Introduction
Agriculture and Rural Development
Demographic Profile
Education
Employment and Unemployment
Energy
Environmental Concerns
Health
Industrial Development
Plan Outlays
Price Trends
Public Distribution System
Public Finance
Social Welfare
State Income
Trade and Commerce
Transport
Urban Development
Water Supply and Sanitation
Welfare of SC ST OBC
Health


(March 2000)

CHAPTER 16

HEALTH



Health Indicators



1. The National Health Policy of 1983 has laid down targets to achieve balanced population growth by 2000 AD. These targets with their current level of achievement (1996) are given below:


Statement 16.1


Achievement of National Health Targets


Parameters National Targets for 2000 Level of Achievement (1996)
Delhi India
Population growth rate (%) 1.2 4.52 1.87
Birth rate (per 000) 21 24.93 27.40
Death rate (per 000) 9 6.70 8.9
Infant mortality rate (per 000 live births) 60 30.15 72
Couple protection rate (%) 60 33.90 45.40

Source : Planning Commission, Government of India & Dte. of Economics & Statistics, Government of NCT of Delhi.


Investment in the Health Sector


2. The share of Health Sector in total Plan expenditure of Delhi Government since the Sixth Five-Year Plan is indicated below


Statement 16.2


Outlay under Health Sector


Plan Period Total Plan Expenditure (Rs. in Crores) expenditure on Health Sector
(Rs. in Crores)
% of total Plan expenditure
Sixth Five-Year Plan 1980-85 1042.07 77.14 7.40
Seventh Five-Year Plan 1985-90 2631.47 207.20 7.87
Eighth Five-Year Plan 1992-97 6208.32 407.36 6.56
Ninth Five-Year Plan 1997-2002 (Outlay) 15541.28 1101.40 7.09
Annual Plan 1997-98 1978.31 126.84 6.41
Annual Plan 1998-99 2052.95 139.36 6.79
Annual Plan 1999-2000 (Outlay) 3000.00 273.45 9.12

Growth of Health care Institutions

3. The growth of medical institutions in Delhi in the past 15 years is indicated below :


Statement 16.3


Growth of Medical Institutions since 1982


Year No. of Hospitals PHCs Sub-Centres attached to PHCs No. of Dispensaries No. of Maternity & Child Health centres Poly clinic No. of Nursing Homes No. of Special Clinics Total no. of Institutions
1982 63 8 16 511 147 8 85 27 865
1987 76 8 16 567 180 10 106 28 991
1992 82 8 16 656 203 10 105 45 1125
1993 82 8 16 663 203 11 109 37 1129
1994 82 8 16 675 189 11 108 37 1126
1995 84 8 16 675 193 11 132 37 1156
1996 86 8 16 740 193 11 136 43 1233

Source : Dte. of Health Services, Government of NCT of Delhi


4. The major problems in the extension of health services are non-availability of land, shortage of trained-manpower, resource constraints and multiplicity of agencies. In addition, all major hospitals in Delhi are overcrowded because of the heavy patient load. About 33% of the patients in all major hospitals are from neighbouring states.

Hospital Beds


5. The total bed capacity of the medical institutions in Delhi was 24,025 beds as on December 31, 1996.


Statement 16.4


Bed Capacity of Medical Institutions


Type of Medical Institution Number of Institutions Number of beds
Hospitals 86 20,392
Primary health centers 8 73
Maternity homes 193 372
Private nursing homes 136 3,188
TOTAL 423 24,025

Source : Dte. of Health Services, Government of NCT of Delhi.





Source : Dte. of Health Services, Government of NCT of Delhi


6. According to the recommendations of the World Health Organization, the bed population ratio to be achieved by 2000 AD is 5 per thousand. Until 1996, the bed population ratio of Delhi was 2.04. The growth in the number of beds and the bed population ratio from 1982 onwards is indicated below:


Statement 16.5

Growth of Bed Capacity since 1982

Year Number of beds Number of beds per 1000 persons
1982 14,605 2.25
1987 18,351 2.29
1992 21,342 2.17
1993 21,943 2.13
1994 22,688 2.11
1995 23,251 2.07
1996 24,025 2.04

Source : Dte. of Health Services, Government of NCT of Delhi.





7. In the 15 years from 1982 till 1996, 9472 new beds were added in all the health care institutions in Delhi. During this period, an average of 630 beds were added each year. This average cost per bed was about Rs. 40 lakhs in 1999-2000.


Primary Health Care


8. The Delhi government has set up a chain of dispensaries and health centres throughout the city (Table 16.1) and is expanding the network, particularly in slums, resettlement colonies and unauthorised colonies. Under the Ninth Plan, the Delhi Government aims to open 100 allopathic dispensaries, 25 homeopathic dispensaries and 40 ISM (Indian System of Medicine) dispensaries  20 each for the ayurvedic and unani systems. In the first two years of the Ninth Plan (1997-99), the Delhi Government opened 8 allopathic dispensaries, 6 homeopathic dispensaries, 3 ayurvedic dispensaries and one unani dispensary. For 1999-2000, the target is to open 20 allopathic dispensaries, 5 homeopathic dispensaries, 10 ayurvedic dispensaries and 4 unani dispensaries. In the Ninth Plan, the fleet of mobile dispensaries will be increased from 60 to 75. During first two years (1997-99), 11 mobile dispensaries were added and a target of 4 additional mobile dispensaries has been set for 1999-2000.





9. To strengthen the Centralised Accident & Trauma Services (CATS), the number of ambulance stations will be increased from 6 to 30 during the Ninth Plan. 20 ambulance stations were set up in 1997-98. The present fleet of ambulances is 21.


New Hospitals


10. The status of hospitals under expansion, construction or in the pipeline is indicated below :

Statement 16.6


Status of Hospital Projects


S.No. Name & Location No. of beds Estimated cost (Rs. in crores) Completion date
A) Hospitals under expansion


i) Lal Bahadur Shastri Hospital, To increase from Khichripur
25 beds to 100
5.03 June, 1999
ii) Babu Jagjiwan Ram Hospital,
Jahangirpuri
To increase from 25 beds to 100 6.55 November, 1999
iii) Rao Tula Ram Hospital,
Jaffarpur
To increase from 25 beds to 100 4.71 December, 1999
iv) Sanjay Gandhi Hospital, Mangolpuri To increase from 75 beds to 100 4.57 2000
v) Aruna Asaf Ali Hospital, Civil Line Delhi To increase from 40 beds to 100 4.77 2000
vi) Guru Gobind Singh Hospital, Raghubir Nagar 100 16.96 2000
vii) Attar Sen Jain Hospital 30 Donated by Trust to Delhi Government 2000

Sub Total:

440

B Hospitals under construction


i) Dr. B.R. Ambedkar Hospital, Rohini 500 99.03 2002
ii) Maharishi Balmiki Hospital,
Pooth Khurd
100 26.20 2000
iii) Dr. Hedgewar Arogya Sansthan, Karkardooma 200 49.74 2001
iv) IIIrd Phase of Guru Nanak
Eye center
28 4.50 March, 2000

Sub Total:

828




S.No.

Name & Location No. of beds Estimated cost
(Rs. in crores)
Completion date



C)

Hospitals in the Pipeline


i)
Nursing Home & Casuallty Ward in Lok Nayak Hospital 257 45.69 Work will start in March, 2000
ii) Orthopaedic block in Lok Nayak Hospital 450 34.40 Work will start in April, 2000
iii) Emergency and Trauma Block in DDU Hospital 140 15.19 Construction work will start in May, 2000
iv) Super Speciality Hospital, 600
Yet to be Janakpuri finalized
v) Satyawadi Raja Harish Chandra Hospital, Narela 200
Land taken over. Cost estimates are under approval.
vi) Dwarka 500
Land taken over. Cost estimates are yet to be finalized
vii) Ayurvedic Hospital/College/Research Centre, Kheda Dabar

-do-
viii) Paediatric Super Speciality Hospital, Geeta Colony

-do-
ix) Super speciality Hospital,
Tahirpur


-do-
x) General Hospital, Shastripark

-do-
xi) Hospitals at Vasant Kunj, Pitampura, Bakrawala Kaushik Enclave.

-do-

Sub Total: 2147


Grand Total: 3415

Source : Dte. of Health Services, Government of NCT of Delhi.

Indian System Of Medicine (ISM) And Homeopathy

Special Health Programmes

12. The Delhi Government has launched several special health programmes to provide better health care to the citizens. Some of the programmes are described below:

i. Polio Eradication

To eradicate polio, the Delhi Government has been implementing a Pulse Polio Immunization programme since 1994. The total number of children given polio drops in 1994 was 10.25 lakh, which increased to about 22.21 lakh in 1998. The pulse polio campaign has covered about 22.70 lakh children in 1999-2000. As a result, the number of polio cases declined significantly from 200 in 1997 to 115 in 1999.


ii. Matri Suraksha Abhiyan


To identify high-risk pregnancy cases, Matri Suraksha Abhiyans are being organized. Special check-ups provide expectant mothers with ante-natal services to reduce maternal mortality. The number of ante-natal examinations went up from 25,000 in 1996 to 98,000 during 1998


iii. Thalassemia Screening


The Delhi Government provides screening for thalassemia through Lok Nayak Hospital, Guru Tegh Bahadur Hospital and Deen Dayal Upadhyay Hospital


iv. Shravan Shakti Abhiyan


Under this programme hearing aids are distributed to senior citizens of Delhi who are hearing-impaired.


v. Health Check-up Campaign


Under this campaign, check-ups for common health problems are provided every year to about 15 lakh primary school students


vi. Dengue Control Programme


Dengue control cell has been established in the Directorate of Health Services (DHS) that work round-the-clock during the dengue season for disease surveillance, prevention and control. The number of reported dengue cases fell from 10,252 in 1996 to 708 in 1997,


vii. MMR Campaign


A new Measles-Mumps-Rubella (MMR) campaign is being launched in 1999-2000.


National Health Programmes


13. The Delhi Government is actively implementing as well as co-ordinating with various agencies to implement health programmes that have been launched by the Union Government



i) AIDS control programme
ii) Malaria eradication programme
iii) Leprosy control programme

iv) Cardiovascular disease control programme

v) Cancer control programme
vi) Tuberculosis control programme
 

Medical Education and Training

 

14. Four colleges with attached hospitals impart medical education and training. Of these, the All India Institute of Medical Sciences and Lady Harding Medical College are administered by the Central Government and Maulana Azad Medical College and Guru Tegh Bahadur Hospital are under the Delhi Government. Two homeopathic colleges, one ayurvedic and unani college, one nursing college and two nursing schools provide additional education and training in medicine.

 

Family Welfare

 

15. In Delhi, family welfare services including Maternal and Child Health (MCH) and immunization services are provided through a network of 126 centres (Table 16.2). Delhi has been able to achieve a decline in its crude birth rate (CBR) from 26.8 per thousand in 1981 to 24.9 in 1996, which is below the national average of 27.4 per thousand. The infant mortality rate (IMR) has also declined significantly from 52 per thousand live births in 1981 to 30.1 in 1996 which compares very favourably with the national average of 72 per thousand.

 

16. Achievements under family welfare are indicated in Table 16.3.

 

Table 16.1

 
NUMBER OF DISPENSARIES
 
Year Allopathic Ayurvedic Unani Homeopathic Total
1 2 3 4 5 6
1977 272   50 11 19 352
1978 297   55 11 41 404
1979 316   57 11 61 445
1980 319   71 13 66 469
1981 331   78 15 71 495
1982 347   81 14 69 511
1983 356  83 14 71 524
1984 367  94 14 72 547
1985 370   92 15 73 550
1986 375   96 17 73 561
1987 381   96 17 73 567
1988 415 100 18 76 609
1989 415 100 18 76 609
1990 426 103 18 76 623
1991 444 110 19 80 653
1992 444 110 19 80 653
1993 447 110 19 80 653
1994 447 112 19 85 663
1995 445 118 19 93 675
1996 490 131 19 100  740
 
Source: Directorate of Health Service, Government of NCT of Delhi.
 


Table 16.2

 
FAMILY WELFARE CENTRES AND STERLIZATIONS
 
Year Family Welfare Centres Sterlizations
    Males Females
1 2 3 4
1976-77   73 112695 25822
1977-78   73 718 4987
1978-79   72 1325 6576
1979-80   78 1790 10247
1980-81   78 2417 13176
1981-82   78 4379 19590
1982-83   82 6133 25154
1983-84   84 3960 23306
1984-85   90 3082 24035
1985-86   97 2788 25058
1986-87 105 2658 24243
1987-88 126 2352 26619
1988-89 126 2130 29326
1989-90 126 1734 30183
1990-91 126 1749 31619
1991-92 126 1792 35384
1992-93 126 2431 36130
1993-94 126 2345 36418
1994-95 126 2281 37374
1995-96 126 1833 36000
1996-97 126 1529  31649
1997-98 125 1571 36128
1998-99 125 1464 33695
 
 
 
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