Health Department

Introduction

The health service system in India started with the British rule. Initially, the purpose of health service was to provide services to soldiers and European civil servants and the control of epidemic diseases like plague , cholera , smallpox was started with the help of local self-government institutions, preferably in the cantonment areas. Due to the introduction of Western medicine by the British rule, the existing traditional medicine and Ayurvedic treatment were neglected. Initially, therapeutic services were provided through hospitals and clinics in big cities. The Planning Committee suggested providing health services in rural areas in 1940 and organized training for health workers to provide health services at the rate of 1 health worker per 1000 population . The first primary health center was started in 1942 in the village of Shingur near Calcutta ( West Bengal). It was called the Rural Health Team. This program is implemented under the guidance of Dr. James Grad , Director , All India Institute of Sanitation and Public Health. Around the same time, with the financial assistance of the Mumbai Provincial Government, the health service system was started in the state of Maharashtra. Local government hospitals were started at convenient places in the state, which were called urban hospitals, and later all these hospitals were transferred to the Zilla Parishad. In the 13th World Health Assembly held in 1977 , the health organization and its member countries set the health of the community at a certain level as the main goal of communication, which became known as health for all in 2000. It was accepted that primary health care is the key to achieving this goal.

Various services provided by health institutions

Maternal and child health:-

A) Prenatal care:-

Registration of all pregnant women (within 12 weeks) At least five check-ups during pregnancy: – First check-up as soon as pregnancy is suspected , second check-up (at 12 weeks), third check-up in 4 to 6 months (26 weeks), fourth check-up in the eighth month (32 weeks) and fifth check-up in the ninth month (36 weeks) All necessary services like general check-up , weight , blood pressure , check-up for anemia , abdominal check-up , height , breast check-up , folic acid intake in the first trimester , iron , folic acid tablets intake after 12 weeks , dose of anthrax vaccine , treatment for anemia etc. (As per guidelines for health workers , health assistants) Laboratory tests like hemoglobin , urine protein and sugar tests. Diagnosis of pregnant mothers at risk and prompt referral to appropriate places.

b) Services during delivery :-

Emphasis on delivering in a health facility. (Encourage) Delivering the baby by a trained person following the 5 rules of hygiene. Provide prompt and appropriate referral services.

a) Postpartum services:-

Make at least 2 postpartum visits. The first visit should be within 48 hours of delivery and the second should be between 7 and 10 days. If the baby is underweight, five such visits should be made within 48 hours and on days 7 , 14 , 21 and 28. Start breastfeeding within half an hour after delivery. Advice and counseling: – Diet and rest , hygiene , contraception , newborn care , infant and child nutrition as well as sexually transmitted diseases , A.I.V.A.D.S. etc.

c) Postpartum care:-

At least 2 postpartum home visits by the sub-center staff: – First within 48 hours after delivery and second within 7 days after delivery. Breastfeeding should be started within half an hour after delivery. Health education should be provided on diet , hygiene , family planning.

d) Child’s health:-

Newborn care
Exclusive breastfeeding for 6 months.
Vaccinate all infants and children against vaccine-preventable diseases.
Give 9 doses of vitamin A every six months until the age of 5.
Prevention and treatment of malnutrition and diseases in children.
Child care:-

a) Care of newborn infant:-
Facilities and expert services for newborns
Management of hypothermia and jaundice in newborns.

B) Child care:-
Urgent care of sick children, including Integrated Management of Neonatal and Childhood Illness ( IMNCI) .
Care for common illnesses in children.
Encourage exclusive breastfeeding for the first six months after birth.
Complete vaccination of infants and children against vaccine-preventable diseases as per guidelines.
Giving preventive doses of vitamin A.
Prevention and control of childhood diseases such as malnutrition , bacterial infections, etc.

Family planning and contraception:-
To provide health education , promotion and counselling for the use of appropriate family planning methods . Availability of family planning tools – condoms , condoms , oral contraceptive pills , emergency contraception etc. Follow-up services for eligible couples adopting permanent family planning methods. Counselling and appropriate referral for safe abortion as required.

Adolescent health care:-
Health education , counseling and referral services Assistance for school health services

Therapeutic Services :-
Treatment of minor ailments such as fever , diarrhea , respiratory diseases , worm infestations , accidents and first aid in emergency situations. Prompt and appropriate referral service. Organizing at least one health day every month in Anganwadi with the help of Medical Officer of Primary Health Center, Asha Anganwadi Sevika , Panchayat Raj Institutions , Self Help Groups.

Record of life events:-
Recording vital statistics (events) such as births, deaths , maternal deaths , infant deaths and sending reports (within 21 days)

Primary Health Center

A) Medical services
Outpatient service: – 4 hours in the morning and 2 hours in the evening.

24-hour emergency service: – Proper management and first aid of injuries and accidents , bringing the patient out of danger before referral to the emergency service , providing proper service to dog bites , scorpion bites , snake bites and other emergency patients.

Referral Service:- Appropriate and prompt referral service for patients who require specialist services:- Stabilization of patients, provision of appropriate ancillary services to patients during the referral service journey. Provision of referral service from the vehicle of the P.A. Center or from the available subsidy with the medical officers , from a rented vehicle.

Inpatient Services (6 Beds)

Family Welfare Services

Education , advocacy and counselling for adoption of appropriate family planning methods. Provision of contraceptives. For example , contraception , oral contraceptive pills , emergency contraceptive pills , condoms etc. Permanent methods such as female sterilization , male sterilization/sterile male sterilization surgery. Follow-up services for eligible couples who have adopted permanent methods of family planning such as surgical sterilization. Medical abortion services and appropriate training for the same will be provided with the help of data technology where trained persons and facilities are available.

In addition to the above services, primary health centers will also provide facilities under the Janani Suraksha Yojana.

Management of reproductive system diseases/sexual diseases

Health education for prevention of reproductive system diseases/sexual diseases Treatment of reproductive system diseases/sexual diseases. Dietary services (in coordination with Integrated Child Development Service Scheme) School health:- Regular check-up , appropriate treatment , referral service and follow-up. Adolescent health services:- Life skills training , counseling , appropriate treatment. Motivation for safe follow-up and hygiene. Diseases that are permanently found in that area. E.g. Prevention and control of cold , black disease , Japanese , encephalitis etc. Disease survey and control of epidemic diseases Awareness and appropriate measures regarding abnormal health events Disinfection of water bodies Water quality should be checked with the help of BH2E strip test prepared by the National Institute of Epidemic Diseases Control. Motivation for cleanliness including use of septic tanks , proper disposal of waste. Collection and presentation of reports on vital statistics. Health/Education Behavior Change Messaging. National AIDS Control Program and other national health programs. Routine and emergency treatment facilities – these services

These services should be available to patients who come to the primary health center and to patients who come from sub-centers or other places through referral services. These services include the following.
Referral services for patients who cannot be treated or treated at primary health centers. Inpatient treatment for those who need to be admitted to the hospital.

The current district rates for various viewers are as follows.

Not Compete

Prenatal services provided to pregnant mothers: – 98 percent
Childbirth performed by a trained person: – 95 percent
Male-Female Ratio (0 to 6 years):- 895
Protected couple ratio: – 74 percent
Implementation of National Health Programme:-
National Family Welfare Programme
National RCH Programme
National Insect Disease Control Program
Revised National Tuberculosis Control Program
National Leprosy Eradication Programme
National Blindness Control Programme
The following organizations are working in Pune district to implement national health programs such as the National AIDS Control Program.
The following organizations are working in Pune district to implement these national health programs.