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 DIRECTORATE OF HEALTH & FAMILY WELFARE, NAGALAND, KOHIMA.

1. Particulars of the Organization, Functions and duties

1.1. Inception and Introduction of Health Department

            The Health and Family Welfare set up dates back to even before India’s independence during the British period. At that time there were already 3 hospitals and 6 dispensaries. In 1959 when the Naga Hills and Tuensang Area of North East Frontier Agency (NEPA) was carved out under a Commissioner, the Health Services organization was placed under the Inspector of Civil Hospitals and Prisons at Kohima, with 3(three) District Medical Officers (DMO) positioned at Kohima, Mokokchung and Tuensang.

            At the time of Nagaland attaining Statehood in 1963, a proper Directorate of Health Services was put in position with Lt. Col. S.M.Das as the first Director of Health Services, Nagaland with one Deputy Director and 3 Civil Surgeons at Kohima, Mokokchung and Tuensang. At that time there were 27 hospitals, 30 Dispensaries and total bed strength of 585.

1.2 Name of the Organization: Directorate of Health & Family Welfare, Nagaland, Kohima.

1.3 Vision of the Department           

To provide basic comprehensive Primary Health Care services to all citizens of the State by 2020.

1.4 Goals

·        Facilitate increased access and utilization of quality health services by all.
·       
Ensure increased active participation of Communitization Institutions in the management of primary health 
      programs and infrastructure.
·       
Position mechanism for promoting inter-sectoral convergence for promotive and preventive health.        

1.5 Objectives of the Department

·        Reduce Child and Maternal Mortality

·        Universal access to basic health care services especially those related to women and  children.

·        Universal Immunization

·         Prevention and control of communicable and non-communicable diseases, including  locally epidemic diseases

·        Vitalize local health traditions/practices and mainstream AYUSH (Ayurveda, Yoga,         

      Unani, Sidha, Homoeopathy)

·        Stabilize population growth and ensure gender and demographic balance.

·         Promote healthy life-style.

1.6 Activities of the Department

a. Provision of health infrastructure: To provide basic and essential health care services to the people,  networks of physical infrastructure in the form of District Hospital, Specialized Hospitals, Community Health Centres, Primary Health Centres and Sub-Centres are established all over the State. These Health Centres of various categories are established on population norms set by Govt. of India for the whole country, and local specific conditions and needs. Every District is provided a District Hospital which serves as the referral centre for all other health units. Community Health Centres are set up to cover a population of 80,000; Primary Health Centres to cover 20,000 population and Sub-Centres to cover 3000 population. As of today, the Department has 11 District Hospitals, 2 TB Hospital, 1 Mental Hospital, 21 Community Health Centres, 123 Primary Health Centres and 398 Sub-Centres.The aim of the Department is to provide essential network of health centres, both in the rural as well as well as urban areas, so that all citizens of the State are able to easily access essential and basic health services as near to their doorstep as possible.

b. Provision of manpower and logistics: to man the health units, manpower in the form of doctors, nurses, paramedical support staff along with equipments, instruments, and all other logistics is positioned to make them function effectively.

c. Control of communicable and non-communicable diseases: For this purpose the Department implements a number of national Health/disease Control programs which are centrally sponsored and a few health programs, sponsored by the state Government. Currently, the Department implements the following disease control and health programs:

a)      National Vector Borne Diseases Control Program(NVBDCP)

b)      National Leprosy Eradication Program (NLEP)

c)      Revised National Tuberculosis Control Program (RNTCP)

d)      National Program for the Control of Blindness (NPCB)

e)       Reproductive Child Health (RCH)

f)        National Cancer Control Program (NCCP)

g)      National Iodine Deficiency Disorders Control Program (NIDDCP)

h)      National Mental Health Program (NMHP)

i)        Nagaland State AIDS Control Society (NSACS)

j)         Integrated Disease Control Program (IDSP)

k)      School Health Program(SHP)

l)        AYUSH (Ayurveda, Unani, Sidda, Homoeopathy) Program

d. Medical Education & Training: Apart from the training of doctors under various systems (Allopathy, AYUSH) and Dental, the Department also runs regular courses for training of Nurses through the Nursing Schools and ANM/FHW Schools. The Para medical Training Institute at Kohima provides training of technical para-medical personnel and continuing education and training to in-service personnel of the Department. To provide quality health care services using latest techniques and tools, the Department is moving towards setting up of Medical College, Nursing College as well as positioning of Institutes of Excellence.

e. Disease surveillance and epidemic control:  Under the  Integrated Diseases Surveillance Project (IDSP) a computerized regular surveillance of disease prevalence, their pattern of occurrence etc. are monitored so as to be able to take timely and effective action response to contain and control them.

f. Regulation of private sector health/medical establishments: Through the Nagaland Health Care Establishments Act, the establishment and running of health/medial units by private individuals and groups are regulated for observance of quality standards

g. Control of Drugs and safety of food articles: through the Drugs Control and Cosmetics Act and Rules and the Food Safety and standards Act and Rules the Department regulates and monitors the manufacture, storage, distributions and sales of drugs and food articles.

h. Social mobilization: Every health and disease control program, including the proper and effective management of health and medical units have components where people’s involvement and active participation are crucial to their success. For the general public to come forward and access the services, actively participate in the provision of management and utilization of the facilities, various educational, motivational and awareness activities are undertaken through the various health and disease control programs and the Information, Education and Communication (IEC) Bureau.

            The Department has been able to design and launch the departmental website http://www.nagahealth.nic.in/. With the help of NIC Nagaland, this contains basic information about the Department. The RTI manuals of the Department will also be made available in it.

1.7 Organizational Structure

            At the Directorate the Department is headed by one Principal Director who is assisted by the following officers

  • Two Director (Health & Family Welfare)
  • Four Additional Director
  • Twelve  Joint Directors
  • Thirteen Deputy Director
  • One Executive Engineer with 4 Junior Engineer
  • One Senior Accounts Officer
  • One Junior Account Officer
  • One Registrar
  • Research Officer
  • Five Superintendents
  • One Statistical officer

They are supported by Technical, Paramedical and Ministerial staff (Detailed list of Officers & staff is given in Manuals IX & X)

Subordinate establishments

            There are 11 district health establishments under 11 Chief Medical Officers (CMOs) who are the district heads under the department. They are assisted by 11 Deputy Chief Medical Officers, 11 District Immunization Officers, 11 District Tuberculosis Officers, 11 District Malaria Officers and 7 Zonal Leprosy Officers. The 11 District Hospitals are headed by 11 Medical Superintendents assisted by Specialists in different grades (48 Sr. Grade Specialists, 18 Junior Grade Specialists, 28 Senior Medical Specialists, 37 Medical Officers, 12 Senior Dental Surgeons and 18 Junior Dental Surgeons). There are 2 (two) T.B Hospitals, 1 each at Mokokchung and Khuzama, and 1 (one) Mental Hospital at Kohima  headed by Medical Superintendent and supported by 1 (one) Senior Medical Officer and 1 (one) Medical Officer.

          Status of District-Wise Health Centres in the State:

District C.H.Cs P.H.Cs S.H.Cs Big Dispensaries Sub-Centres Total
Kohima 3 15 - - 41 57
Mokokchung 3 14 - 2 52 70
Tuensang 2 12 1 - 39 53
Phek 3 23 - - 45 69
Mon 2 15 - - 51 67
Wokha 2 12 - - 38 51
Zunheboto 2 13 - - 49 62
Dimapur 2 9 - - 48 58
Peren 1 8 - - 17 25
Kiphire 1 4 - - 21 24
Longleng - 3 - - 8 11

Total =

21 128 1 2 409 561

a)       11 District Hospitals.        

b)      561 Health Centres.   

c)    2 T.B. Hospitals.

d)    1 Mental Hospital.      

All these establishments are supported by technical support staff such as Nurses (of various categories) technicians (of various categories and grades), ministerial staff and Grade IV staff.

1.8 Address of the Organization: Directorate of Health & Family welfare, Kohima 797001, Nagaland.

1.9 Office Timing             : 9.30 am to 4.30 pm (summer)

                                          : 9.30 am to 4.00 pm (winter)

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