Kashmir Healthline - I

Page 1
Newsletter from DHS , Kashmir Vol 1 (1)

Health Department is committed to provide equitable, affordable and
quality health services under the able leadership and guidance of
Honble Chief Minister of Jammu and Kashmir
Mr. Omar Abdullah
&
Honble Minister of Health, Floriculture & Horticulture
Mr. Sham Lal Sharma
Table of Contents
1. Messages......... 02
2. Initiatives by Mr. Ghulam Nabi Azad 04
3. Vision document of Directorate of Health Services, Kashmir .... 06
4. Photo Gallery of different events.. 08
5. Various health activities reported by DCMO... .. 12
6. Activities at various districts 13
7. Activities in division of Epidemiology and Public Health & IDSP ................... 14
8. Complicated surgeries performed at various districts.. 16
9. Innovations by K-RICH.. 18
10. Activities conducted under various National Program . 21
11. Environmental Issue..................... 31
12. IEC activity.. 32
13. Mysterious outbreak of 2011.. 34
14. Activity with NCD.. 35
15. Future Programme... 35
16. Books Published. 36

Page 2

Message From Mr. Sham Lal Sharma
Our Hon'ble Minister of Health,
Floriculture & Horticulture

It gives me immense pleasure to know that Director health services, Kashmir is publishing their
first ever half yearly news letter Kashmir Healthline.

It is said that health is wealth however physical health is not the only indicator for the progress
of any society . we should strive towards holistic health that is physical, mental and spiritual.
This is because only material progress is not the true indicator. We should understand that there is
no limit to the greeds, rather we should focus on our needs and commit ourselves for the welfare of
the people. Director health services have taken various initiatives in strengthening of health care
delivery system. I strongly believe that publication of our data /activities will make us more
accountable, transparent and also encourage doctors who perform well in the system.

Message from Mr. G A Peer
Commissioner Secretary
Health and Medical Education

I am delighted to know that Directorate of Health Service, Kashmir has taken a unique initiative
to publish their scientific newsletter Kashmir Healthline

Publications serve as platform for the doctors/scientists to propagate their ideas and narrate their
experiences in their fields which ultimately benefit the society.

The director health services Kashmir and his team deserves kudos for bringing out this publication.

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Message from Mr. Javed Ahmed Dar
Minister of State Health & Medical Education,
Floriculture, Horticulture, R&B,
Mechanical Engineering & Agriculture

I am very glad to learn that Directorate of Health Services, Kashmir is publishing its first ever
newsletter Kashmir Healthline.
A newsletter is the reflection of the status of the institution in general and creativity of each and
every staff member in particular. If the creative Horizon of the newsletter is able to module the
society, it will be a great service to humanity.

I am very impressed by the activity carried out by Directorate of Health Services, Kashmir and
appreciate the gesture. I congratulate everyone associated with publication of this newsletter and I
wish the publication a grand success

Message from the Directors Desk
Dr Saleem -ur- Rehman
Directorate of Health Services, Kashmir

It gives me great pleasure to introduce this first ever Newsletter published by the Directorate of
Health Services, Kashmir.

The country has initiated rural health mission to provide free and fair health care to all citizens of
this country. My Endeavour is to inculcate value and ethics in the system, provide equitable
services in rural as well as urban areas and ensure quality services both in public and private
sectors. I request all to imbibe the qualities enshrined in the Hippocratic Oath and develop a sense
of belonging in the department so that we work together as a team that allows individual growth
within a responsive, efficient and patient-friendly healthcare system. I am thankful to all who
have worked hard to achieve the goals of our department. I feel great satisfaction at the launch of
the newsletter which depicts the departmental activities under various National Programmes for the
year 2011.

Page 4

Path breaking initiatives by Mr. Ghulam Nabi Azad
Our Hon'ble Union Minister of Health and Family Welfare
Government of India

Rural MBBS to be started with
relaxation of time period of course as
three years.
Initiating the process of Notification of
cancer patients.
Initiating steps to introduce laws to
prevent discrimination against HIV/AIDS
patients.
Support for construction of Super
Specialty hospitals in J&K and
elsewhere in the country
3625 MBBS Seats, 7470 PG seats and
25 new medical colleges were
established.
Rationalization and relaxation of norms
for setting up of medical colleges in
rural, under served and remote areas.
50% seats in PG diploma courses
reserved for government medical
officers who have served in rural areas
for 3 years.
Teacher Student ratio relaxed to 1:2 for
PG courses.
DNB qualification has been recognized
for appointment as faculty.
53 new ANM and 45 GNM schools to be
opened across the country.
The vision of six AIIMS like institutions is
now closer to reality.
Under NPCB, 10480407 cataract
operations were performed of which
98% were with IOL.
Under NPMH, an intensive national
mass media campaign was launched to
generate awareness regarding mental
health problems and stigma reduction.
Up gradation and modernization of
departments of Psychiatry in medical
colleges and strengthen the capacity at
district level for mental health services.
In July 2010, an integrated scheme was
approved for implementation o in 100
districts at the cost of 1230 crores for
the newly launched National
Programme for Prevention & Control of
Cancer, Diabetes, CVD, and Stroke,
(NPCDCS) and National Programme for
Health care of Elderly (NPHCE)
Opportunistic screening for diabetes and
high blood pressure will be provided to
all persons above 30 years, including

Page 5

pregnant women of all age groups at
20,000 sub centers.
Under this ambitious programme, a
Cardiac Care unit, NCD clinic, Geriatric
clinic, Geriatric ward, Physiotherapy and
District Cancer Facility will be available
at District level.
65 centers will be strengthened as
tertiary Cancer Centers at the cost of 6
crore each.
Setting up of Regional Geriatric Centers.
Under NRHM 2243 more FRUs were
made functional 24x7.
6500 new facilities were upgraded under
NRHM.
Tracking of Mother and Child started.
Free drugs, consumables, diagnostics,
diet and transport to be provided to
mothers/children under JSSK

Bivalent OPV introduced which has
shown remarkable results.
Hep B vaccine expanded to whole
country
Second dose of measles vaccine
introduced across the country.
Pentavalent Combination Vaccine
introduced in two states on a pilot basis.
Maternal Death Review introduced in
2010.
The number of Public Health Labs
testing for communicable disease
increased from 2 to 44.
Universal access to second line ART.
Launch of National Early Infant
Diagnosis Programme for early
detection of HIV in infants.
Setting up of four Metro Blood banks as
Centers of Excellence in Transfusion
Medicine.

Union Minister Addressing WHA
(World Health Assembly) at Geneva
Bilateral talks between Union Minister and
US Secretary Health at Washington DC

Page 6

Initiatives of Director Health Services under the guidance and leadership of
Honable Minister of Health, Fl oriculture & Horticulture Mr. Sham Lal Sharma
The Directorate of Health Services,
Kashmir has set for itself aims and goals
which have been discussed in the Vision
Document. The initiatives that the
Directorate has taken in the recent past
and is in the process of implementing
are discussed in this note. These are
briefly mentioned here:
Need-based and output-based
deployment of scarce health department
manpower.
A sustained and continuous supervision
of the work done output reporting at all
levels of health administration.
A self monitoring and self correcting
system working on modern managerial
principles.
Prioritizing and implementing
institutional audits, (medical, social
needs)
New hospital designs for District
Hospitals at Bandipora, Kargil, Kulgam
and other smaller institutions, have
taken into account the lacunae in earlier
designs and have been designed to
have minimum land coverage.
Planning for a modern office structure
for the offices of the Directorate of
Health, Kashmir, Directorate of Indian
System of medicine, NRHM Divisional
Offices in a single structure to be
located at Bemina. The land for this
construction has been reclaimed from
encroachers by the Directorate.
A modern and scientifically designed
Drug Warehouse complex at the same
site at Bemina.
A Simulation laboratory to be
established at RIHFW Dhobiwan, where
modern and proven technologies will be
put in place to impart and augment the
skills of the health manpower.
Trained manpower for the purpose of
Hospital Designing and aim for the
establishment of a Hospital Construction
and Hospital Maintenance Division.
Pre-hospital care: The government is
already in the process of launching
Emergency Ambulance Service (108)
and Health Helpline service (104).
A program has been concluded in
collaboration with the International
Committee of the Red Cross and Red
Crescent Societies (ICRC), to train
Trainer of Trainers in Basic Life Support
and Stabilization techniques.
Further trainings for Advanced Trauma
Life Support and Advanced Cardiac Life

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Support are being planned and will be
done at the earliest.
Strengthening of all first referral
hospitals, with Baramulla and Anantnag
being the priority, so as to make them
capable of handling casualties and
medical emergencies in a scientific and
a protocol defined manner.
Keeping in view the difficult terrain of the
state and for timely response to
emergencies particularly the far off and
difficult to access areas, the Directorate
is also conducting feasibility, and cost-
effectiveness studies for having a heli -
ambulance service.
A high speed river ambulance service
between the major district hospitals and
some of the tertiary hospitals of the city
is envisaged.

Anuradha Gupta Joint Secretary MOHFW, GOI,
Director Health Services Kashmir and Mission
Director Dr Yash Pal in conversion
Efforts will be made to address the
issues of the workforce at all stages be
it manpower planning, manpower
deployment, trainings, skill up-gradation,
working atmospheres, supportive
supervision, continuous job appraisals,
and grievance redressal.
Exploring feasibility of DNB courses in
the major institutions of DHSK.
Use of Information and Communication
Technologies will be initiated. Stress will
be placed on tele-medicine in particular
tele- cardiology and tele-radiology.
Hospital based ambulances will be fitted
with Remote tracking Devices.
PPP models in high technology and
capital intensive projects with the aim of
local capacity building and manpower
training are in the process of being
implemented.

Minister of Health, Floriculture & Horticulture,
Director Health Services Kashmir and Director
Indian System of Medicine (ISM) in NRHM
Samelan

Page 8


DHO (District Health Officer, Srinagar )
Addressing the Audience on WHD

WHD : World Health Day was celebrated at all District Head Quarters and main
function was celebrated at Iqbal Memorial Institute Bemina , Srinagar with support
from Chief Medical Officer Srinagar where Seminar was organized on 7
th
April on this
years theme
Antimicrobial resistance (Antibiotic Resistance ): no action today, no cure tomorrow

Awareness was given to students /public regarding the irrational use of Antibiotics and
wide publicity of the event was given in print and electronic media. Key messages given
to students and public were:
1. Never Do self medications especially in the use of Antibiotics
2. Consult a health care professional before taking Antibiotics
3. Always take a full course of antibiotics once prescribed by a doctor as under use or
over use both leads to development of Drug Resistance.
4. General public needs to understand that antibiotics are only effective against
bacterial infections. They are of no use against viral infections such as influenza and the
common cold.
5. Antibiotics should not be available without a proper prescription from a health care
professional.

Faculty from Division of Epidemiology and
PH speaking on occasion of WHD

Page 9


Director Health Services , Kashmir
Dr Saleem ur- Rehman interacting
With participants (ISM Doctors) on
IDSP training
Honable Health Minister Mr Sham Lal Sharma
in conversation with Director Health Services,
Kashmir also seen are Mission Director NRHM
and Director ISM
Participants of ASHA
Module 6/7 at Regional Institute
of Health and Family Welfare
Participants interacting with
each other in a Training at
RIHFW , Dhobiwan
A Fully equipped SNCU established
in SNM Hospital Leh under NRHM.
Director Health Services Kashmir
inspecting the SNCU

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Director Health Services with Head of
the Mission from ICRC Mr. Daniel
Demonstration Skills

Demonstration of Life saving Techniques
during training on Basic Life Saving and
Stabilization Techniques in Collaboration
with ICRC and K- RICH at Regional
Institute of Health and FW, Dhobiwan,

Dr. Eric from ICRC Geneva
observing the demonstration of
Survival Techniques by Participants

Department of Health, Kashmir, has initiated training of
Doctors/Paramedics on BLS/ALS through ICRC
(International Committee for Red Cross )

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A glimpse of RCH Camp at Hanu, Leh A rally of students on the occasion of No Tobacco
week in Leh

Sh. Sham Lal Sharma Hon'ble Health Minister Sh. Sham Lal Sharma Hon'ble Health Minister and
inaugurating the Solarised Labour room at CHC Director Health Services ,Kashmir on their visit to
Skurbuchan (Khaltsi) constructed under NRHM. Kargil District 20111

Union Hon'ble Health Minister Mr. Ghulam Nabi Azad , Director Health Services Kashmir (Dr Saleem ur-
speaking to Media at Review meeting of NCD Rehman , Director Health Services Jammu
Non Communicable Diseases ) at Vigyan Bhawan , (Dr Madhu Khullar ) and Mission Director NRHM
New Delhi November,2011 Dr. Yash Pal Sharma in a Review Meeting

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Name of Training/ Activity Participants /Purpose Venue
Skilled Birth Attendants Trg FMPHW/Nurses JLNM Hospital
Intra Uterine Device (IUD) Trg. FMPHW/Sr. Nurses JLNM Hospital
Lapro ligation Camps Hazrat Bal ( 104 Beneficiaries )
Sanat Nagar ( 75 Beneficiaries )
JLNM Hospital ( 15 Beneficiaries )
Biomedical Waste Pits Disposal of Vaccine Waste
( Needles and Used vials )

Constructed at various Health
Facilities (AD Batmaloo, JLNM
Hospital, Gousia Hospital,CHC
Harwan, PHC Khonmoh,
Natipora,Zakura,Hazrat Bal)
MTCT trg MOs/LHVs/FMPHW RFPTC , Barzulla, Srinagar

Time Attendance Machine at CHC Kupwara Dr Madhu Khullar taking over as
Director Jammu Division
Various Health Activities reported by Dy. Chief Medical Officer,
Srinagar during the Year 2011

Pulse Polio Immunization Director Health
Services Inaugurating the Day
Trainees Learning the Skills in SBA
training at JLNM Hospital

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Activities at Various Districts

Global iodine Deficiency Disorder Prevention day
on 21st october, 2011

World No Tobacco Day observed on 31
st
May, 2011
in District Budgam

Participants at Seminar Honable Health minister, Honable MOS health,
Commissioner Secretary Health and Medical Education
and Director Health services in a review meeting

Basic Life Support (BLS) Session in Progress ICRC Trainer interacting with participants

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Activities in Division of Epidemiology and Public Health
& Integrated Disease Surveillance Project (IDSP)
Directorate of Health Services Kashmir

Surveillance Units
1. As per PIP Kashmir Division has 15
surveillance units.
2. One Divisional Surveillance Unit housed
at RFPTC Barzulla, Srinagar.
3. 12 District Surveillance Units in 12
districts ( Baramulla, Srinagar, Budgam,
Anantnag, Pulwama, Leh, Kargil). In
addition, surveillance units have been
set up at Department of
SPM/Community Medicine GMC
Srinagar and SKIMS Srinagar. For the
first time both these units have started
reporting in a timely and complete
manner.
Laboratory Work :
1. One provincial Lab has been set up at
RFPTC Barzulla Srinagar which is also
the district Priority Lab for District
Srinagar. The laboratory is testing
water samples from all over the valley
both in routine course and during
outbreaks. The microbiologist forms
part of the RRT and collects
appropriate samples whenever there is
an outbreak.
a. A total of 204 water samples were
tested on routine basis and 50
during outbreaks.
b. A total of 30 stool samples were
collected in this year.
c. A total of 50 blood samples and 5
throat swabs were collected during
this quarter to confirm diagnosis.
d. We have done Hepatitis B sero
surveillance in two districts of the
valley viz Anantnag and Kupwara.
e. A district laboratory is functional at
Kupwara.
The sero surveillance is going on at
present also. All districts will be
taken up one by one.
VSAT Communication Linking :
1. Data Centres have been established at
all the districts including Headquarters
and at GMC Srinagar and SKIMS, Soura
Srinagar.
2. Video conferencing is done from SSU
and district Budgam also.
Contractual appointment:
1. All districts have advertised for
contractual appointments.
2. All illegal appointees were removed and
their contract was not renewed.
3. District Pulwama has appointed new
contractual Epidemiologist and Data
entry operator.District Kargil have
appointed DEO and Data Manager.
4. Districts Anantnag and Pulwama have
full staff.
5. The state Surveillance Unit at Srinagar
has newly recruited full staff as per
guidelines.

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6. Districts Budgam, Kupwara have
completed the process of interview of
candidates and are waiting for
declaration of results.
7. Districts Srinagar, Leh and Baramulla
have advertised for posts but interviews
have not been conducted.
Establishment of Rapid Response
Teams:
1. We have established two RRTs at the
SSU comprising of an epidemiologist,
microbiologist, entomologist, Health
inspector.
2. In pediatric cases we utilize the services
of a pediatrician.
3. During Hepatitis outbreak in District
Anantnag we used the services of a
gastroenterologist to help the team and
to guide it.
4. The team also collects laboratory
specimens for confirmation of diagnosis.
We use the services of Microbiology lab
GMC Srinagar for some cases and tests
that are not being done here are flown
to NCDC for confirmation of diagnosis.
Trainings:
1. A core group of trainers trained at NCDC
Delhi has been identified to train
doctors working in the field.
2. We have trained 6 batches of doctors
(130) from various districts to sensitize
them and train them to fill up forms in a
timely and complete manner. In
addition, PG students, Senior Residents
of SKIMS and GMC Srinagar were also
trained.
3. A batch of laboratory technicians (30)
was also trained from all the districts to
help in timely lab diagnosis of
outbreaks.
4. Our focus during trainings is on
outbreak investigation its early
detection and timely response.
Data Flow
1. Data is entered on the portal each week
in a timely manner. J&K is one of the
few states in India which have a > 80%
timely and consistent reporting of
outbreaks.
2. Outbreak investigation: We have
identified 15 outbreaks in Kashmir
province since July 2011. Of these 10
outbreaks were investigated by RRT
from Headquarters and laboratory
investigated. Samples are sent to
Microbiology lab NCDC Delhi or to GMC
Srinagar as per requirement.

Mr. P.K Pradhan Secretary Health and Family
Welfare, GOI in conversation with Health officials

Page 16

Advanced Surgeries conducted at various peripheral Institutes of
Kashmir Division
District Hospital Pulwama

Mucinous cystadeno carcinoma of ovary in pregnant woman of 7 months amenorrhea
CHC Chadoora

Type of Surgery: Excision of hydatid cyst with omentoplasty
(30 yrs old Male, was put on albendazole pre and post operatively, he is on regular
follow up and doing well) Team Members: Dr Khursheed Iqbal, Dr Saleem , Mr.Altaf,
Mr.shafi CHC Beerwah , District Budgam

Type of Surgery: Ovarian Tumour Resection (4.5kg, 20x15 cms)
30 year old Female , Team Members- Dr. Nasreen, Dr Zahoor Hamdani, Dr Asim
Laherwal, Dr. Bashir Ahmad Khan, Dr.Arif Vakil ,Mr Showkat Gul , Mr. Mir Ab Qyoom
Twin delivery conducted
at sub centre Dawhtoo ,
Block Sallar, District Anathnag
In September 2011,both babies alive

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SDH ,Charsharief , District Budgam

Type of Surgery : Removal of Ovarian cyst weighing 20 kgs
Team Members- Dr. R.A Waida , Dr. Zahoor , Dr. A. G. Raina ,Mr. Manzoor Ahmad

Type of Surgery: Modified Radical Mastectomy
78 year old female diagnosed Carcinoma Breast , Team Members- Dr. Khurshid iqbal, Late
Dr.Asif Shora, Dr.Abdul Rouf, Mr.Riyaz, Mr. Altaf ( Patient on Regular follow up and doing well )

Type of Surgery: Left Hemicolectomy
50 year old Female diagnosed carcinoma colon , Team Members - Dr.Khurshid Iqbal, Late
Dr.Asif shora, Dr.Nazia, Mr.Bilal, Mr.Mohd shafi ( Patient on Regular follow up and doing well )

Type of Surgery : Small bowel Volvulus

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In April 2011, the K-RICH team was formed and given the mandate to introduce
reforms and innovations in the healthcare delivery system in Kashmir.
The K-RICH TEAM
Patron: Mr. Sham Lal Sharma, Hon'ble Health Minister, Govt. of J&K
Co Patron: Mr. Javaid Ahmed Dar , Honble Minster of State Health and Medical education,
Govt. of J&K
President: Mr GA Peer, Commissioner Secretary Health and Medical Education, Govt. of J&K
Chairman: Dr Saleem ur Rehman, Director Health Services Kashmir
Member-Secretary: Dr. Bakshi Jehangir
Member: Dr. Niyaz Jan
Member: Dr. Arshad Rafi
INNOVATIONS BY K-RICH
PROJECT 1: Redesign and
Repurposing of DHSK
institutions as per NABH
(National Accreditation Board
for Hospitals) and other global
standards.Major Hospitals
like District Hospitals of
Bandipora, Kargil, Kulgam and
Ganderbal along with a large
number of smaller hospitals
like trauma hospital at
Bijbehara among others have
been redesigned in tune with
the latest international
standards. Besides a number
of existing or under-
construction hospitals have
been made more standards-
compliant and user friendly
with the addition of ramps, wheelchair
access, sub-waiting spaces, additional
toilet and attendant facilities.
PROJECT 2: Prototype CHC and PHC
as per NABH (National Accreditation
Board for Hospitals) and other global
standards. Earlier health institutions
were being designed and built in an
arbitrary fashion without regard to
scientific planning. All new institutions

Page 19

will be based on Prototype DH, CHC
and PHC designs which have been
created as per NABH (National
Accreditation Board for Hospitals) and
other global standards.
PROJECT 3: New Health Secretariat
A new Health Secretariat building has
been designed to be built on land
repossessed from Land-grabbers in
Bemina. This building will house
Directorate of Health and other
directorates like Family Welfare, ISM,
NRHM etc. It has a corporate-based
design with all modern public and
business amenities including a 500-seat
Auditorium.
PROJECT 4: Kashmir Simulation
Laboratory (KSL) Project A state-of-the-
Art Simulation Laboratory is being set
up at RIHFW Dhobiwan to enhance
patient safety and the quality of medical
care through the use of innovative and
high impact simulated training and
research.
PROJECT 5: Modern Drug Warehouse
Modern Drug Warehouse for scientific
storage, management and distribution
of medicines has been designed for
construction at Bemina.
PROJECT 6: ALS/BLS Training for all
employees of DHSK in a phased
manner.
A core team of BLS Trainers has been
trained by Dr Eric Bernes, world-
renowned expert from International
Committee of the Red Cross (ICRC).
These trainers will provide BLS training
to all health employees in a phased
manner. ALS sensitization programmes
have also been initiated and ALS
certification programmes are on the
anvil.

PROJECT 7: Facilitation of
Comprehensive Emergency Pre-hospital
Ambulance Transfer (108) Service
(EMS) and Helpline (104) Service. J-
KATS Project is in the Second Stage.
World class 108 (EMS) and 104
(Helpline) services will soon be just one
phone call away. First-of-its-kind River

Page 20

Ambulance to avoid traffic bottlenecks is
also under active consideration.
PROJECT 8: Creation of First Referral
Centres for 108 Ambulance Service
Creation of two 24X7 fully-equipped and
staffed J-KATS First Referral Centres
(ATLS & ACLS) at DH Anantnag and
DH Baramulla for optimal deployment of
108 Ambulance Service. More J-KATS
First Referral Centres will be added to
the project in a phased manner.
PROJECT9:In Kashmir nursing home
and JLNM hospital (PPP) Projects
Proposals for setting up Advanced
Cardiac Care centre, Advanced Dialysis
and Nephrology Center, and Cancer
Palliative Centre have been submitted to
the Administrative department for
approval.

PROJECT 10: Smart-Card based
biometric employee attendance systems
are being introduced in DHSK
institutions and SDH Kupwara has
already taken the lead.
PROJECT 11: Proposals for Colour-
coded aprons and QR-Code based ID
Cards are being evaluated.
REFORMS:
Comprehensive plans are being drawn
up in the thrust areas of:
A. Logical HealthCare
Logical deployment of Healthcare
manpower and resources
B. Quality HealthCare
Accreditation of our facilities by QCI
[Quality Council of India] via NABH
[National Accreditation Board for
Healthcare]

Drug Controller J&K Mr. Satish Gupta State Level Workshop on (RSBY )
and Dr waseem Qureshi Rashtriya Swasthya Bima Yojana

Page 21

Activities conducted under various National
Programmes.

Statement of Health Education Activities of Kashmir Province, for The Years
2009-10, 2010-11 & 2011-2012 (Ending September 2011)

Health
Education
Sessions
Conducted
Seminars Exhibitions Rallies
Health
Education
During
Festivals
Posters
Distributed
2009-10 1455 2 0 2 0 84912
2010-11 2250 19 0 0 0 22490
2011-2012 ending Sept. 2011 1748 20 0 3 0 149000
0
20000
40000
60000
80000
100000
120000
140000
160000

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National Programme for Control of Blindness (NPCB)
Physical Achievement of National Programme for Control of Blindness (NPCB)
for the years 2010-2011 & 2011 -12( ending 09/2011)

Financial Achievement of National Programme for Control of Blindness (NPCB)
for the years, 2010-2011 & 2011-12(ending 9/2011)

Year
Opening
Balance

Receipt from
Govt. of India
Interest/
Recovery
Total Funds
Available
Expenditure
Closing
Closing
Balance
2010-2011 29.85 -- 0.88 30.73 13.13 17.60
2011-12 ending
09/2011
17.60 -- 1.35 18.95 16.51 2.44
(Rs in lacs)
No. of
Cataract
operations
done in
camps
No. of
cataract
operations
done in
Institutions
Total(2+3)
No. of
School
Children for
refractive
errors
No. of
school
children
whose
vision was
corrected
Total
patients
treated for
Eye
Ailments
2010-2011 727 7778 8505 43638 5140 344066
2011-2012 ending Sept. 2011 750 7894 8644 86500 13134 422897
0
50000
100000
150000
200000
250000
300000
350000
400000
450000

Page 23

National Leprosy Elimination Programme (NLEP)
Physical Achievement under National Leprosy Elimination Programme (NLEP)
For the years, 2010-2011& 2011-12(Ending September 2011)

Financial Achievement under National Leprosy Elimination Programme (NLEP)
for the years 2010-2011 & 2011-2012 ( Ending 09/2011)

Year
Opening
Balance
Receipt
from Govt.
of India
Interest/
Recovery
Total Funds
Available
Expenditure
Closing
Balance
2010-2011 6.00 27.74 0.21 33.95 14.07
19.88

2011-12
Ending
sept. 2011
19.88 -- 0.06 19.94 3.20 16.74
(Rs in lacs)
No. of Cases
on record
No. of New
cases
No. of cases
discharged
Cases under
treatment
2010-2011 18 39 34 23
2011-12 Ending Sept.
2011
23 18 5 36
0
5
10
15
20
25
30
35
40
45

Page 24

District Mental Health Programme (DMHP) in Kashmir Division
DMHP was started as part of National Mental Health Programme in 1982 in Bellary
District of Karnataka State and after its success, it was spread to 27 Districts in 9
th

five year plan and later on to 94 Districts in 10
th
plan and the goal is to cover all
districts in 11
th
& 12
th
five year plan in phased manner. In Kashmir and Ladakh
Divisions DMHP was launched in July 2008 with following objectives:-
1. To give Mental health care in the community.
2. To identify and treat Mental disorders in the community.
3. Intensive education about Mental disorders and their treatment.
4. To reduce stigma about Mental disorders.
5. Rehabilitation and Psychosocial care of those who have recovered..
6. Training of staff especially Medical officers and Paramedicals.
7. Public private partnership.
8. Mental Health Promotion activities in schools, colleges and public places.
**********************************************************************************

Hon'ble Minister of Health, Floriculture Rashtriya Swasthya Bima Yojana (RSBY)
& Horticulture Mr. Sham Lal Sharma Meeting seen here are Mr.Anil Swaroop
addressing on Occasion of RSBY (Director General Labour Department
Meeting GOI) and Commissioner Secretary Health
& Medical Education Mr. G A Peer

Page 25


Page 26

MENTAL HEALTH ACTIVITIES (2008-2011)
Patients Treated
Year No. of Patients treated
2008 (July December ) 4818
2008 (July December ) 4818
2009 (Jan-December ) 14399
2010 (Jan-December ) 12035
2011 (Jan-Sept) 14930
Total 46182

Diagnostic break up of Patients treated
Diagnosis Year 2008
(July-Dec)
Year 2009
(Full Year)
Year 2010
(Full Year)
Year 2011
(Jan-Sept)
Depressive disorders 894 3682 3113 3286
Bipolar-affective disorders 273 1531 1055 890
Schizophrenias 109 1174 493 670
Anxiety disorders 890 2492 1980 4212
Dissociative disorders 173 355 302 735
Seizure disorders 163 444 294 390
Headaches 202 858 374 730
Dementias 41 161 150 143
Substance Abuse disorders 30 138 321 654
Mental Retardation 38 150 110 145
Other Psychotic disorders 176 521 617 344
Other Neurotic disorders 359 774 931 746
PTSD 67 125 120 141
Follow up patients 1412 1994 2175 1844
Total: 4818 14399 12035 14930

Mental Health Camps
Year No. of Camps Patients Treated
2008 03 800
2009 06 1200
2010 04 860
2011 05 1150
Diagnostic Break Up
Diagnosis Year 2008 Year 2009 Year 2010 Year 2011
Substance Abuse disorders 610 890 580 920
Depressions 120 230 209 180
Anxiety disorders 70 80 71 50
Total:- 800 1200 860 1150

Page 27

Training Imparted
Official Year 2008 Year 2009 Year 2010 Year 2011
Medical officers (3 months) 16 X X X
Medical Officers (1 Year) 01 X 02 X
Medical Officers (5 Days) 95 30 102 50
Medical Officers
(120 days in de-addiction)
01 X X 02
Para Medicals (3 days) 92 34 102 98
Workshops And Seminars Organized:
Year 2008 02
Year 2009 04
Year 2010 05
Year 2011 04
Total: 15
Drugs Distributed To Patients
Year 2008 Tab. Olanzapine, Tab.Sodium Valproate, Tab. Venlafaxin
Year 2009 Above All, Tab. Dothipin, Tab. Fluoxetine
Year 2010 Above All
Year 2011 Tab. Amitryptyline, Tab. Resperidon, Tab. Trihexiphenidryl
District Mental Health programme is a community based programme and is an
essential programme to screen to community for various Mental Health Problems and to
reduce stigma of these disorders. An effective implementation of this programme in
presence of the requisite budget can screen the community, reduce the stigma and
ultimate goal of the programme can be reached successfully.

Honable Health Minister Mr Sham Lal Sharma and Officers from Jammu Division Director
Health Services, Kashmir Attending RSBY workshop in Srinagar

Page 28

Revised National TB Control Programme (RNTCP) KASHMIR

Honable Health Minister Mr Sham Lal Sharma addressing get-together meet organized by Doctors of various
Districts at Royal Springs Golf Course, Srinagar

Page 29

Honable Health Minister presenting memento
to Director ISM and also seen here is
Director Health Services Kashmir

Honable Health Minister Mr Sham Lal
Sharma and Director Health Services,
Kashmir and Mission Director NRHM

Director Health Services Kashmir at Sub
Centre Dachi located near LOC.Institute
has conducted 40 deliveries

Director Health Services, Kashmir
Visiting health institutes in District
Kupwara

NRHM Samelan at District Budgam seen
here are Honable Health minister, Honable
Finance Minister , Honable MOS Health ,
Commissioner Secretary Health and Medical
Education

Page 30

Environmental Issues: Millipedes in Kashmir, India
Story of Insects from Marrhama Block Trehgam District Kupwara , Kashmir , India:
Is it a public health problem?
Insects infestation has been found in Marrhama, a village in Block Trehgam in the
District of Kupwara Jammu and Kashmir, India. The main water source used for drinking
purposes is badly affected by the insects.Health Professionals along with a Block
Medical Officer, visited the village, which is about 20 km away from District Head
Quarter Kupwara. The area is mostly surrounded by forests and hills, and the
population of the affected village Marrhama is about 3500. The people of the area are
very poor subsistence farmers who possess little land. A local resident told the
Integrated Disease Surveillance Project (IDSP) Team that he had seen a large number
of the same kind of insects in the forest one month previously, creeping from the jungle
area towards the village .

Millipeds are white in colour,
approximately 1 inch long, and each
insect has 40 pairs of legs

IDSP team District Kupwara interacting
with affected Community
Read the full story at http://blog.jidc.org/2011/08/05/enivronmental-issues-millipedes-in-Kashmir -
india/ published in JIDC ( Journal of Infection in Developing Countries )
However, the insect infestation has little Public Health importance and is more of an environmental
issue. This awareness was given to the local community by the IDSP team.

Page 31

List of Trainings conducted at Regional Institute of Health
and FW (RIHFW ) and Regional Family Planning Training
Centre(RFPTC) Srinagar , JK During the year 2010-2011

S.No Category Subject Dated Period Venue No of
participants
1 Health Supervisors CME in Water borne
Diseases
5- 6 April 2010 Two(2)
day
RIHFW/
RFPTC
66
2 Health Educators CME in Prevention in
water born diseases
8-9 April 2010 Two (2)
Day
DO 73
3 Health Educators /
MPWs
Collection processing &
Transportations of
Different Samples
12th April 2010 One(1)
day
Do 103
4 Nurses Blood Borne infections 16th April 2010 One(1)
day
Do 54
5 CHOs, MPHWs/HEs Out Break response with
special emphasis on
water borne Diseases(
WBDs)
19th April 2010 One(1)
day
Do 87
6 Block Medical
Officers ( BMOs )
from Kashmir
Province
Management Skills for
Health Care
Professionals
20 -21 April 2011 Two
(2)day
Do 21
7 Block Medical
Officers ( BMOs )
from Kashmir
Province
Health Care
Professionals
25-26 April 2011 Two
(2)day
Do 29
8 Block Medical
Officers ( BMOs )
from Kashmir
Health Care
Professionals
27-28 April 2011 Two
(2)day
Do 18
9 TOT Training for
ASHA Module 6/7
Maternal & Child Health
Care
14/2/2011 14 days Do 25
10 TOT Training for
ASHA Module 6/7
Care
6th March 2011
( Two Batches)
14 days Do 50
11 TOT Training for
ASHA Module 6/7
Care
23th
may 2011
14 days

Do 25
12 TOT for
Anesthetists/
Surgeons
Basic Life Saving and
Stabilization Techniques
in
Collaboration with ICRC
10-15th
October,2011
5 Days RIHFW,
Dhobwi
an
23
13 FMPHW ASHA facilitators
module 6/7 on HBNC
12TH December -
18th Dec,2011
7 days RIHFW 61
14 Medical officers from
Kashmir Province
Workshop on
Management of Trauma
in Peripheral Hospitals
19th December
2011
1 day RIHFW 150

Page 32

IEC activities
Awareness given to the public in print media regarding increasing incidence of various eye
diseases (Cataract and Glaucoma) and water borne diseases which are the common
outbreaks encountered during summer season.

Page 33


Honble Chief Minister of J&K visiting, a Stall in NRHM Samelan at Ganderbal

Anuradha Gupta Joint Secretary MOHFW, Minister of State Health & Medical
GOI on her Visit to JLNM Hospital Education, Floriculture, Horticulture, R&B,
Mechanical Engineering & Agriculture
Mr Javaid Dar visiting Health institutes

Director Health Services,Kashmir and Director Health Services, Kashmir
Director Indian System of Medicine (ISM) Director Indian System of Medicine (ISM)
in meeting with ISM Doctors and Mission Director NRHM

Page 34

Mysterious outbreak of the Year 2011
Outbreak of Influenza at Sangarwani, Distrtict Shopian which was confirmed as Influenza
A H1N1 by NCDC (National Center of Disease Control , Delhi ) . The villages affected were
Sangarwani and Ardibal occupying hilly terrain with scattered households comprising a
population of 11,000.

Out of total thirty (30) samples tested , eleven (11) were positive for Inf A H1N1 (Confirmed
from National Center for Disease Control, Delhi) suggesting a positivity rate of 36.33
percent. Results suggested that Inf A H1N1 is affecting extremes of age ( pediatric and
geriatric age groups). The reason of affecting these age groups as this is the high risk
group because of lowered immunity and Influenza A H1N1 has merged with seasonal
influenza and outbreaks will occur till the community develop herd immunity. The positive
cases were treated with Tamiflu (Oseltamivir) given for 5 days and contacts were given
prophylaxis Tamiflu (Oseltamivir) for 10 days as per the WHO protocols. All cases
responded to the treatment and recovered.

Page 35


NCD cell formed in Directorate of Health
Services, Kashmir and Jammu
respectively. Nodal Officers for both
Jammu and Kashmir Divisions
nominated.
Separate space identified in RFPTC
Barzulla and in Directorate of Health
Services Jammu for NCD cell.
MOU signed on 07-09-2011 by
Commissioner Secretary Health and
sent to New Delhi on 08-10-2011.
Training of ANMs in use of Glucometers
done on 17-09-2011 in district Leh for
screening of diabetes.
Identified district Nodal Officers for Leh,
Kupwara and Kargil.
Glucometers dispatched to Subcentres.
Facility survey of District Hospital Kargil
and Kupwara conducted and reports
sent to New Delhi.

Funds released by GOI in February
2011 (50% of 80% Central share) under
the Cancer and Diabetes,CVD and
Stroke component of NPCDCS for Leh
and Udhampur districts.
Funds released under NPHCE on 27-
12-2010.
Funds released to district Leh on 10th
October 2011.
At District Hospital Handwara ( District
Kupwara) wards for Diabetes, Cancer
and Geriatrics and Space for NCD
clinic , Geriatric clinic , Coronary care
unit and physiotherapy unit have been
identified . All the activities will be
carried out in the ground floor of the
hospital adjacent to CT scan and Blood
bank
Separate OPD register maintained for
geriatric age group both in General OPD
and Casuality

Setting up of Simulation laboratory: Department of Health is in the process of setting up
of simulation laboratory at Regional Institute of Health and FW, Dhobiwan. This
laboratory will be first of its kind in the Northern India in government sector with the
aim to intend to train doctors and para medicals so that a quality human resource is
developed . Recently in the month of September, 2011 Dr. Kanav Kahol, the team
leader of Affordable Health Technologies division in Public Health Foundation of India
was invited and visited the site at the institute. Dr Kahol leverages these state of the art
technologies to advance optimal human-machine symbiosis frameworks towards
inculcating best practices in medical education and promoting patient compliance and
patient access through information technology.

Page 36

Restarting of Indian Journal for Practicing Doctors: We have restarted Indian Journal for
Practicing Doctors. It is a peer reviewed indexed journal aiming to communicate high
quality research articles, short communications, and reviews in the field of Medicine and
Public Health. Authors are invited to submit research articles at kadrism@gmail.com &
visit us at www.ijpd.pbworks.com

Surveys under Progress: Screening for Non-Communicable Diseases (Hypertension,
Diabetes Mellitus ) among people aged between 35 to 64 Years in Kashmir. A pilot
survey has been started in Block Chatergam, District Budgam . Block Chattergam is a
semi urban block and once the survey is completed in this Block it will be continued in
other districts of Kashmir Division in a phased manner. Non Communicable diseases
(NCDs) are known to be increasing at an alarming pace in the South East Asian
countries. These diseases are like coronary heart diseases, cancer, hypertension,
diabetes, obesity, accidents, blindness etc and come under one umbrella called life
style diseases/NCDs.

Publications: Following books Published in year 2011 for Health professionals
1. Essential Epi demiol ogy For Heal th Professi onal s
2. Understanding Communi cation
Book in progress: Cl i mate change and Human Health

We are thankful to all Programme Officers for providing the Necessary information on
various National Health Programmes. Our Thanks to Dr Ghulam Ahmed Wani, Dr G.M.
Shaksaaz, Dr Mir Mohammad Shafi, Dr Ali Mohammad Mehand, Dr Rehana Kounsar ,
Dr Nighat and the K-RICH Team.

Editorial Board: Editor-in-Chief: Saleem ur- Rehman
Editor: SM Kadri
Web Editor: Bakshi Jehangir
Layout, Design and Processing: Chinmay Shah
Printed and Published in December 2011 by
The Directorate of Health Services, Kashmir
Please feel free to give your Comments/ Feedback at Kadrism@gmail.com

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Page 1

Newsletter from DHS , Kashmir Vol 1 (1)

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