pyeloplasty) ª A new operative procedure (Fundal Tube Oesophagoplasty) to treat long gap Oesophageal atresia which is a problematic anomaly in new born babies. ª A new technique of treating classical Hirschsprung's Disease (single stage Transanal Endorectal Pull through) ª Endoscopic Optic nerve fenestration for optic nerve trauma and intra cranial hypertension introduced CENTERS OF EXCELLENCE: These are just a few of the firsts that the hospital can lay claim to: ª Kidney Transplant Center ª Gastroenterology Center ª Advanced Paediatric Center ª Bone Marrow Transplant Center These provide state of the art facilities for patient care. The institute is also in the process of establishing advance centre for eye care, cardiology, neurology and trauma care. 67

14 PUBLIC HEALTH INITIATIVES ª Communicable disease surveillance system in PGI set up for detecting communicable diseases ª Public Health Laboratory initiated for estimation of iodine in urine and salt samples ª A model RF/RHD control Programme has been developed and implemented in Rupnagar District of Punjab ª Verbal Autopsy Manual was prepared for the staff of Registrar General of India RESEARCH Research work is carried out by all the Departments of the Institute. The Faculty Members are associated with a total of 342 Research schemes during the year Out of those, 282 research schemes are being funded from the PGI Research Fund whereas, 60 research schemes are being carried out with the financial assistance from the Indian Council of Medical Research, Department of Biotechnology, Deptt. of Science and Technology, Govt. of India, New Delhi Deptt. of Science and Technology U.T. Chandigarh Administration, W.H.O. etc. PGIMER was able to mobilize in this manner Rs 3.4 crores from extramural sources for research in the Institute. Some departments have developed collaborative research projects with prestigious organizations such as the National Institute of Health (NIH USA) NEW RESEARCH ª in the field of diabetic retinopathy the role of lipid lowering drugs in the effective management of diabetic macular edema established ª largest data of mortality trends in diabetes from South East Asia showed that infection in the major cause of mortality ª Significant progress in Rheumatic Fever Vaccine in Indo German collaborative Project was made in the Department of Cardiology BOOKS ª On 'Leprosy' published by Ranbaxy Foundation. ª "Optical Coherence Tomography of Macular Diseases" published by the Department of Opthalmology in 2003 received world wide acclaim PATENTS ª For Detection of clostridium difficile toxin. ª For closed loop Anaesthesia delivery system COMPUTERISATION Software for donor management in blood bank, which is used to maintain database of regular donors including master card holders, has been developed and software for Hospital Information System, which includes: (1) Clinical Information System, (2) Lab Information System, & (3) Back Office Administration, is being developed COLLABORATION WITH VOLUNTARY ORGANISATIONS Adequate Sarai Facilities with 52 independent Rs. 10/- each. 7 rooms with attached toilet (including 4 rooms for Community Rs. 50/- per day: 116 Dormitory sets with 2 beds, each set Rs. 5/- per day are available at the Institute. Over 6279 patients and their attendants have availed of Sarai facilities at the Institute during the calendar year to Cloak Room facility is also available near the Nehru Hospital to accommodate attendants and patients Rs. 1/- per item. A free transport facility between the Sarai and the Nehru Hospital, is provided at a frequency of one hour to the patients and their attendants. A voluntary organization is organizing a free langar (Community Kitchen) where meals are served thrice a day to the occupants of Sarai. Another voluntary organization called "Life Line" has set up a transit camp to look after the unknown and unattended patients. They are also providing three attendants in Emergency OPD to take care of unattended patients. (One each in every shift) In Hans Raj Dharamshala, 7488 patients have availed sarai facility during the calendar year i.e. from to Under the 'Gift of Life' project sponsored by the Rotary Club of Chandigarh, three Pakistani Children with congenital heart disease also underwent open heart surgery PGIMER in collaboration with U.T.Red Cross and Chandigarh Administration established Hospice in Sector-43 for care of terminally ill cancer patients. It is a 10 bed facility. Here the hospital care is provided in homely atmosphere so that the patient's quality of life can be improved and the patient can die with dignity. In one year's time, almost 160 patients have been looked after in the Hospice. This is the only facility available for terminally ill cancer patients in the region BUDGET The Government of India, Ministry of Health & Welfare has sanctioned Rs lac under Non-Plan and Rs lac under Plan. 68

15 6.17 LADY HARDINGE MEDICAL COLLEGE & SMT. S.K. HOSPITAL NEW DELHI The Lady Hardinge Medical College, New Delhi set up in the year 1916 with a humble beginning of just 15 students, has matured over the years as a pioneer Institute for Medical Education. The Medical College has 130 seats for MBBS and 54 seats for Post-graduation (MD)/ MS degree courses) and 16 seats for Post-graduate Diploma courses Apart from the OPD services, special clinics for Ante-natal, Post-natal, Infertility, Cancer, Diabetes, Geriatric Clinics, Hard of Hearing, Vertigo, Neurology, Cardiac Clinic, Breast Clinic, Paedicatric Clinic, etc. are run in the afternoon. Specialised diagnostic facilities for the C.T. Scan, colour Doppler and other specialised Investigations like ELISA Frozen Section etc. are available in the Institution. PPTC Centre for HIV has also been established by the Department. Culture of anaerobic bacteria and collection faclities of Serum samples for Dengue Serogolgy has been started by the Department. Hospital Statistics during to is as under: Bed Strength 877 OPD Attendance Indoor Admissions Bed Occupancy 69.8% (Year 2003) Surgeries (Minor and Major) (Year 2003) Laboratory Investigations done About (indoor and outdoor) Operations of Vasectomy and 1917 Tubectomics done Immunization provided through About children's Hospital There is also a School of Nursing attached with this institution, which was started in the year This School offers Diploma in General Nursing & Midwifery Course. During the year 2003, 50 students were admitted. Besides, the School of Nursing organised a ten days workshop on "Mental Health & Stress Management Strategies" from to for staff nurses and Nursing Sisters. The faculty members of the school conducted a 10 days workshop on "Effectiveness through Self Development " in the institute from 18th March 2004 to 20th March Apart from Patient Care Service, the Research Activities are being carried out with financial assistance from various agencies like ICMR, CSIR, UGC,etc. An overview of Heritage Building of Lady Harding Medical College, New Delhi Comprehensive Health Care Services are provided to the community by the faculty members of the Department of Community Medicine at UHC Kalyanpuri, PHC Palam and PHC Mehrauli. At these centres, Out Patient Medical Care, antenatal, immunization services and health education etc. are provided to the public A Comprehensive Redevelopment Plan of the LHMC & Smt. Sucheta Kripalani Hospital, New Delhi was formulated for upgrading various facilities. An amount of Rs. 200 crores has been earmarked for the X th Five Year Plan for this purpose KALAWATI SARAN CHILDREN'S HOSPITAL, NEW DELHI Kalawati Saran Children's Hospital is a premier referral Childern's hospital of national importance. This hospital was established in 1965 for providing exclusive medical care service for children. Presently it has 350 beds. With the addition of 150 more beds under the scheme for the improvement of KSCH (JICA Project) the bed strength of this Hospital is being increased from 350 to 500. The Hospital provides services in medicine, Paed. Surgery, Emergency, ICU, Nursery, NNW, Tetanus, DTU etc. OPD investigation services are also provided through ECG/EEG/ EMG etc. The details of the statistical reports from to are as follows:- Total No. of sanctioned beds 360 No. of OPD Attendance No. of admissions No. of operations 1189 Minor 238 Major 951 Attendance to CHPC ICU 3601 DTU 1107 CGC

16 Besides, this Hospital has a full-fledged Department of Physical Medicine & Rehabilitation services. Handicapped patients irrespective of all age groups are being treated here. Child Promotion Clinic imparting community health care services render total immunisation services. In addition to this there is child guidance clinic and female welfare services. The proposed National Institute of Paediatrics is expected to increase the existing bed strength, diagnostic and treatment facilities of this hospital. An amount of Rs. 140 crores has been provided in the Xth plan for upgrading the facilities by establishing Advanced Centre of Paediatrics. The proposed institute is poised to be one of the premier institutes of Paediatrics care in the country MAHATMA GANDHI INSTITUTE OF MEDICAL SCIENCES, SEWAGRAM WARDHA The Mahatma Gandhi Institute of Medical Sciences, the first rural based medical school, was established in 1969-the Gandhi centenary year. The institute admits 65 students every year on the basis of their performance in a premedical test conducted at Nagpur, Delhi, Mumbai and Hyderabad. It offers post-graduation in all major specialties and has a nursing school and a nursing college as well. As per the agreed pattern of Financial Assistance the recurring expenditure of the Institute is shared amongst the Central Government, Govt. of Maharshtra and Society itself in the ratio of 50:25:25 respectively The institute has a 648 bedded hospital. During the period of to ( new) visited the out patient departments of the institute and another were admitted to the wards- about 100 admissions a day. On an average patients occupied 88.7% of hospital beds for 7 days. Nearly two-thirds of patients come from nearby villages; about 10% patients come from neighboring districts of Andhra Pradesh patients sought accident and emergency services during this period. Besides this the institute catered to the needs of patients in various field visits, diagnostic and surgical camps. The institute has a drug de-addiction centre, a radiotherapy unit, medical ICU a spiral CT scan and offers state of the art diagnostic tests in tuberculosis. The Radiology Department did 45,420 X-rays, 14,969 Ultrasound and 1,988 CT scans. The Pathology Department processed 2,80,205 specimens. During the period 7,577 major and 13,314 minor operations were performed. The Microbiology Department processed 54,670 specimens during the said 15 months. The Ophthalmology Department is implementing programmes for control of cataract-included blindness in 581 villages in the Wardha District. In the period rural population aged more than 50 years were examined and 2,581 cataract surgeries were performed. So far, 3,901 rural population have undergone cataract surgery, out of which 3,415 were successfully implanted with intraocular Lens. During the period the MGIMS has also made efforts and got a donation of Rs crores from the Bajaj Group of Industries for the purpose and installation of MRI machine. The MRI machine has now arrived in India and will be installed shortly The departments of Biochemistry, Microbiology, Community Medicine, Psychiatry, Obstetrics and Gynaecology and Medicine are active in research. The thrust areas are filariasis, tuberculosis, infectious and tropical diseases, women's health and reproductive issues, family life education, issues related to unwed mothers neonatal community health,, drug dependence epidemiology of blindness in community, cancer and drug trials in schizophrenia, anxiety disorders and coronary artery disease. The funding agencies include: DBT, ICMR, CSIR, Population Foundation of India; Aga Khan Foundation; Kitakyushu Forum on Asian women, Japan; CREATE group, McMaster, Canada; National Tuberculosis Institute, Bangalore; Ministry of Health and Family Welfare and WHO The institute runs a unique health insurance scheme and most villagers avail themselves of insurance facility. The entire Kasturba health society staff is covered under health insurance scheme NATIONAL INSTITUTE OF COMMUNICABLE DISEASES OBJECTIVES The National Institute of Communicable Diseases (NICD) was established in July, 1963 by expansion and reorganization of the activities of the erstwhile Malaria Institute of India with the following objectives:- v v To provide guidelines in the planning of epidemiological services, organizing field iinvestigations of communicable disease outbreaks and suggest control measures; To organize training programmes at National and International levels for training man-power for 70

17 v programme management and augmentation of research; To undertake basic and applied research on various aspects of communicable diseases ORGANISATION There are eight Divisions: Bio-chemistry and Biotechnology, Epidemiology, Helminthology, Microbiology, Medical Entomology & Vector Conrol, Training and Malariology, Zoonosis and AIDS. The Institute also has eight field stations in Coonoor (T.N.), Jagdalpur (M.P.), Patna (Bihar), Alwar (Rajasthan), Bangalore (Karnataka), Calicut (Kerala), Rajamundry (A.P.) and Varanasi (U.P.). These field stations undertake specific epidemiological studies as well as assist in the training programmes INTERNATIONAL COLLABORATING/ REFERENCE CENTERS The Institute has been recognized as :- F F F F F WHO collaborative Centre of training in Epidemiology for SEAR countries. WHO collaborative Centre of Rabies Epidemiology for SEAR countries. SEAR Regional Reference Laboratory for Poliomyelitis. National Reference Centre & Nodal Agency for SARS epidemic. National Reference Centre for IDD Monitoring TRAINING AND RESEARCH A number of workshops/training courses and research projects were undertaken by various divisions of the Institute on various aspects of Communicable Diseases LADY READING HEALTH SCHOOL, DELHI Lady Reading Health School, Delhi is considered as one of the pioneer institution and first of its kind for training Health Visitors. It was established in 1918 under the Countess of Dufferin Fund for training Nursing personnel for M.C.H. programme. In 1952 the Government of India took over the school and attached Ram Chand Lohia MCH Centre to provide training facilities to various categories of Nursing personnel Institution is imparting following courses. Sr. Programme of Total admission No. Study capacity (a) Diploma in Nursing 30 Education and Administration (Public Health Nursing) (b) Certificate Course for 20 in each Health Workers batch (Female) under Multipurpose Workers Scheme (c) Auxillary Nurse-cum- 20 in each year Midwife Course CLINICAL EXPERIENCE The students have their clinical experience in Rural and Urban Health Centre, different Hospitals and Institutions in Delhi and out of Delhi Ram Chand Lohia Infant Welfare Centre provides integrated MCH Family Welfare Services to over 45,000 population The major activities conducted in the center during are as under : Total No. of Birth LIVE BIRTH-268 Served in the year STILL - NIL Maternity Care ANC 257 New ANC 224 Total 481 Infant Care Brought forward from Added infant during the year Total 592 Toddler Care Brought forward from New Toddler during the year Total 995 Immunization given No. of BCG Vaccine 175 to mother s and No. of Measles Vaccine 169 children No. of MMR Vaccine 177 No. of Polio Dose 175 DPT (Ist dose) 245 (2 nd dose) 213 (3 rd dose) 181 Booster 99 No. of Hepatitis B (Ist dose) 548 (2 nd dose) 537 (3 rd dose)

18 6.21 PASTEUR INSTITUTE OF INDIA COONOOR The Institute started functioning as Pasteur Institute of Southern India, on 6th April Thereafter, the Institute took a new birth as The Pasteur Institute of India (registered as a society under the Societies Registration Act 1860) and started functioning as an autonomous body under the Ministry of Health and Family Welfare, Government of India, New Delhi from the 10th of February, The affairs of the Institute are managed by a governing body The Institute produces Antirabies Vaccine (Sheepbrain BPL inactivated) and the DTP group of vaccines. The institute has successfully developed an indigenous technique for production of a new cell culture based (vero cell) Rabies Vaccines for human race. The cell culture vaccine for animal use is being supplied for immunization of animals since The institute also conducts research in vaccine development and imparts training in vaccine related fields. The institute also offers diagnostic services for rabies SETTING THE PACE IN TECHNOLOGY Pasteur Institute of India has consistently set the pace in innovating and adapting technology to suit Indian conditions and needs. It is this vast experience and expertise which makes it well equipped to meet the challenges of applying advanced technology in vaccine production. Among the major equipments available in the Institute are large bacterial fermentors, zonal centrifuge, industrial freeze drier, several bulk auotoclaves, ovens, filing machines, large cold rooms and deep freezers. Full fledged facility is available for Research and Development work which includes radio isotope handling and all related equipment, HPLC system, ultra centrifuge, ELISA equipment and equipment for molecular biology work AIMS AND OBJECTIVES The objectives of the Society are to make available effective means of preventing Rabies; to spread the knowledge of such means among the public and to undertake research work on rabies, influenza, enteroviruses or any other disease and for this purpose:- ª prepare such other vaccines as may be in the national interest. ª develop the Institute into an advanced service, post-graduate training and research center. Overview of Heritage Building of Pasteur Institute of India, Coonoor ª co-operate with international and national agencies engaged in biomedical research and training and arrange for inter-change of personnel, material and data Among the major equipments available in the Institute are large bacterial fermentors, zonal centrifuge, industrial freeze drier, several bulk autoclaves, ovens, filling machines, large cold rooms and deep freezers. Full fledged facility is available for Research and Development work which includes radio isotope handling and all related equipments, HPLC system, ultra centrifuge, ELISA equipment and equipment for molecular biology work The Institute is recognized by the Tamilnadu Dr.M.G.R.Medical University, Madras for M.D degree in Microbiology and by the Bharathiar University for Ph.D in Microbiology in the faculty of science The Institute has a library stocked with 4003 books and bound volumes,18 International journals, 23 Indian Journals and WHO publication (Global subscription) PRESENT ACTIVITIES ª Production of DTP group of vaccines for EPI programme ª Production of Tissue Culture Antirabies Vaccines for Humans and Canines. ª Production of Sheep brain Antirabies Vaccine. ª Training Programmes and Post-Graduate programmes. ª Consultancy services of scientists from the Institute to other Institutions within the country and abroad. 72

19 ª Establishment of WHO Collaborating Centre for Training in Rabies Vaccine Production and Quality Control. ª Academic programmes for Ph. D affiliated to Bharathiar University, Coimbatore and M.D (Microbiology) affiliated to Tamilnadu Dr. M. G. R Medical University, Madras. ª Enterovirus laboratory for cold chain monitoring of Oral Polio Vaccine and Surveillance of paralytic poliomyelitis and Government Analyst for testing OPV. ª Continuous in-house Research and Development on existing vaccines produced by the Institute. Details of Vaccines produced during Name of Quantity Amount vaccine ( ) ARV 28,65,063 ml Rs.1,71,48, Vero Cell Rabies HV 15,563 doses Rs. 20,23, Vaccine(Canine) DPT 2,34,27,170 doses Rs.3,36,64, DT 85,43,780 doses Rs. 63,99, TT 76,52,340 doses Rs. 46,67, Non EPI sales 28,72,000 vials Rs. 19,12, TT Vaccine FUTURE PLAN ª Scaling up and providing cgmp facilities for DPT group of vaccines. ª Scaling up and providing cgmp facilities for Tissue Culture Antirabies Vaccine. ª Research and Development of newer cost effective vaccines like Quadruple vaccine (Hepatitis B+DPT vaccine) and Vero Cell Japanese Encephalitis Vaccine. ª Research and Development of Tissue Culture Liquid Vero Cell Rabies Vaccine NATIONAL ENTERO VIRUS LABORATORY For polio eradication, Government of India has initiated the programme with WHO under the banner of NPSP (National Polio Surveillance Project). The project has eight laboratories in the country who isolate the poliovirus from all the cases of Acute flaccid paralysis. The Pasteur Institute of India, Coonoor has been identified as one of the National laboratories to carry out the surveillance of polio cases in the states of Kerala and Lakshawadweep for the past 12 years. In addition, this laboratory is monitoring the potency of oral polio vaccine samples from the field to check the cold chain status RESEARCH AND DEVELOPMENT At present the following projects are being handled:- ª Development of Vero cell derived inactivated purified Japanese Encephalitis vaccine for human use. ª Development of antirabies chicken egg yolk antibodies against Rabies virus. ª Development of monoclonal antibodies against human lung adenocarcinoma. The following projects have been carried out: ª Production of murine monoclonal antibodies and evaluation of its efficacy in lung adenocarcinoma chemotherapy. ª In-Vivo and In-vitro evaluation of single dose Tetanus Toxoide vaccine formulation of Chitosan Microspheres RABIES TREATMENT CENTRE & DISPENSARY Rabies treatment center established in 1907 for treatment of dog bite cases is functioning very efficiently for the last 95 years. For the benefit of patients coming from distant places this hospital is working for 24 hours. Rabies treatment center is also engaged in collecting epidemiological data of animal bite cases and also efficacy of antirabies vaccines. In order to minimize the cost and quantity of tissue culture vaccine a clinical trial has been initiated by intra dermal route TRAINING FACILITIES Institute offers training programmes to Universities students pursuing medicine, pharmacy, microbiology, biochemistry and related subjects. During the year, shortterm courses have been arranged by this Institute for exposure to the post=graduate students of recognized colleges to various basic techniques of vaccine production ALL INDIA INSTITUTE OF PHYSICAL MEDICINE AND REHABILITATION, MUMBAI The All India Institute of Physical Medicine and Rehabilitation, Mumbai, established in The Institute 73

20 is an apex Institute for Medical Rehabilitation services providing comprehensive rehabilitation services to locomotor disabled. The range of such services includes 45 bedded Hospital for reconstructive surgeries and rehabilitation programme. The other departments of this Institute are rehabilitation Nursing, Physiotherapy, Occupational Therapy, Medical Social Work, Vocational Guidance, Evaluation, Adjustment and Training. Prosthetic and Orthotic Academic, various categories of disabled are taken up for Rehabilitation programme in the Institute. The Institute has initiated action for capacity building to increase the service lines, upgradation and acquisition of technology. The Institute conducts training at graduate and postgraduate level and research in Rehabilitation Medicine. Over the past few years the Institute has been extending services through CBR approach, to rural areas. These services are provided in collaboration with voluntary and semigovernment organization and primary health centres. Institute is also collaborating with leading NGOs working in the field of disability for conducting camps and distribution of aids and appliances in rural areas ALL INDIA INSTITUTE OF SPEECH AND HEARING, MYSORE All India Institute of Speech & Hearing, Mysore, came into being on October 10, 1966 under the aegis of the Union Ministry of Health & Family Welfare, and is wholly financed by the Government of India. The institute is registered as a Society under the Societies Registration Act XXI of 1860 (Punjab Amendment) Act 1957, and is conducting programs at postgraduate level (M.Sc) since its inception. Later, the institute started B.Sc (Speech & Hearing), Ph.D, Diploma in Hearing aid and Earmould Technology, Bachelor of Special Education (Hearing Impairment), M.Sc in Audiology, M.Sc in Speech Pathology programs. The main objectives of the institute are to impart professional training, render clinical services, conduct research and provide rehabilitation services in the field of speech and hearing CLINICAL SERVICES Clinical services were provided in the form of diagnostic, therapeutic and counseling services to the patients with speech and hearing problems. The table below gives the details of patients who visited the AIISH during the period of January, 2003 to to April, DIAGNOSTIC SERVICES Donated seating device to Several Handicaped on World Disabled Day on 31/12/03 The Institute has successfully implemented PILOT PROJECT ON MEDICAL REHABILITATION, A CENTRAL SECTOR HEALTH PROJECT. In the Xth Five Year Plan National Disabled Surveillance and Control programme is proposed to be implemented. Institute is collaborating with World Health Organizations for disability Prevention and Rehabilitation and proposed a CBR Project in Poinad "Primary Health Centre", Raigad District. Total Budget allocated under Plan and Non-Plan Budget for the year is Rs.3,08 crores and Rs. 2,70 crores respectively. No. of new cases registered No. of repeat cases evaluated No. of evaluations at extension services: Hearing Speech 867 No. of patients screened at camps 2771 No. of infants screened 2758 No. of school children screened 4584 Total no. of patients seen Rehabilitation Services Total number of cases evaluated for 6731 providing hearing aids No. of free hearing aids issued under 2861 ADIP scheme Total number of cases attended speech 5532 language therapy No. of individual therapy sessions conducted No. of group therapy sessions conducted 1315 No. of patients offered medical services at the institute (Visiting Consultants) 1133 No. patients offered medical services at KRH No. of major surgeries performed 185 No. of minor surgeries performed 58 No. of hearing aids serviced 924 No. of equipments serviced 354 Total no. of rehabilitation services

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