Ministry of Health AND Family Welfare: Major Schemes and Programmes
Ministry of Health AND Family Welfare: Major Schemes and Programmes
AND
  FAMILY WELFARE
      Government of India
          New Delhi
           November, 2000
          (Revised Edition)
     Website : http://mohfw.nic.in
                         FOREWORD                                                                     INDEX
                                                                          S.No.     Name of Programme                        Page No.
       This Brochure has been further improved in the contents by         8.   Diseases Surveillance Programme for
                                                                               Communicable Diseases                               54
updating the information and including detailed application forms etc.
which can be made use of by the general public.                           9.   Mental Health Programme                             56
                                                                          10. Drug De-addiction Programme                          59
       I hope this will prove to be a more useful reference document
                                                                          11. Rashtriya Arogya Nidhi (RAN)                         61
in keeping the public and all interested, including the Hon'ble Members
                                                                          12. Pilot Project for Hospital Waste Management
of Parliament, informed about the programmes/activities of this
                                                                              in Govt. Hospitals                                   68
Ministry, be it in the field of Family Welfare, Health care delivery
                                                                          13. Financial assistance to the selected
system or Indian Systems of Medicine and Homoeopathy.
                                                                              Government hospitals of various States for
                                                                              Emergency Care Centre in towns / cities
                                                                              on National Highways.                                71
                                                                          14. Central Govt. Health Scheme                          73
                                    (Dr. C. P. Thakur)                    15. National Cardio-Vascular Disease
                  Union Minister for Health & Family Welfare, India           Control Programme                                    87
                                                                          16. Scheme for Improvement of Medical Services           88
                                                                          17. Health Minister's Discretionary Grant               102
New Delhi
20th November, 2000
S.No.      Name of Programme                                  Page No.   S.No.      Name of Programme                                 Page No.
18.     Health Promotion & Education Programme                    107    33.     Grant-in-aid under the scheme for strengthening
19.     Medical Care for Remote and Marginalised                                 of the existing undergraduate colleges of
        Tribal and Nomadic Communities                            110            Indian Systems of Medicine & Homoeopathy
                                                                                 during Ninth Five Year Plan                              203
20.     National Programme for Control and Treatment
                                                                         34.     Implementation of Information Education
        of Occupational Diseases                                  111
                                                                                 Communication (IEC)Scheme of Indian Systems
21.     Oral Health Care Scheme                                   112            of Medicine & Homoeopathy (ISM&H) through
                                                                                 Non-Governmental Organisations (NGOs)                    211
22.     Scheme for Medical Education                              113
                                                                         35.     Scheme of Extra Mural Research on ISM&H                  218
23.     Prevention of Food Adulteration Programme                 118
                                                                         36.     Scheme of Accreditation of Organisations with
24.     Centred Drug Standard Control Organistion (CDSCO)         123            Ministry of Health & Family Welfare for Research
25.     Vallabhbhai Patel Chest Institute                         129            And Development in the filed of ISM&H                    227
26. National Institute of Biologicals 131 37. Scheme for Standardisation of ASU Drugs 232
27.     Nursing Programme                                         133    38.     Scheme for Providing Central Assistance
                                                                                 for Development and Cultivation of Medicinal
28.     International Cooperation                                 135            Plants used in the Ayurveda, Siddha,
                                                                                 Unani & Homoeopathy                                      238
II.     DEPARTMENT OF FAMILY WELFARE                                     39.     Scheme for Providing Central Assistance for
29.     National Family Welfare Programme                         139            Development of Agro Techniques of Medicinal
                                                                                 Plants used in Ayurveda, Siddha,
                                                                                 Unani and Homoeopathy                                    245
III.    DEPARTMENT OF INDIAN SYSTEM OF
                                                                         40.     Reproductive and Child Health Programme                  252
        MEDICINE & HOMOE0PATHY
                                                                         41.     Scheme for Central Assistance for strengthening of
30.     Scheme for upgradation of Deptt. of ISM&H
                                                                                 State Pharmacies and Laboratories.                       257
        in selected ISM Colleges for Post Graduate Training       182
                                                                         42.     Medicinal Plants Board                                   258
31.     International Exchange Programme/Seminar/
        Conference/Workshop on Indian Systems of
        Medicine and Homoeopathy                                  187
32.     Scheme for Re-orientation Training
        Programme (ROTP) of ISM & H Personnel                     192
DEPARTMENT OF HEALTH
     NATIONAL AIDS CONTROL PROGRAMME                                                      NATIONAL AIDS
                                                                                    CONTROL PROGRAMME-PHASE-II
       HIV infection today affects about 3.5 million Indians, with no State              SCHEMES OF NACO
free from the virus. HIV/AIDS continues to show itself to be one of India's
most complex epidemics - a challenge that goes beyond public health,
raising fundamental issues of human rights and threatening development              NGOs are critical partners in the National AIDS Control
achievements in many areas. The need to prevent the progression of the        Programme-II, which seeks to develop a multisectoral response to the
epidemic and provide care and support for those infected or affected is       prevention and control of HIV/AIDS in the country.
calling for an unprecedented response from all sections of society.                  The National AIDS Control Programme has undertaken various
     The National AIDS Control Organization, Ministry of Health &             schemes to address specific areas for the prevention and control of HIV/
Family Welfare has launched the National AIDS Control Programme - II,         AIDS in the country in which NGOs are being involved. NGO guidelines
from December, 1999 with a total budget of Rs. 1425 crores.                   have been formulated to provide for an open and transparent system of
                                                                              selection of NGOs. NGOs must be registered as a Society/ Public Trust
      The new national programme in implementation sees the country           for at least three years, must have a credible track record and should not
on the threshold of a new approach - marked by focusing on encouraging        be blacklisted by any Government agency to be eligible for funding under
and enabling the States themselves to take on the responsibility of           the National AIDS Control Programme-Phase II.
responding to the epidemic. It is also leading to growing partnerships
between government, NGOs and civil society.                                         The funding of NGOs (except for setting up of Community Care
                                                                              Centres) has been completely decentralized to the State AIDS Control
     National AIDS Control Programme - II has two key objectives              Societies.
namely :
                                                                              l     These schemes are :
1.    To reduce spread of HIV infection in India; and
                                                                              l     Targetted Interventions
2.    Strengthen India's capacity to respond to HIV/AIDS on a long term       l     School AIDS Education
      basis.
                                                                              l     Community Care & Support
      Reflecting the extreme urgency with which HIV prevention and            l     National AIDS Helpline and Telecounselling
control need to be pursued in India, the AIDS - II project of the National
AIDS Control Programme will be across all States and Union Territories        Targetted Interventions
and a Centrally Sponsored Scheme with 100% financial assistance from                 With the purpose of reducing the rate of transmission among the
Government of India direct to State AIDS Control Societies and selected       high-risk behaviour communities, NACO has introduced Targeted
Municipal Corporations/AIDS Control Societies.                                Intervention programmes. These programmes are focused to each specific
                                                                              target group and bring about a change in high-risk behaviour through
                                                                              behaviour change communication, STD services, Condom Promotion, and
                                    3                                                                             4
creation of an enabling environment.                                                   Guidelines have been developed for establishment of these centres
                                                                                 and a clear criterion for admitting the patients has been developed to
       Targeted interventions are being implemented through NGOs who
                                                                                 give preference to the economically backward and the destitute.
have the required experience in working with vulnerable and marginalized
sections of society such as sex workers, injecting drug users, street            School AIDS Education
children, men who have sex with men, truck drivers etc.
                                                                                       Young people are among the most vulnerable to the HIV infection.
NACO has developed a standardized costing pattern for Targeted                   A number of schemes for young people are being implemented among
interventions to ensure a cost effective and comprehensive approach. These       which the School AIDS Education Programme is important. Students are
costs cover the minimum requirements for Targeted interventions while            being reached through both the curricular and non-curricular initiatives.
at the same time, allowing for flexibility at the state level keeping in         A comprehensive training package for adolescents' education that
mind the local conditions and variations.                                        lays emphasis on training of teachers and peer educators has been
                                                                                 developed.
Community Care And Support Centres's for
People living with HIV/AIDS (PLWHA)                                                    The scheme is being taking up in classes IX and XI. The     teachers
                                                                                 and students organize a number of extracurricular activities in   schools,
      With the growing number of HIV/AIDS in the country an urgent
                                                                                 which aim at raising awareness among the students. The issue      of HIV/
need to offer palliative care and outreach services for people living with
                                                                                 AIDS is not dealt with in isolation but as a part of the larger   issue of
HIV/AIDS has become imperative. NACO has initiated the setting up of
                                                                                 family life education.
such care and support centres on a pilot basis.
                                                                                        A national scheme has therefore been developed which aims at
      In India in the absence of free access to anti retroviral treatment in
                                                                                 integrating HIV/AIDS education in the life skills education programmes
the public health system, there is need to develop and establish alternative
                                                                                 in the schools in a sustainable and cost effective manner. HIV/AIDS
low cost models of care and outreach that are able to reduce the burden
                                                                                 education has also been introduced in the curriculum of secondary schools.
on public health hospitals and at the same time provide appropriate medical
and palliative care.                                                                    The Scheme advocates a co-curricular approach. The salient features
                                                                                 of the plan are :
        These centres provide shelter, nutritional, nursing care, recreational
facilities, spiritual discourses, referral services and relevant training of     l     Advocacy for HIV/AIDS Education among community leaders,
families and community based organisations in care of HIV/AIDS patients.               media professionals, religious leaders, policy makers, government
                                                                                       officials, parents, principals, teachers, etc.
       They meet specific needs of People Living with HIV/AIDS such as
treatment of opportunistic infections, psycho-social support and outreach        l     Training of teachers for successful integration of HIV/AIDS
services to sensitize and trains family members to look after people living            education is schools.
with HIV/AIDS. They also provide referral services and have linkages
                                                                                 l     Training of peer educators, students who have leadership qualities
with other welfare organizations. These centres sometimes also take care
                                                                                       and communication skills.
of the last rites of those who die of AIDS.
                                      5                                                                              6
l     To create an environment where free and frank discussions between              NATIONAL LEPROSY ERADICATION
      teachers, peer educators and students can take place.
                                                                                            PROGRAMME
This scheme is being implemented through trained NGOs.
                                   7                                                                            8
Leprosy       Today                                                          The Treatment
l    In 1985, there were 122 leprosy endemic countries world-wide. In        l    Since the early 1980s MDT (Multi Drug Therapy) has revolutionized
     1999, that figure was down to 24. Ninety percent of world leprosy            the treatment of leprosy. It is a combination of the drugs Rifampicin,
     is now confined to 11 countries. However, India has a sizable number         Clofazimine, and Diapason and is a virtually guaranteed cure.
     of the world's recorded leprosy patients.
                                                                             l    Laboratory evidence indicates that a single does of MDT kills 99.9%
l    Other countries still to eliminate leprosy include Brazil, Indonesia,        of leprosy germs.
     Nepal, Myanmar, Niger, Mozambique, Madagascar, Democratic
                                                                             l    There are no significant, side effects to MDT within prescribed doses
     Republic of Congo, Guinea and Ethiopia.
                                                                                  and a leprosy patient ceases to be infectious within a few days of
l    The major leprosy elimination challenge is in five States which              starting the course of treatment.
     continued 71% of total country case load. Recorded cases in March
                                                                             l    MDT is now available free of charge at al Primary Health Centres.
     2000 were as follows:
                                                                                  The cost has so far been borne by the Sasakawa Memorial Health
     Bihar                     -       149220                                     Foundation from Japan and from this year it will be borne by the
     Uttar Pradesh             -       100169                                     pharmaceutical company Novartis.
     West Bengal               -       42440                                 l    Since the introduction of MDT following 9 States of Tripura, Sikkim,
     Madhya Pradesh            -       36021                                      Meghalaya, Nagaland, Haryana, Punjab, Himachal Pradesh, Mizoram
     Orissa                    -       40717                                      and Jammu & Kashmir, have eliminated leprosy.
l    With leprosy elimination defined as less than 1 per 10,000, these       l    Thanks to the widespread availability of MDT, almost ever “Leprosy
     five States recorded the following prevalence rates by March 2000 :          Beggar” at traffic lights or outside places of worship is in fact a fact
                                                                                  a cured and non-infectious leprosy patient.
     Bihar                     -       15.20
                                                                             Highlights of programme activities in India :
     Orissa                    -       11.46
     West Bengal               -       5.44                                  i)   National Leprosy Control Programme has been in operation since
     Uttar Pradesh             -       6.02                                       1955. With the availability of highly effective treatment of leprosy,
                                                                                  the programme was redesignated as National Leprosy Eradication
     Madhya Pradesh            -       4.60
                                                                                  Programme in 1983 with the objective to achieve elimination of
                                                                                  leprosy by the end of the century in the country, there by reducing
                                                                                  the case load to 1 or less/ 10000 population.
                                   9                                                                              10
ii)    The programme received further boost in 1993-1994 with sanction                     VECTOR BORNE
       of World Bank assistance of Rs.302 crore for a period of 6 years.
       The whole country was brought under MDT. This assistance was
                                                                                    DISEASE CONTROL PROGRAMME
       used for extension of MDT services in uncovered areas,
       strengthening of existing services, health education and training       Malaria :
       activities. Manpower development, disability and ulcer care including
                                                                               l   Malaria is one of the major public health problems. The disease
       reconstructive surgery. The phase I of World Bank assistance has
                                                                                   is distributed in all parts of India, except areas lying above 1800
       ended on 30th Sept 2000. World Bank has agreed for supporting a
                                                                                   meters altitude. Two species of the malaria causing parasite are
       3 year NLEP second project in principle and the project
                                                                                   found in India, namely P. vivax and P. falciparum. The latter
       implementation plan is being apprised by them at present.
                                                                                   parasite may lead in some proportion of cases to a disease
iii)   Free MDT services are now available in all the districts of the             condition, called cerebral malaria. P. Falciparum is dominant in
       country. Any person having suspected signs of leprosy should consult        the North-east India and tribal predominant areas of peninsular
       nearest health worker or PHC or leprosy clinic. Confirmation of             states.
       disease is done at the PHC level by medical officer or at the field
                                                                               l   An organized programme for control of malaria in the country
       clinic during their visit and free MDT is started immediately for
                                                                                   has been in operation since 1953, as a cent percent centrally
       patients needing treatment. In case of any doubt or clarification
                                                                                   sponsored scheme till 1979, and as a category-II centrally
       concerning person may visit to district leprosy officer or State
                                                                                   sponsored scheme (with 50:50 cost sharing with states)
       Leprosy Officer of the concerning District / State.
                                                                                   thereafter. This programme in now termed as the National Anti
                                                                                   Malaria Programme (NAMP). North Eastern states are covered
              For more detailed information please contact :                       under 100 percent Central assistance w.e.f. December 1994. An
                      Deputy Director General (Lep.)                               Enchanced Malaria Control Project (EMCP) is in operation with
                        DGHS, Nirmnan Bhavan                                       assistance from the World bank in 100 hard core tribal districts
                           New Delhi-110011                                        of the seven peninsular states viz. Andhra Pradesh, Bihar, Gujarat,
                             Tel. : 3012401                                        Madhya Predesh, Maharashtra, Orissa and Rajasthan from
                                                                                   September 1997.
                                    11                                                                          12
     and a Modified Plan of Operation (MPO) was initiated from 1977        larval measures at weekly intervals, environmental methods of
     onwards. The annual incidence came down to about 2 million            controlling mosquito breeding, biological control through larvivorous
     cases in 1983. Since then the malaria cases have been contained       fish and anti parasitic measures through detection and treatment of
     to around 2-3 million cases annually.                                 microfilaria carriers. Thirteen districts in 7 states of the country namely
                                                                           Andhra Pradesh, Bihar, Uttar Pradesh, Kerala, Tamil Nadu, Orissa,
Programme strategy
                                                                           and West Bengal have been brought under the ambit of single dose
     The programme was reviewed in depth by an Expert Committee            mass administration of DEC since 1997, in accordance with the global
during 1995 Necessary adjustments have been made in the malaria            plan for elimination of filariasis through this measure of mass drug
control strategy according to the recommendations of this Expert           administration.
Committee, with emphasis on 1) early case detection and prompt
                                                                           Kala-azar
treatment, 2) Selective vector control, 3) promotion of personal
protection methods, 4) early detection and containment of epidemics,            Kala-azar is a visceral disease caused by the protozoan parasite
5) IEC (Information Education and communication) and 6)                    Leishmania donovani and transmitted by the Phlebotomus argentipes
Management capacity building.                                              and is prevalent in the states of Bihar, West Bengal and eastern Uttar
                                                                           Pradesh. Kala-azar control strategy envisages free treatment with
Urban Malaria Scheme (UMS)
                                                                           Sodium Stibo Gluconate (SSG) and treatment of unresponsive cases
     Malaria in urban areas is an important and widespread public          with Pentamidine isethionate. DDT spraying is undertaken in the Kala-
health problem in India. To assist the states in control of Urban          azar affected villages, to interrupt Kala-azar transmission.
malaria, an UMS was launched in India during 1971-72. At present
                                                                           Dengue
the scheme is functioning in 132 towns. Under the scheme malaria
treatment is provided through agencies like hospitals, dispensaries and         Dengue fever is a disease transmitted by the bite of the Aedes
malaria clinics. Recurrent anti larval measures at weekly intervals with   aegypti mosquito. Since 1956 outbreaks have been reported in different
approved larvicides are undertaken to control vector mosquitoes. The       parts of India. In recent years the states of Delhi, Haryana, Punjab,
centre provides larvicides and pyrethrum extract and anti malarials to     Uttar Pradesh, Karnatka, Maharashtra and Tamil Nadu have been
the UMS towns. Nineteen towns are under the EMCP where provision           reporting Dengue/DHF cases. The Dengue situation in the country is
of enhanced inputs like microscopes and IEC material etc. are              regularly monitored by the NAMP. Symptomatic treatment of Dengue/
envisaged.                                                                 DHF cases, vector surveillance and control and health education are
                                                                           important components of dengue control in India.
Filaria
                                                                                            For more detailed information contact :
     Filaria is one of the major public health problems in India. There
                                                                                                        The Director
are an estimated 454 million people at risk of the disease in 18 states
                                                                                              National Anti Malaria Programme
and UTs There are 205 control units and 199 Filaria Clinics
                                                                                             22, Sham Nath Marg, Delhi-110054
functioning in urban areas under the National Filaria Control
                                                                                                        Tel.: 3918576
Programme (NFCP). The measures taken for control of filaria are anti
                                  13                                                                           14
    NATIONAL TB CONTROL PROGRAMME                                                  District TB Centres, Block PHCs, Taluk Hospitals, Primary
                                                                                   Health Centres and other Govt. Health Institution.
                                    15                                                                            16
    who is responsible for the effective implementation of the programme        TB-HIV Dual lnfection
    in the States and districts respectively. The District TB Societies
                                                                                      An individual, suffering from AIDS, has 10 times increased risk of
    are headed by the District Collectors while the state level society is
                                                                                developing TB disease. Around 60% of the AIDS cases reported in India
    headed by the State Health Secretary.
                                                                                have evidence of active TB.
l   This revised strategy was initially pilot tested in 1993 in a population
                                                                                Multi Drug Resistance
    of 2.35 million and it showed remarkable success. The RNTCP
    was then extended to a population of 13.85 million to assess its                   Studies undertaken by TRC Chennai indicate a gradual increase of
    operational feasibility.                                                    MDR TB and presently primary drug resistance is 2-3%. Drug-resistant
                                                                                tuberculosis is a symptom of poor programme performance. Drug
l   RNTCP has been expanding rapidly. As on date, the coverage is
                                                                                resistance arises because of improper/irregular/inadequate treatment. Drug
    about 252 million. It is anticipated that at least 500 million population
                                                                                resistant tuberculosis is the symptom rather than the cause of poor
    will be covered by 2002. The possibility of covering the entire
                                                                                tuberculosis control. To improve tuberculosis control, it is essential to
    country with RNTCP by 2005 is under consideration of the
                                                                                improve treatment of patients so that drug-resitant tuberculosis is not
    Government.
                                                                                created. Among the few patients who are not cured, the overwhelming
Involvement of NGOs                                                             reason is failure to ensure that the drugs are taken as prescribed, rather
                                                                                than failure of the drugs to work properly.
l   Involvement of NGOs and Private practitioners in the National
    Tuberculosis Control Programme is of vital importance as a good             Programme Review
    proportion of patients seeks treatment from them. The Programme
                                                                                       Government of India and WHO joint review of the programme
    encourages participation of NGOs/PPs in Programme implementation.
                                                                                was undertaken in February 2000. The review found that implementation
    An NGO policy has been formulated and widely disseminated. Five
                                                                                of the RNTCP is successful. Patients are accurately diagnosed, drug supply
    different schemes for involvement of NGOs have been envisaged
                                                                                is regular and uninterrupted, and there has been a striking increase in the
    and NGOs are encouraged to apply for collaborating in the scheme
                                                                                proportion of patients cured.
    with a view to foster effective community participation in the
    RNTCP. Depending on the capacity of the NGOs, their possible                                 For more detailed information contact :
    area of involvement can be                                                                       Deputy Director General (TB)
    1. Health education and community outreach.                                                               D.G.H.S.
    2. Provision of directly observed treatment.                                                  Nirman Bhawan, New Delhi-110011
                                                                                                            Tel. : 3018126
    3. In-hospital care for tuberculosis disease.
    4. Microscopy and treatment centre.
    5. TB Unit Model.
                                   17                                                                               18
             NATIONAL PROGRAMME FOR                                        IV Achievements:
              CONTROL OF BLINDNESS                                              a) Development of Infrastructure:
                                                                                b) Regional Institutes of Ophthalmology                           11
     National Programme for Control of Blindness was launched in the            c)   Upgraded Medical Colleges                                    82
year 1976 as a 100% centrally sponsored programme.                              d) Paramedical Ophthalmic Assistants Training Centres             39
I    Goal: To reduce the prevalence of blindness from 1.4% to 0.3%.             e)   Eye Banks                                                   166
     a)   Develop Eye Care infrastructure throughout the country;               g) District Blindness Control Society                            520
     b) Increase institutional capacity for eye care;                           h) Central Mobile Units                                           80
e) Human Resource Development for Eye Care at all levels; k) Para Medical Ophthalmic Assistants posted 4881
     f)   Improvement in quality of eye care for better visual outcome;         l)   Increase in Cataract Operations performed:
     g) Secure participation of non-government and private sector.         Cataract operations performed since 1994-59 are given below: -
                                   19                                                                          20
    c)   Training of over 600 Eye Surgeons in IOL technology;                VI    District Blindness Control Societies (DBCSs):
    d)   Supply of equipments required for IOL surgery in over 300                j)   The implementation of the programme is undertaken by District
         hospitals.                                                                    Blindness Control Societies under the chairmanship of the
                                                                                       District Collector;
V    Revised Strategies:
                                                                                  k)   The Society is a forum where Government, Non-government
    e)   To make NPCB more comprehensive by strengthening services
                                                                                       and private sectors are presented and they plan, implement and
         for other causes of blindness like corneal blindness (requiring
                                                                                       monitor blindness control activities in the district as per the
         transplantation of donated eyes), refractive errors in school
                                                                                       guidelines by Government of India;
         going children, improving follow-up services of cataract
         operated persons and treating other causes of blindness like             l)   The societies are given Grant-in-aid by Government of India
         glaucoma;                                                                     to carry out assigned functions including assistance to NGOs
                                                                                       for performing free cataract surgeries.
    f)   To shift from the eye camp approach to a fixed facility surgical
         approach and from conventional surgery to IOL implantation          VII Financial Assistance to Non-Government Organizations:
         for better quality of post operative vision in operated patients;
                                                                                  a)   Grant-in-aid to NGOs for performance of free cataract
    g)   To expand the World Bank project activities like construction                 operations on blind persons in NGO base hospitals from
         of dedicated eye operation theaters, eye wards at district level,             assigned geographical area through reach-in-approach (Rs.400
         training of eye surgeons in modern cataract surgery and other                 for Conventional/Rs.600 for IOL surgery);
         eye surgeries and supply of ophthalmic equipments etc. to the
                                                                                  b)   Grant-in-aid to NGOs for assistance in clearing backlog of
         whole country;
                                                                                       cataract blind persons through screening of at risk population,
    h)   To strengthen participation of Voluntary Organizations in the                 preparation of blind registers, motivation, transportation, free
         programme and to earmark geographic areas to NGOs and                         cataract surgery in assigned Govt. base hospitals and follow
         Government Hospital to avoid duplication of effort and improve                up services (Rs.125 per case);
         the performance of Government Units like Medical College,
                                                                                  c)   Grant-in-aid to NGOs for organizing eye camps including free
         District Hospitals, Sub Divisional Hospitals, community Health
                                                                                       cataract surgery in identified underserved areas (For
         Centres, Primary Health Centres etc.;
                                                                                       Conventional upto Rs.400 per surgery);
    i)   To enhance the coverage of eye care services in tribal
                                                                                  d)   Non-recurring grant-in-aid to NGOs for expansion or
         and other under served areas through identification of bilateral
                                                                                       upgradation of eye care units in tribal, underserved or backward
         blind patients, preparation of village wise blind register
                                                                                       rural areas (Maximum Rs.17.75 lakhs);
         and giving preference to bilateral blind patients for cataract
         surgery.
                                  21                                                                            22
        e)    Grant-in-aid to NGOs for setting up/strengthening of Eye Banks                                                                        Annexure-I
              (Non-recurring Rs.5 lakhs, and Recurring upto Rs.500 per case)
                                                                                       GOVERNMENT OF INDIA NATIONAL
Note:        Application Forms for assistance for scheme (d) & (e) are at               PROGRAMME FOR CONTROL OF
             annexure I&II respectively. For scheme (a), (b) & (c), the NGOs
             need to contact local DBCSs.
                                                                                               BLINDNESS
                                                                                                       SCHEME FOR
                                                                                     EXPANSION OR UPGRADATION OF EYE CARE UNITS IN
                    For more detailed information contact :
                                                                                    TRIBAL AND RURAL AREAS WHICH HAVE NO EYE CARE
                   Deputy Director General (Ophthalmology)                          FACILITIES EITHER IN PUBLIC OR VALUNTARY SECTOR
                    Directorate General of Health Services                                  WITHIN A RADIUS OF 40 KILQMETERS
                     Nirman Bhawan, New Delhi-110011.
                               Tel/Fax: 3014594                                PART-I         : ORGANISATION FROFILE :
                           E-Mail: ddgo@nb.nic.in
                                                                               1.      Name     :
                                                                               2.      Address :
                                                                               3.       Legal Status
                                                                               S.No. Particulars                                              Registration No.
                                      23                                                                               24
4.    Financial Status                                             5.3      Equipment Status :
                                                                   S.No. Name of the Equipment                   Available   Number
4.1   Details of Bank Account :                                                                                              required
Name of the bank                       Branch                      1.    Trial Lens Set
                                                                   2.    Trial frame Child
Address
                                                                   3.    Trial frame Adult
Type of Account : Saving/Current Account No.                       4.    Near Vision Charts
 Others (specify)
                                                                   Signed                                       Date
                                  25                                                                       26
6.1     Details of Trustees of the project :                           (b)      Outreach
                                                                        Year                               Screening camps conducted
     Name                    Designation     Address        Tel. No.
                                                                                  No. of         No. of             No. of patients      Actual No.
                                                                                  Camps          Outpatients        referred to          Reported to
                                                                                                                    base hospital        base hospital
Total on procurement
                                       27                                                                      28
12.      Estimated Project Budget :                                                           14.      Time Table - (Yearwise) - Project Completion :
             Non-Recurring expenses         Recurring Expenses         Total Project outlay          Year           Work to be completed      Estimated cost (Rs.)
          Particulars     Amount.     Particulars       Amount
1. Civil Works
2. Equipments
 4.      Fixtures &
         furniture
Total
                                                                                              16. Resolution of the Board of Trustees of NGo-along with Authorization
13.      Details of Source of Funding :                                                       to 2 Signatories to sign the Memorandum of Understanding (MOU) :
                           Sources                               Amount (Rs.)                          Name and Address                                Signature
(a)     Donations in kind :
                                                                                              (i)
        (i) Availability of land by
                                         29                                                                                        30
18.      Declaration :                                                         S. No.         Item
                                    31                                                                                32
                                                             Annexure-II    5. Existing infrastructure :
                                                                             S. No.               Item               Availability    Items on which
     APPLICATION FORM FOR STRENGTHENING OF
                                                                                                                      (Yes/No)      grant to be utilised
       AN EYE BANK/EYE DONATION CENTRE IN
               VOLUNTARY SECTOR                                              1.        Building/room
(To be filled in by the Voluntry Organisation applying for grant from the    2.        Refrigerator
Govt. of India under National Programme for Control of Blindness for         3.        Preservation Media
strengthening of eye banks).
                                                                             4.        Autoclave facilities
1.    Name of the eye Bank/Organisation:
                                                                             5.        Enucleation sets
      Year of establishment
                                                                             6.        Containers for corneal set
      Act under which registered
                                                                             7.        Transport (vehicle)
2.    Total No. of Persons registered/pledges for eye donations :-
                                                                             8.        Corneal sets
3.    No. of eyes (not pairs) Collected/Utilised during the last 4 years.
                                                                             9.        Autoclaves
                Year            Collected             Utilised               10.       ICE Material
                                                                             11.       Audio-visual Equipment
                                                                                       (specify)
                                                                             12.       Slit lamp Microscope
                                                                             13.       Laminer Flow
                                                                             14.       Operating Microscope
(b)
(c)
                                    33                                                                          34
4.2       Financial profile of the applicant organisation (last 3 years)                        NATIONAL CANCER CONTROL
  Year               Total Receipts        Audited Statement A/C for last 3 years
                                                                                                     PROGRAMME
                                           35                                                                          36
Voluntary Organisations Scheme                                                                                                            Annexure - I
     The scheme is for financial assistance up to Rs. 5.00 lakhs to the              INFORMATION TO BE SUBMITTED TO THE
Voluntary Organisations for undertaking health education and early                  STANDING COMMITTEE FOR TELETHERAPY
detection activities in cancer on the specific recommendations of the State                    UNITS IN INDIA
Government as per proforma enclosed. The organisation must prove to
the effect that they are engaged in cancer control activities for the last 3
years.
                                                                               Instructions:-
      The schemes is for Non-Governmental Organizations (NGOs) are
                                                                               1.    Information called for in part I of the attached Proforma should be
governed by the provision of GFR 148 to 151. The NGOs should be
                                                                                     submitted by institutions who already have a teletherapy unit
registered under the Societies Registration Act, 1860 and are charitable
                                                                                     installed and in operation of their institute.
organizations. As per GFR 148, the institution must be registered under
the relevant Act and have a registration certificate. It is to be ensured      2.    Information called for in part I and part II of Proforma should be
before forwarding their applications to this Ministry for grant-in-aid.              submitted by institutions desirous of setting up new/additional
Further, the institutions seeking grant-in-aid will be required to submit an         teletherapy units.
application as per prescribed proforma which should enclose along with
                                                                               3.    Information should be sent in 3 sets to:-
the Registration Certificate, Articles of Association, Bye-laws, Audited
Statement of Accounts, source and pattern of income and expenditure                  The Member Secretary,
and the Annual Reports for the last three years. The prescribed proforma             Standing Committee on Cancer Research and Teletherapy Units,
for application is given at Annexure II.                                             Directorate General of Health services,
                                                                                     Nirman Bhawan,
      The Utilization Certificate in respect of each scheme where grant-
                                                                                     New Delhi - 110 011.
in-aid was released earlier, is required to be submitted. State Government/
Institutions are to ensure that the Utilization Certificate along with the     STANDING COMMITTEE FOR
copies of the relevant audited accounts may please be enclosed for ready       TELETHERAPY UNITS IN INDIA
reference in each case.
                                                                               1.    Details of minimum staff required to be employed by the institution
                                                                                     before the commissioning of the teletherapy unit:-
                                                                                     a.   Radiotherapist/Professor or Reader of Radiotherapy.
                                                                                          Post-graduate qualifications preferably M.D. (Radiotherapy or
                                                                                          alternatively M.D. (Radiology with 3 years experience in
                                                                                          Radiotherapy).
                                    37                                                                             38
     b.     B.Sc. (Physics)/M.Sc. (Physics) with 1 year training in hospital                                                                 Annexure-II
            physics or 3 years practical experience in Radiation Therapy.
            M.Sc. (Physics would be preferred).
                                                                                    PROFORMA OF THE APPLICATION FOR
                                                                                 FINANCIAL ASSISTANCE TO REGISTERED
     c.     Technician.
                                                                                   VOLUNTARY ORGANIZATIONS UNDER
     Diploma in Radiography, preferably with some experience.                   NATIONAL CANCER CONTROL PROGRAMME.
2.   The institution/hospital desirous of setting up teletherapy unit should
     fulfill the following requirements before commissioning the unit:-        1.   Name of the Institution
     i.     Have appropriate personnel indicated above.                        2.   Registered address
     ii.    Have appropriate health physics/desimetry instruments as           3.   Statute under which the Institute is registered (attested copy of
            recommended by Division of Radiological Protection, BARC.               certificate of the Registration of the Institute to be enclosed.
     iii.   The design and construction of the room housing the                4.   Date of establishment and aims and objects of the Institution (attested
            teletherapy unit should be approved by Division of Radiological         copy to be enclosed)
            Protection, BARC.
                                                                               5.   Details of activities in the field of Cancer, giving data (copy of last
     iv.    Have associated infrastructure and facilities necessary for             annual report of the Institution to be furnished) during last three
            operation of the teletherapy unit.                                      years, year-wise.
                                    39                                                                             40
10.   (a) Details of project for which financial assistance is necessary/              CERTIFICATE AND RECOMMENDATIONS OF THE
          sought with full justification and break-up of proposed                       STATE GOVERNMENT/U.T. ADMINISTRATION.
          expenditure (item-wise).
      (b) Areas with their population proposed to be covered under the
                                                                                 No................                                     Station and date.......................
          project.
      (c) Distribution of the manner in which the project will be                Government of...................................
          implemented.                                                           Department of....................................
      (d) Period of time for completion of the project.
11.   The amount which the Institution will provide towards its proposed         1.      This Institution (Name and Address)..................................................
      project.                                                                           has been visited by the Director of Medical services/District Medical
12    (a) Total income and expenditure during the last financial year.                   Officer/Civil Surgeon...........................................(Place)
      (b) Sources of income (Donations, Hospital fee, Bank interest and          2.      The Institution is an All India Organization of State level importance
          grants etc. Received during the last financial year be indicated               undertaking pioneer and innovative work in cancer.
          source-wise).
                                                                                 3.      The State Government has examined the audited accounts of the
13.   Whether the accounts of the Institution are audited by a Chartered                 institution and are satisfied that their financial position is sound
      Accountant or Government Auditor. If so, the true copy of the                      and that all previous grants received by them from various sources,
      annual accounts for the last financial year duly certified by the                  have been spent for the purpose for which the same were sanctioned.
      Auditor may be enclosed.
                                                                                 4.      The State Government have satisfied themselves about the soundness
14.   Grant received from the Central/State Government during the last                   of the project and that the organization is proven capability for
      3 years and whether these have been utilised for the purpose for                   undertaking the project.
      which these were sanctioned. A certificate from the auditors to this
      effect may be furnished.                                                   5.      There is nothing against the organization or its office bearers/
                                                                                         staff which should disqualify them for receiving financial assistance
15.   Any other relevant information.
                                                                                         from Government. The institution is not involved in any corrupt
      It is certified that the information given above is correct. It is also            practices.
      certified that this is a charitable institute and serves the general
                                                                                 6.      The information furnished by the Institution regarding areas to be
      public without any distinction of caste, creed, colour or religion.
                                                                                         covered under the project and their population etc. At sub-para 10(b)
                                                                                         is correct.
                                              Signature of authorised office
                                         bearers of the Institution with seal.
                                    41                                                                                           42
7.   The State Government recommends the project estimated to cost       APPLICATION FOR OBTAINING CLEARANCE
     Rs..........................................                        FROM THE STANDING COMMITTEE FOR THE
                                                                         RADIOTHERAPY DEVELOPMENT PROGRAMME
                                                                         FOR THE PROPOSED RADIOTHERAPY FACILITY
                                                                                                          PART - I
                                                                         1.   Name and address of the
                                      Signature, Name & Designation
                                                                              institution                          :
                                    (To be signed by an officer of the
                                     State Government not below the      2.   Name of the medical college to
                                           rank of Deputy Secretary).         which the institution is attached:
                                                                         3.   Whether the institution is
                                                                              Government/Under Government
To
                                                                              institution or Charitable
     The Secretary (Health)
     Government of India                                                      Organization i.e. Status             :
     Ministry of Health & Family Welfare                                 4.   (a) Total number of beds             :
     Nirman Bhawan,                                                           (b) Number of beds exclusively
     New Delhi - 110 011.                                                     for cancer patients                  :
                                                                         5.   Facilities available for treating
                                                                              cancer patients.                     :
                                                                              5.1 Beam Therapy
                                                                              5.1.1 Teletherapy Units              :   Make Model Date installed
                                                                                   Co - 60                         :
                                                                                   Cs - 137                        :
                                                                              5.1.2 Number of superficial
                                                                                   therapy Machines available      :   Make Model Date installed
                                                                              5.1.3 Number of deep X-ray
                                                                                   therapy machines available      :   KV Make Model
                                                                                                                       Date installed
                                                                              5.1.4 High Energy Equipment
                                                                                   Available (accelerators)        :   KV Model Date
                                                                                                                       installed Make
                               43                                                                             44
    5.1.3. Brachytherapy                                                       5.4.2 Protection Level Instruments Radiation Survey meters
    5.2.1 Manual after                                                                Gama Zone Monitor
           loading/preloaded                                                          Other instruments
           applicators                   :   Caesium - 137 Manual        6.    Staff available
                                             after loading sources             6.1 Radiotherapy
                                             supplied by BARC.                                     Name            Qualification     No. Of years
    Quantity of Caesium - 137 available                                                                           & Designation       experience.
    Details of tubes & needles        :                                        Radiotherapist(s)
    Quantity of Cobalt - 60 available                                          6.2      Radiodiagnostic Facility
    Details of tubes and needles      :      Cobalt - 60 tubes
                                                                                        Name                   Qualification       No. of years experience
    Other sources available such as
                                                                         7.          Teaching Programme
    Strontium, Indium etc.               :   Radium sources
    5.2.2 Remote After loading                                           7.1         Radiotherapy.
          (Selection, criterion etc.)    :   Make Model Date installed   7.1.1       Post Graduate teaching programme in Radiotherapy year of
                                                                                     commencement of training : Affiliated to:
5.2 Radiotherapy accessories available
                                                                         7.1.2       Duration of Training:
    5.3.1 X-ray machines for
    tumor location                       :   KV Model Date installed     7.1.3       No. Of candidates admitted per year
                                             Make                        7.2         Medical Physics
    (Simulator/X-ray Maches)                                             7.2.1       Teaching Programme in..............year of commencement of
    Simulator                                                                        training........................affiliated to................University.
    Diagnostic X-ray                                                     7.2.2       No. of candidates admitted per year:
    Machine 500 mA                                                       7.3         Radiotherapy technologist’s training
    Mobile IITV X-ray
                                                                         7.3.1       Teaching programme in CRA. Year of commencement of training
    5.3.2 Treatment Planning System :        MKV Model Date installed                affiliated to   :
    5.3   Radiation Measuring Instruments and Accessories Available      7.3.2. Duration of training           :
    5.3.1. Therapy level (ionisation/other) Instruments                  7.3.3       No. of candidates admitted per year :
           Secondary Standard Consimeter ( SSD) BARC Make :              7.3.4       Particulars of Central Grant received after :
          Other makes of SSD                                             7.3.5       Details of Utilization Certificate of the Earlier grant     :
          Other instruments
                                    45                                                                             46
                                PART-II                                     10.1    Intracavity                           :
New Centre/additional unit/new unit in the existing teletherapy room        10.1.1 Type of radionuclide                   : Co-6C/Cs-137
8.  Teletherapy equipment                      :                            10.1.2 Total quantity of radionuclide         :
8.1   Make & model of the unit                :                                    (Mention No. of tubes)                 :
8.2   Supplier’s name & address               :                             10.1.3 Supplier’s name & address              :
8.3   Capacity of source head (RMM/Curies) :
                                                                            (Manual afterloading inracavitary kit incorporating Cs-137 sources are
8.4   Whether rotational or stationary        :                             supplied by BRIGT, Bombay - 400 094).
8.5   Type of radionuclide                    : Co-60/Cs-137
                                                                            10.1.4 Number of kits to be procured          :
8.6   Activity (RMM/Curie) and Active
                                                                            10.1.5 Estimated cost                         :
      Diameter of the source to procure       :
                                                                            10.2    Interstitial                          :
(Telecobalt source should be procured from Board of Radiation and Isotope
Technology (brt), V.N. Purav Marg, Deonar, Bombay - 400 094)                10.2.1 Type of Radionuclide                   : C0-50/Ir-191/
8.7   Estimated cost of Unit                  :                             10.2.2 Total quantity of Radionuclide
8.8   Estimate cost of the source             :                                    (Mention No. of sources)
8.9   Whether the plan of the telegramme                                    10.2.3 Supplier’s name & address              :
      facility approved by BARC               : Yes/No
                                                                            (Co-60 needles and Ir-192 sources are supplied by BRIT, Bombay-
8.10 Whether the facility ready/under                                       400 094).
     Construction as per the approved plan    : Yes/No
                                                                            10.2.4 Estimated cost
9.    High energy equipment (accelerators)
9.1   Make & Model of Units                   :                             10.3    Whether plan of the manual after Loading facility approved by
                                                                                    BARC                                :
9.2   Max energy of photon/electron           :
9.3   Supplier’s name & address               :                             10.4    Whether the facility ready/under
                                                                                    Construction as per the approved plan :
9.4   Estimated cost of the equipment         :
9.5   Whether the plan of the high energy                                   11.     Remote after loading applicator envisaged
      Facility approved by BARC               :                                     if year, make and model of unit       :
                                    47                                                                          48
11.4   Estimated cost of the unit                :                                    CERTIFICATE AND RECOMMENDATIONS OF
11.5   Whether the plan of remote                                                          THE STATE GOVERNMENT/U.T.
       afterloading Facility approved                                                           ADMINISTRATION.
       by BARC                               : Yes / No
11.6   Whether the facility ready/under
       construction as per the approved plan : Yes/No.                           No...............                                       Station and date...................
Government of..................................
Department of....................................
                                    49                                                                                           50
7.   The State Government recommends the project estimated to cost              NATIONAL IODINE DEFICIENCY
     Rs...............................
                                                                              DISORDERS CONTROL PROGRAMME
                                                                          l   National Iodine Deficiency Disorders control programme aims at
                                                                              bringing down the prevalence of Iodine Deficiency Disorders (IDD)
                                                                              to below 10 percent in all the districts of the country.
                                      Signature, Name & Designation       l   Iodine is an essential micronutrient. The required intake of 100-150
                                     (to be signed by an officer of the       micrograms daily is essential for normal human growth and
                                      State Government not below the          development.
                                            rank of Deputy Secretary).
                                                                          l   Iodine deficiency results in abortion, still birth, mental retardation,
                                                                              deaf-mutism, squint, dwarfism, goitre, neuromotor defects etc.
To
     The Secretary (Health)                                               l   More than 1.5 billion population of the World are at the risk from
     Government of India                                                      Iodine Defeciency Disorders (IDD) out of which about 200 million
     Ministry of Health & Family Welfare                                      people are in India.
     Nirman Bhawan,
                                                                          l   Sample surveys conducted in 25 States and 5 Union Territories have
     New Delhi - 110 011.
                                                                              revealed that out of 282 districts, Iodine Deficiency Disorders (IDD)
                                                                              is a major public health problem in 241 districts where the prevalence
                                                                              is more than 10%.
                                51                                                                            52
     in August, 1992 with a view of wide spectrum of Iodine Deficiency                   NATIONAL SURVEILLANCE
     Disorders.
                                                                                            PROGRAMME FOR
l    Under the programme :
                                                                                         COMMUNICABLE DISEASES
I.   Iodisation plants have been donated to 40 small-scale Manufacturers
     Associations/Co-operative societies;                                      l   Ministry of Health and Family Welfare has launched the National
                                                                                   Surveillance Programme for Communicable Diseases for detection
II. The Salt Department also offers                                                of early warning signals of outbreaks and rapid response for
(a) Grant of loans for the development of salt works to licensed                   prevention and control of these outbreaks and diseases.
    manufacturers. Planning, execution of development works in the salt        l   Outbreak of plague (1994), malaria (1995) and dengue
    factories by the various regional Advisory on the recommendation of
                                                                                   haemorrhagic fever (1996) highlighted the urgency for
    the Central Advisory Board;                                                    strengthening disease surveillance system so that early warning
(b) To assess damage to salt works affected due to natural calamities              signals are recognized and appropriate follow-up action initiated.
    and to work out the ex-gratia relief and loans to be extended;             l   In 1997, a model district surveillance plan was drafted.
(c) Promotion of co-operative societies in the Salt Industry and promotion         Subsequently, in 1998 a concept plan was developed by the
    of labour welfare activities of the Salt works.                                National Apical Advisory Committee under Secretary (Health).
l    848 private manufacturers have been licensed by Salt Commissioner         l   The programme strategies are :-
     out of which nearly 532 units have commenced production so far.           l   Training;
l    The annual production of iodated salt has been raised from 5 lakh         l   Modernisation of laboratories and office;
     metric tons in 1985-86 to 44 lakh metric tons in 1999-2000.
                                                                               l   Strengthening of linkages for disease surveillance from peripheral
l    For testing, kits for on the spot qualitative testing have been               to central levels;
     developed.
                                                                               l   Networking with State/Regional and National institutions;
l    The IEC activities has been intensified by way of video films, posters/   l   IEC activities;
     danglers and radio/TV spots.
                                                                               l   Electronic means of communication and data processing.
                 For more detailed information contact :                       l   The programme is being implemented by the State Health
                   Deputy Secretary (Public Health)                                authorities through the existing health infrastructure.
                  Ministry of Health & Family Welfare,                         l   The surveillance system is strengthened through training of
                  Nirman Bhavan, New Delhi-110011                                  medical and paramedical personnel, upgradation of laboratories,
                              Tel.: 3019642
                                                                                   communication and data processing system.
                                    53                                                                          54
l   Community participation is promoted through IEC activities.                             NATIONAL
l   A total of 100 districts from all the States/Union Territories are              MENTAL HEALTH PROGRAMME
    proposed to be covered during 9th Plan period.
                                                                           l   To mitigate the hardship of mentally ill patients the National Mental
l   An outlay of Rs. 25 crores has been made during the 9th Plan
                                                                               Health Programme was started in 1982.
    period for covering 100 districts.
                                                                           l   As decided in the meeting of the Central Council of Health in 1995
l   In 1997, the training activities and provision of laboratory
                                                                               and as recommended by the workshop of all the Health Administrators
    equipment for the State and District level for 5 districts in 5
                                                                               of the Country held in February, 1996, the District Mental Health
    States were funded under WHO inter-country budget. NICD
                                                                               Programme was launched in 1996-97 in four districts, one each in
    imparted training to members from these five districts.
                                                                               Andhra Pradesh, Assam, Rajasthan and Tamil Nadu.
l   In February, 1998 SFC approved taking up pilot projects in 20
                                                                           l   The programmes envisages a Community based approach to the
    districts. Rs. 2.90 crores were released to the State authorities at
                                                                               problem, which includes:-
    the end of March 1998 out of this, Rs. 7.50 lakhs were for the 5
    districts taken up during 1997 at the rate of Rs. 1.5 lakh per             i)   Training of the mental health team at the identified nodal institutes
    district. Thus, during 1997-98 the pilot project was under                      within the State;
    implementation in 25 districts.                                            ii) Increase awareness about mental health problems;
l   During 1998-99, this programme was extended to 20 more                     iii) provide services for early detection and treatment of mental illness
    districts and a sum of Rs. 3.75 crores was released.                            in the community itself with both OPD and indoor treatment and
                                                                                    follow-up of discharge cases; and
l   During 1999-2000 to continue the programme in the existing
                                                                               iv) provide valuable data and experience at the level of community
    districts, Rs. 2.72 crores were released.
                                                                                   in the State and Centre for future planning, improvement in
l   During 2000-2001, a provision of Rs. 7.5 crores has been made                  service and research.
    to continue the programme in the existing 45 districts and also
                                                                           l   Funds are provided by the Government of India to the State
    to extend it to 35 more districts. For continuing the programme
                                                                               Governments and the Nodal Institutes to meet expenditure on staff,
    in the existing districts a sum of Rs. 2.72 crore shave been
                                                                               equipment, vehicles, medicines, stationery, contingencies, Training and
    released.
                                                                               IEC activities etc. for the initial period of five years on the undertaking
                  For more detailed information contact :                      of the state Governments to continue the programme on their own
                 Deputy Secretary (Public Health)                              after the committed period of central assistance is over.
                Ministry of Health & Family Welfare,                       l   The training to the trainers at the State level is being provided regularly
                Nirman Bhavan, New Delhi-110011                                by the National Institute of Mental Health and Neuro Sciences,
                            Tel.: 3019642                                      Bangalore under the National Mental Health Programme.
                                 55                                                                              56
l     The District Mental Health Programme was extended to seven districts     l   A budgetary allocation of Rs. 28.00 crores has been made during the
      in 1997-98, five districts in 1998 and six districts in 1999-200. Thus       Ninth Five year Plan for the National Mental Health Programme.
      this programme is under implementation in 22 districts in 20 States
      as indicated below:                                                                      For more detailed information contact :
                                                                                                Deputy Secretary (Public Health)
                      STATE/NODAL INSTITUTES                                                   Ministry of Health & Family Welfare,
                                                                                               Nirman Bhavan, New Delhi-110011
    Andhra Pradesh (Medak)-Instt. of Mental Health, Hyderabad
                                                                                                          Tele.: 3019642
    Assam (Nagaon) - Guwahati Medical College                          NE
    Assam (Goalpara) - Guwahati Medical College                        NE
    Rajasthan (Seekar) - SMS Medical College, Jaipur
    Tamil Nadu (Trichy) - Instt. of Mental Health, Chennai
    Arunachal Pradesh (Naharlagun), - Govt. Hospital, Naharlagun       NE
    Haryana (Kurukshetra) - Pt. BD Sharma PGIMS, Rohtak
    Himachal Pradesh (Bilaspur) - I.G. Medical College, Shimla
    Punjab (Muktsar) - Medical College, Amritsar
    Madhya Pradesh (Durg) - Manasik Arogyashala, Gwalior
    Maharashtra (Raigad) - Instt. of Mental Health, Pune
    Uttar Pradesh (Kanpur) - KG Medical College, Lucknow
    Kerala - Thiruvananthapuram / Mental Health Centre, Trivandrum
    Thrissur - Mental Health Centre, Thrissur, Kerala
    West Bengal (Bankura) - State Mental Health Authority
    Gujarat (Navsari) - Civil Hospital, Navsari
    Goa (South Goa)
    Daman & Diu (UT)
    Mizoram (Aizawl) - Distt. Hospital, Aizawl (DHS)                   NE
    Chandigarh (UT) - Distt. Hospital (DHS)
    Manipur (Imphal East) - State Mental Health Authority              NE
    Delhi (Chhatarpur Vill. BJJRH Jehangir) - IHBAS
    The programme continues in these districts during 2000-2001.
                                        57                                                                       58
    DRUG DE-ADDICTION PROGRAMME                                                been established (including 6 in Central Institutions./Hospitals) so
                                                                               far in the country under the programme.
                                   59                                                                        60
          PILOT PROJECT FOR
     HOSPITAL WASTE MANAGEMENT
      IN GOVERNMENT HOSPITALS
                                    69                                                                            70
      FINANCIAL ASSISTANCE TO THE SELECTED                                      v)    The scheme will be implemented by the state Government.
        GOVERNMENT HOSPITALS OF VARIOUS                                         vi)   The funds sanctioned will be utilised for the purpose for which it
       STATES FOR EMERGENCY CARE CENTRES                                              is sanctioned.
     IN TOWNS/CITIES ON NATIONAL HIGHWAYS.                                            The grants-in-aid will be limited to Rs. 150.00 lakhs or the actual
                                                                                requirement of the hospital, whichever is less. Additional expenditure to
      The aim of the scheme is to augment the Accident & Emergency              execute the scheme, and on account of salary of staff, training etc. after
service by release of grants in aid to the state Governments for :              the centre is established, would be borne by the State Government. In
                                                                                other words, Central Government's commitment is limited to Rs. 150.00
i)     Purchase of well-equipped Ambulance and basic essential equipment        lakhs for a project in a particular State in one year.
       required for Accident & Trauma services;
ii)    Communication System,
                                                                                                For Further information, please contact :
iii)   Infrastructure (blood Bank, Examination Room, Resuscitation, ICU                              The Dy. Secretary (Hospital)
       & Burn Beds (7) , X-ray room, reception, control, Minor OT)                               Ministry of Health & Family Welfare
iv)    Beds & Equipment.                                                                          Nirman Bhawan, New Delhi-110011
                                                                                                             Tel. : 3014203
       The grants will be given for the purchase of equipment which are
considered essential for providing accident and trauma services. The grants-
in-aid will also be given for execution of civil/electrical works for making
adequate space for providing sufficient space, for smooth functioning of
the accident & trauma services at a cost not exceeding Rs. 60.00 lakhs.
       The following eligibility conditions have to be fulfilled for availing
of the financial assistance:-
i)     The application for grants-in-aid should be forwarded to this
       Ministry through the State Government/UT Administration
       concerned.
ii)    The State PWD will prepare a preliminary estimate for execution
       of capital works including renovation, addition, alteration of the
       existing structure.
iii)   The cost of equipment to be purchased should be indicated. The
       equipment will be purchased as per prescribed procedure. These
       will be entered into in an Assets Register to be maintained by the
       hospital.
                                    71                                                                             72
     CENTRAL GOVERNMENT HEALTH SCHEME                                      *      These dispensaries are solely for employees and pensioners of the
                                                                                  Accountant General's Office.
                                                                           l      PRESENT STATUS AND OVERVIEW OF CGHS
1.   The Central Government Health Scheme (CGHS) was started in
1954 with the objective of providing :                                     1.     Date of Commencement                     1.7.1954
      (a)   Comprehensive medical care facilities to the central           2.     No. of Cities                                     20
            Government employees and their family members.
                                                                           3.     No. of card Holders                      9,83,243
                                                                                                                                    (Details at Annexure-I)
      (b)   To avoid cumbersome system of medical reimbursement            4.     No. of Beneficiaries                    43,27,014
2.    Besides central government employees, the scheme also provides       5.     Total No of Dispensaries                         319
services to:                                                               6.     Allopathic Dispensaries                          240
      1.    Members and Ex-members of Parliament
                                                                           7.     Ayurvedic Disp/Units                              31
      2.    Judges of Supreme Court and High Court, sitting and retired.   8.     Homoeopathic Disp/Units                           34
      3.    Freedom Fighters.
                                                                           9.     Unani disp. Units                                 09
      4.    Central Government Pensioners.                                 10.    Siddha Disp./Units                                02
      5.    Employees of Autonomous bodies/Semi Govt. organisation.
                                                                           11.    Yoga Centres                                      03
      6.    Accredited Journalists.                                        12.    Polyclinics                                       19
      7.    Ex-Governors and Ex-Vice Presidents of India.                         (including one being set up at Kanpur)
3.    Cities covered under CGHS are as under :                             13.    Laboratories                                      65
      1.    Allahabad                  2.    Ahmedabad                     14.    Dental Units                                      17
      3.    Bangalore                  4.    Bombay                        l      FACILITIES PROVIDED UNDER CGHS
      5.    Calcutta                   6.    Hyderabad                          The following facilities are being provided to the beneficiaries
      7.    Jaipur                     8.    Luknow                        through dispensaries, polyclinics and Govt./recognised hospitals.
      9.    Jabalpur                   10.   Chennai                       i)     Out patient care facilities in all systems.
      11.   Meerut                     12.   Nagpur                        ii)    Emergency Services in Allopathic system.
      13.   Patna                      14.   Pune                          iii)   Free supply of necessary drugs.
      15.   Kanpur                     16.   Trivandrum                    iv)    Lab and Radiological investigations.
      17.   Guwahati                   18.   Delhi.                        v)     Domicilliary visits to seriously ill patients.
      19.   Bhubaneshwar*              20.   Ranchi*                       vi)    Specialist consultation both at the dispensary and hospital level.
                                      73                                                                          74
vii) Family welfare services.                                                                                               Annexure I
viii) Specialised treatment in both Govt. and Private recognised hospitals.
                                                                              NUMBER OF CARDS AND BENEFICIARIES
ix)    90% advance for undergoing specialised procedures on admission
                                                                                  AVAILING C.G.H.S. FACILITY
       in hospitals when required.
l      SPECIAL FACILITIES FOR PENSIONERS
                                                                                      ON AUGUST - 2000
i)     Option to join CGHS. Registration & issue of card is done by the
       concerned CGHS city.                                                   S. No.   Name of city          Cards       Beneficiaries
ii)    Option of obtaining a whole life CGHS Card by paying ten years         1.       Ahmedabad             9,690             40,225
       subscription.                                                          2.       Allahabad            32,348           1,66,888
iii)   Card valid in any CGHS covered city.                                   3.       Bangalore            59,809           2,33,053
iv)    Those living in non-CGHS areas can have a CGHS card in the             4.       Bombay              1,12,791          4,51,406
       nearest CGHS covered city.                                             5.       Calcutta             49,557           1,61,436
v)     Separate queue for senior citizens in CGHS Dispensaries.               6.       Delhi               4,06,183          17,95370
vi)    Facility to obtain medicines for chronic ailments upto three months    7.       Hyderabad            80,741           4,53,754
       at a stretch.                                                          8.       Jabalpur             15,520             76,122
vii) Reimbursement of medical expenses if the pensioner falls ill during      9.       Jaipur               23,464           1,09,160
     a visit to an area not covered under CGHS.
                                                                              10.      Kanpur               25,525           1,28,169
viii) 90% medical advance of package deal rate or the estimate submitted
                                                                              11.      Lucknow              15,121             77,401
      by Govt. Hosp, whichever is less, is sanctioned.
                                                                              12.      Chennai              43,498           1,70,617
Application from for CGHS Pensioners' Card is given at Annexure II.           13.      Meerut               10,894             58,362
Application form for making reimbursement claim for treatment expenses        14.      Nagpur               29,262           1,25,942
is given at Annexure III
                                                                              15.      Pune                 36,507           1,29,933
                                                                              16.      Patna                14,856             74,389
                      For more information contact :                          17.      Guwahati              7,565             34,274
                         The Director (CGHS)                                  18.      Trivandrum            4,573             16,350
                         DGHS. Nirman Bhawan
                                                                              19.      Ranchi                3,214             12,542
                          New Delhi-110001
                             Tel.: 3012800                                    20.      Bhubaneshwar          2,125             11,621
                                    75                                                                76
                                                           Annexure II       10. Details of family according to the term family :
ONLY FOR CENTRAL GOVT. PENSIONERS S. No. Name Date of Birth Relationship
To,
The Additional Director
GGHS,
Room No. 526 'C' Wing, 5th Floor,
Nirman Bhavan, New Delhi.
Sub.: Application for Central Govrnment Health Scheme, Persioner Card.             I shall abide by the rules and regulations and modification of the
                                                                             service which may be issued from time to time.
Sir,
                                                                                   I will deposit my contribution from the month of issue of ending
       I along with the members of my family whose particulars are given     period of June/December installment/for 10 years time to get "WHOLE
at sl. No. 10 may please be admitted to Central Government Health            LIFE" CGHS Card.
Scheme on payment of subscription on the basis of last pay drawn, pension,
are given below:                                                                    I, _________________________________________, solemnly
                                                                             affirm that I and my dependents whose names are given on pre-page are
1.     Name of the Pensioner :                                               residing at (address) _______________________________________.
2.     Date of Retirement/Death :
3. Residential Address :
                                    77                                                                          78
Documents Required :                                                                                                                                          Annexure III
1.   Pension papers and last pay certificate (Photocopy attested).                    dsUnzh; ljdkj LokLF; ;kstuk ¼ds0 l- Lok0 ;ks0½] fnYyh
                                                                                  CENTRAL GOVERNMENT HEALTH SCHEME (CGHS), DELHI
2.   Group Photo in triplicate (whose names are to be entcred in the
     CGHS pensioner card) (without attested).                                                 fpfdRlk ij [kpZ jkf’k dh izfriwfrZ ds fy, vkosnu&i=k
                                                                                              Application From for Mediacal Reimbursement
3.   Dependent children unmarried & unemployed irrespective of age.            …dsoy dsUnzh; ljdkj LokLF; ;kstuk ds ykHkkfFkZ;ksa ds fy, ykxw&la’kksf/kr eSfMdy QkeZ&97‰
                                                                                   (Modified Med-97 From applicable for CGHS Beneficiaries only)
4.   All type of enquiries i.e. Depositing/taking of cards only between              dsUnzh; ljdkjh deZpkfj;ksa rFkk muds ifjokj ds lnL;ksa dh MkDVjh ifjp;kZ ;k bykt ij
     9.30 A.M. to 12.30 P.M. on all working days.                         [kpZ dh xbZ jkf’k dh izfriwfrZ gsrq vkosnu&i=k&izkf/kÑr fpfdRld …,0,e0,0‰ ,oa vLirky ls
5.   Payment should be made by bank draft (Only Nationalized Bank)
                                                                          nksuksa ds [kpZ dh okilh ij nkok@izfriwfrZ djus dk vkosnu&i=kA
                                                                                 From of application for claiming refund of medical expenses incurred in
     or Indian Postal Order in favour of PAY & ACCOUNTS OFFICER,          connection with medical attendance and/or treatment of Central Govt. Sereants and
     CGHS, NEW DELHI.                                                     their gamilies-for medical attendance/treatment taken both from an Authorised
                                                                          Medical Attendant (A.M.A.) & Hospital.
6.   Surrender Certificate of CGHS card in service.
                                                                          Ñi;k lqfuf’pr djsa fd tkap lwph esa n’kkZ, x, lHkh lacaf/kr nLrkost@dkxtkr layXu dj
7.   Photocopy of Ration Card.                                            fn, x, gSaA
                                                                          Please ensure the presence of all the relevant items as indicated in the checklist
                                                                          atteched.
                                                                                  Ñi;k vfuok;Z :i ls Øe la[;k 1 ls 14 rd lHkh visf{kr lwpuk,a HkjsaA
                                                                                  Please fill up all information compulsorily from Sl. No. 1 to 14.
                                                                          dsoy cM+s v{kjksa dk iz;ksx djsa@Use Capital Letters only
                                                                          dsoy dk;kZy; iz;ksx ds fy,             dEI;wVj la[;k               MsLd
                                                                          For Official use only                    Computer No.              Desk
                                                                          1- ds0l0Lok0;ks0 Vksdu dkMZ ua0
                                                                               C.G.H.S. Token Number
                                                                          2- ljdkjh deZpkjh@isa’kuj dk uke                   dqy uke            e/; uke           izFke uke
                                                                               Name of Govt Servant/Pensioner               Surname         Middle Name First Name
                                                                          3- inuke …isa’kuj ds laca/k esa Ñi;k isa’kuj fy[ksa‰
                                                                               Designation (In case of Pensioner please write "Pensioner")
                                                                          4- ewy osru@isa’ku izfrekg
                                                                               Bank Pay/Penstion per month
                                                                          5- fdl dk;kZ;y esa dk;Zjr gS …iwjk fooj.k ;fn vHkh dk;Z dj jgs gSa‰
                                                                               Office in which employed (Full Address, only if currently employed)
                                   79                                                                                    80
6- dk;Z dk LFkku                                     ’kgj@City                fiu dksM+@Pin code             fookfgr            vfookfgr            rykd’kqnk             fo/kqj       fo/kok
     Place of Duty                                                                                           Married          Unmarried            Diverced          Widower         Widow
7- jksxh dk uke                                    dqy uke          e/; uke              izFke uke   16- ;fn fookfgr gS rks ml LFkku dk irk tgka ij iRuh@ifr dk;Zjr gSA
     Patient's Name                               Surname         Middle Name          First Name         If married place where wife/husband is employed.
9- …v‰ ljdkjh deZpkjh ls laca/k                                                                      17- ml LFkku dk uke tgka ij jksxh chekj iM+k gSA
     (a)       Relation with Govt. Servant                                                                Place at which the patient fell ill.
     …c‰       cPpksa ds laca/k esa&vk;q                   o"kZ                                      18- nkok dh xbZ jkf’k dk fooj.kA
     (b)       In case of children-Age                     Yrs.                                           Details of the amount claimed
10- dqy nkok dh xbZ jkf’k                                  :0                                        …1‰ fpfdRlk ifjp;kZ
     Total amount claimed                                  Rs.                                            Medical attendance
11- Js.kh …Ñi;k fVd                        dk;Zjr ljdkjh           ds0l0Lok0;ks0       isa’kuj            …d‰ ijke’kZ dh Qhl bUtSD’ku lfgr                                                :
    dk fu’kku yxk,a‰                       deZpkjh                 deZpkjh                                (a) Fee for consultation (Including Injactions)                               Rs.
     Category (Pl. Tick)                   Working Govt.           C.G.H.S.            Pernsioner         …[k‰ foÑfr oSKkfud] thok.kq oSKkfud] fofdj.k oSKkfud ,oa
                                           Servant                 Employee                                    blh izdkj ds vU; ijh{k.kksa ij [kpkZA                                      :-
     dkuwuh rkSj ij mÙkjkf/kdkjh                                   Lok;r fudk; dk deZpkjh                 (b) Charges for pathological, Bacteriological,
     Legal Heir                                                    Autonemous Body employee                   Rediological and/or other similar tests.                                  Rs.
     Lok;r fudk; dk isa’kuj                                        laln lnL;                              …x‰ cktkj ls [kjhn dh xbZ nokbZ;ksa dh dher
     Auto-Body Pensioner                                           M.P.                                       …dS’k eheks ,oa bZ0lh0ch0 layXu gksuh pkfg,‰A                               :-
     HkwriwoZ laln lnL;                                            HkwriwoZ jkT;iky                       (c) Cost of medicines purchased from market
     Ex. MP                                                        Ex. Gevernor                               (cash memo ECB should be attached)                                        Rs.
     mPpre@mPp U;k;ky; ds lsok fuo‘Ùk U;k;k/kh’k                   Lora=krk lsukuh                        …?k‰ ’kY; fpfdRlk laca/kh QqVdj oLrqvksa dh dher                                :-
     Rtd. Supreme Court of High Court Judge                        Freedom Figther                        (d) Cost of surgical sundries                                                 Rs.
12- vuqyXudksa@okmpjksa dh la[;k                                                                     …11‰ vLirkyh bykt
     No. of enclosure/vouchers                                                                       (II) Hospital treatment
13- fy;k x;k mipkj …Ñi;k fVd dk fu’kku yxk,a‰                                                             …d‰ vLirky dk uke                                                             ’kgj
     Treatment Taken from (Pl. Tick)                                                                      (a) Name of Hospital                                                         City
     …d‰ izkbZosV vLirky                             fd0 eh0                                              …[k‰ vLirkyh [kpks– dks vyx ls n’kkZ,a
     (a) The Private Hospital K.M.                                                                        (b) Hospitalization charges indieating separately
     …[k‰ utnhdh ljdkjh vLirky                       fd0 eh0                                                  * vkokl                                                                     :-
     (b) The nearest Govt. Hospital                  K.M.                                                     * Accommodation                                                           Rs.
14- frfFk;ka       …d‰ chekj iM+us dh                   frfFk           ekg            o"kZ                   * D;k ;g ljdkjh deZpkjh ds osru ds vuqlkj Fkk                          gk¡@ugha
     Dates         (a)    Of falling sick               DD              MM             YY 20......            * Whether it was according to the Pay of the Govt.
                   …[k‰ vLirky esa nkf[ky gksus dh                                                            sorvant (Pl. Tich)                                                   Yes/No.
                   (b)    Of admission into Hospital                                                 …;fn vkokl ljdkjh deZpkjh ds Lrj ls vf/kd gks rks ,slh fLFkfr esa ,d izek.k&i=k layXu djsa
                   …x‰ vLirky ls NqVVh dh                                                            fd ljdkjh deZpkjh ftl vkokl dk gdnkj ;k og miyC/k ugha Fkk‰A
                   (c)    Of discharge from Hospital                                                 (In case of where the accommodation) is higher than the status of govt. servant, a
15- ljdkjh deZpkjh dh oSokfgd fLFkfr …Ñi;k fVd dk fu’kku yxk,a‰                                      certificate should be attached to the effect that accommodation to which entitled
     Marital status of the Govt. Servant (Pl. Tick.)                                                 was not available.)
                                                   81                                                                                              82
       * [kqjkd                                                                             :-             was not available in any nearest hospital should be furnished.
       * Diet                                                                              Rs.       19- vfxze izkIr dh xbZ jkf’k                                           :-
       * ’kY; fØ;k ;k fpfdRlk bykt ;k izeq[k …dkUQkbeSaV‰                                   :-             Amount of Advance received                                      Rs.
       * Surgieal operation or medios or medical treatment or confinement                  Rs.       20- fdl òksr ls vfxze jkf’k izkIr dh
       * fod‘r foKkuh] thok.kq foKkuh] fofdj.k foKku ;k vU; ijh{k.k                         :-           …d‘i;k fVd dk fu’kku yxk,a‰                                   ds-l-Lok-;ks-      deZpkjh ds dk;kZy;
       * Pathelogical, Bacteriological, Radiological and/or other test                     Rs.             Source from where advance                                   C.G.H.S.          Employee's Deptt.
       * nok,a                                                                              :-             is received (Pl. Tick)
       * Medician                                                                          Rs.       21- fdl frfFk dks vfxze jkf’k xzg.k dh
       * fo’ks"k nok,a …nokvksa‰ dks lwph udn i=k vkSj vfuoknrk izek.k&i=k ^^[k**                          Date on which advance is recieived
          Fkh‰                                                                              :-       22- nkok dh xbZ ’kq) jkf’k …d-la- 10&d-la- 19‰                         :-
       * Special Medicines (Cash means & SCH to be attached)                               Rs.             Net amount claimed (Sl. No. 10-Sl. No. 19)                      Rs.
       * lk/kkj.k@fo’ks"k lcppkZ                                                            :-
       * Ordinary/Special Nursing                                                          Rs.       ?kks"k.kk i=k @DECLARATION
…fo’ks"k mip;kZ vFkkZr~ jksxh ds fy, fo’ks"k :i ls ulZ yxkbZ xbZ gS rks ,slh fLFkfr esa mipkj djus          eSa ,rn~}kjk ?kks"k.kk djrk gwa fd bl izkFkZuk i=k esa fn;k x;k /;ku esjh tkudkjh vkSj fo’okl
okys MkDVj }kjk gLrk{kfjr ,oa gLirky ds fpfdRlk v/kh{kd }kjk izfrgLrk{kfjr izek.k&i=k                ds vuqlkj vkSj ftl O;fDr ds ¯ij fpfdRlk O;; fd;k x;k gS og iw.kZr% esjs ¯ij vkfJr gSA
layXu djsa‰                                                                                          eSa ds-l-Lok-;ks- dk ykHkkFkhZ gaw ,oa esjk ds-l-Lok-vks- dkMZ uEcj ------------------------------------- gSA
(In case of special nursing i.e. nurses specially exgaged for the pationt please                          I horeby declare that the statements in the application are true to the best of my
attach a certificate from the M.O./I/C of the case and countersigned by the M.S. of                  knowledge and belief and that the person for whom medical expenses were in-
hospital.)                                                                                           curred is holly dependent upon me. I am a CGHS beneficiary and my GGHS token
       * ,EcqysUl [kpZ                                                                      :-       No. is ....................................... .
       * Ambulance charges                                                                 Rs.
                                                                                                     frfFk@Date                                                  dkMZ/kkjh ds gLrk{kj
       * vU; [kpZ                                                                           :-                                                            Signature of the card Holder
       * Any other charges                                                                 Rs.
                                                                                                     vxzsf"kr djus okys izkf/kdkjh }kjk Hkjk tk,A
fVIi.kh@NOTES :                                                                                      To be filled by the forwarding authority.
                                                                                                     nkos dks vuqeksfnr dj fn;k x;k gs vkSj ds-l-Lok-;ks- izfriwfrZ ,oa vLirky foHkkx fuekZ.k Hkou
(i)    ;fn dsUnzh; lsok fpfdRlk ifjp;kZ fu;ekoyh 1944 ds fu;e 7 ds vuqlkj ljdkjh deZpkjh
                                                                                                     dks vkxkeh dk;Zokgh gsrq vizsf"kr fd;k tk jgk gSA
       us bykt vius ?kj ij djok;k gks rks bu fu;eksa ds vUrZxr visf{kr fpfdRlk ifjpkjd dk            The claim is approved and forwarded to R&H Section. C.G.H.S. Nirman Bhawan
       izek.k&i=k lkFk esa layXu djsaA                                                               for farther action.
       If the treatment was received by the Govt. servant at his residence under rule 7
       of the CSMA Rules, 1944, give particulars of such treatment & attach a certifi-
       cate from the AMA as per rules.
(ii)   ;fn bykt ljdkjh vLirky ds vykok fdlh vkSj txg gqvk gS rks mldk vko’;d fooj.k                  frfFk@Date                                   dk;kZy; v/;{k ds ljdkjh lhy lfgr gLrk{kj
       nsa vkSj izkf/kd‘r fpfdRlk ifjpkjd dk bl vk’k; dk izek.k&i=k nsa fd visf{kr bykt dh                                                    Signature Head of the Deptt. with Official Seal
       O;oLFkk fdlh fudVre ljdkjh vLirky esa miyC/k ugha gks ldrh FkhA
       If the treatment was received at a hospital other than a Govt. hospital necessary
       details and the certificates of authorised attenant that the requisite treatment
                                              83                                                                                                         84
                                      CRTIFICATE 'B'                                                        (d)     that the patient is/was suffering from ........................ and is/was
(To be completed in the case of patients(to be submitted alongwith form no. 97)                                     under treatment from ............................... to ......................................
who are admitted to hospital for treatment)
                                                                                                            (e)     that the X-ray, laboratory tests, etc., for which an expenditure of
Certificate granted to Mrs./Mr./Miss ....................................... wife/son/                              Rs........................... was incurred were undertaken on my advice at
daugher of Mr .......................................................... employed in                                ................................................ (name of hospital or laboratory).
the.....................................................
                                                                                                            (f)     that I called on Dr....................................... for specialist consultation
                                               PART A                                                               and that the necessary approval of the ...............................................
                                                                                                                    (Name of the Chief Administrative Medical Officer of the State) as
(To be signed by the medical officer in charge of the .......... case of the hospital).
                                                                                                                    required under the rules, was obtained.
I.     Dr ........................................................... hereby certify-
(a)    that the patient was admitted to hospital in the advice of ...............
                                                                                                                                                                      Signature and Designation of the
       name of the medical officer) on my advice.
                                                                                                                                                         PART B
(b)    that the patient has been under treatment a ................ and that the
       undermentioned medicines prescribed by me in this connection were                                              I certify that the patient has been under treatment at the
                                                                                                            .................................................hospital and that the service of the special
       essential for the recovery/prevention of serious deterioration in the
                                                                                                            nurses for which an expenditure of Rs. ................................... was incurred,
       condition of the patient. The medicines are not stocked in the
                                                                                                            vide bills and receipts attached, were essential for the recovery/prevention
       .............. (name of the hospitals) for supply to private patients and
                                                                                                            of serious deteriosation in the condition of the patient.
       do not include proprietary preparations for which cheaper substance
       of equal therapeutic value are available for preparations which are                                  Signature of the Medical Officer In-charge of the case at the hospital
       primarily foods, toilets or disinfectants.                                                                                                 COUNTERSIGNED
       Name of medicines                                                        Prices                                                            Medical Superintendent
       1.    ......................................                ......................................                               ........................................ Hospital
       2.    ......................................                ......................................            * I certify that the patient has been under treatment at the
       3.    ......................................                ......................................   ........................................................... hospital and that the facilities provided
                                                                                                            were the minimum which were essential for the patient's treatment.
       4.    ......................................                ......................................
                                                                                                                   Place ......................                                     Medical superintendent
       5.    ......................................                ......................................                                                                            .................... Hospital
(c)    that the injections administred were/were not for immunising of                                      Note : Cerificates not applicable should be struck off. Certificate (d) is compulsory
       prophylactic purposes.                                                                                      and must be filled in by the Medical officer in all cases.
                                                      85                                                                                                      86
           NATIONAL CARDIO-VASCULAR                                                   SCHEME FOR IMPROVEMENT
          DISEASE CONTROL PROGRAMME                                                             OF
                                                                                         MEDICAL SERVICES
l   Current statistics on Cardiovascular Diseases (CVD) and Stroke are
    incomplete. Estimated deaths due to Rheumatic Disease are 1,41,000       l   The purpose of the scheme is to encourage voluntary
    annually. Prevalence rate of Rheumatic Heart Diseases, as estimated          organisations to provide improved medical services to rural and
    by some surveys is 1.0 to 5.4 cases per 1000 population.                     high density slum population in the country.
l   Awareness of public regarding avoidance of risk factors e.g. smoking,    l   Financial assistance under this scheme would be available to
    obesity, hypertension, stress etc. of CVD will be done using mass            voluntary organisations which are running hospitals in rural areas,
    media. More medical colleges will be encouraged to develop                   or in urban areas and catering to high density urban slums, only
    Cardiovascular Surgery facilities for simple procedures like mitral          for expansion and improvement of existing hospital facilities.
    volvotomy etc.                                                               Therefore, assistance under this scheme will NOT be admissible
l   AIIMS being the nodal agency was given 49.5 lakhs for                        for the following :-
    CVD activities in the organized sectors e.g. railways, CGHS etc.             1.   Setting up of new hospitals.
    (Year 1998-99).
                                                                                 2.   Setting up of private nursing homes/clinics.
l   The budget for National CVD Control Programme in the current year            3.   Recurring expenditure for running a hospital.
    has been given to AIIMs to carry out the CVD activities in the current
                                                                                 4.   Setting up or expansion of a Research Centre in any field
    financial year, i.e., 2000-2001.                                                  of medicine.
                   For more information contact :                                5.   For undertaking an activity for which financial assistance
                      Under Secretary (ME(PG))                                        is admissible under separate grant-in-aid schemes of
                 Ministry of Health & Family Welfare                                  Government of India and State Governments.
                 Nirman Bhawan, New Delhi-110011                                 6.   For supplementing per-capita grants given by a State
                     Tel. : 3022200 / Extn. 2555                                      Government in discharge of a Statutory responsibility.
                                                                                 7.   The individuals are not eligible for grant.
                                   87                                                                         88
    of Health Services shall be the final authority in deciding whether     l   A copy of the application form for seeking financial assistance
    an item of equipment is essential or not.                                   under the scheme can be obtained from the Grants (Health)
                                                                                Section in the Ministry of Health & Family Welfare, Nirman
l   The essential hospital equipment shall not include fixtures,
                                                                                Bhavan, New Delhi. The institution shall send three copies of
    furniture and consumable stores.
                                                                                the application accompained with the required documents to the
l   For additional construction and for expansion of hospital facilities        concerned State Government. One copy shall also be forwarded
    for the indigent construction of operation theatre, X-Ray                   to the Secretary to the Government of India, Ministry of Health
    laboratory blocks and wards for the poor, the extent of assistance          & Family Welfare, Nirman Bhavan, New Delhi for advance
    shall be as follow :-                                                       scrutiny. Out of the three copies received by it, the State
    i)     Cent percent where the institution is engaged exclusively            Government shall, if it recommends the application, send one
           in treatment of Leprosy, eye diseases and blindness; and             copy to the Ministry of Health & Family Welfare along with the
                                                                                prescribed recommendation certificate. Detailed application form
    ii)    Fifty percent in the case of others.
                                                                                is given at Annexure I.
    iii)   Where assistance from the Government of India is limited
           to fifty percent of the expenditure, the balance fifty percent                    For more information contact :
           shall be met by the Institution.                                                     Deputy Secretary (Budget)
                                                                                          Ministry of Health and Family Welfare
l   No assistance will be admissible to cover reimbursement of
                                                                                           Nirman Bhawan, New Delhi-110011
    expenditure already incurred by the institution.
                                                                                                      Tel. : 3018068
l   The total amount that will be released to an institution for
    equipment and/or construction shall not exceed Rs. 4.00 lakhs in
    a year.
l   To take care of any cost escalation, the Joint Secretary and the
    Financial Adviser, Ministry of Health & Family Welfare, shall
    be competent to increase the amount of grant as recommended
    by the Grants Committee by upto ten percent, subject to the
    ceiling of Rs. 4.00 lakhs referred to in (e).
                                   89                                                                       90
                                                                     Annexure I              Officer of the documented showing the constitution of the present
                                                                                             Governing. Body or Managing Committee responsible for its
        SCHEME FOR IMPROVEMENT OF                                                            maintenance alongwith the names and designations of the two office
             MEDICAL SERVICES                                                                bearers who are authorised to operate upon and bind its funds to be
         PROFORMA OF APPLICATION                                                             enclosed.).
                                                                                        12. Has the institution done any family planning work, if so, details
Note : (Any suppression of facts, Mis-statement or false information furnished to           thereof?
the Government will besides such other action as may be deemed appropriate,
render the institution ineligible for further grants and make it liable to refund the   13. a)   Bed strength of the hospital,
grant secured on such basis).
                                                                                             b) The number of beds which are free as per the definition of the
1.   Name of the institution.                                                                   free bed/free medical care given at the end of this application
                                                                                                form.
2.   Registered address.
                                                                                        14. Whether the institution agrees to reserve 1/5th of the total bed
3.   Whether registrered under an act or a statute? If so, the name of the
                                                                                            strength as free beds as per definition of free bed/free medical care
     act or the statute.
                                                                                            referred to at 13(b) above?
4.   Name of the hospital/dispensary for which assistance is sought.
                                                                                        15. Particulars of the staff employed viz. their names, qualifications,
5.   Address of the hospital/dispensary.                                                    designations and scales of pay.
6.   Date of setting up of the hospital.                                                16. The annual expenditure incurred by the institution on free beds.
7.   Population of the city/town/village where the hospital/dispensary is
                                                                                        17. Year-wise number of indoor/outdoor patients treated during the last
     situated.
                                                                                            three years.
8.   Does the hospital cater to high density urban slum area? If so, the
                                                                                        18. a)   Whether any grants have been sanctioned by any other
     name/names of the slum colony/colonies and its/their population.
                                                                                                 department of Government of India or the State Government
9.   What are the aims and objects of the institution ? (an upto-date                            for the purpose for which the financial assistance is now sought?
     copy duly attested by a Gazetted Officer of the documents showing                           If so, the details thereof. If not, furnish a certificate duly attested
     the aims and objects of the institution to be attached).                                    by the auditors.
10. Nature of activities in the field of medical care (a copy of the latest                  b) Recurring or non-recurring grants received, if any, from the
    annual report of the institution to be furnished).                                          central/state Governments during the last 5 years for the purpose
11. Organisation or body responsible for the maintenance of the                                 other than those which have been indicated at 18 (a) above.
    institution and its composition (a copy duly attested by a Gazetted                         Where such grants were received, a certificate to the effect that
                                        91                                                                                    92
            all the grants have been utilised for the purpose for which they                  from indigenous source and that no import licence is required
            were sanctioned to be attached, duly certified by the Auditors.                   should be enclosed).
19. Whether the institution is involved in any proceedings. If not, furnish              c)   Whether the institution has already got similar equipment in use
    a certificate to the effect that the institution is not involved in any                   in the institution for which the new grant has been asked for. If
    proceedings relating to the account or conduct of its office bearers.                     so, the justification for the additional quantity required and the
                                                                                              manner in which the existing stock will be utilised or disposed
20. a)      Financial resources :-
                                                                                              of.
      a)    Total income during the last financial year Rs. .................
                                                                                         d) Whether necessary accommodation, staff and facilities for the
      b) Total expenditure during the last finacial year Rs. ................               installation of the equipment proposed to be purchased are
                                                                                            available, so that the equipment can be put to immediate use.
      c)    Assets at the end of last financial year Rs. .......................
                                                                                   B-CONSTRUCTION
21    a)    Sources of income (donations, hospital fee, bank interest & grant,
            etc., received during the last financial year should be lindicated     25. a)     Amount of grant asked for Construction (extension); ......
            here, source-wise).
                                                                                         b) Whether land is available (a certificate to the effect that the
      b) Particulars of donations received from such donors as have                         land for the construction of the building for which the grant has
         claimed exemption on paying income tax on the said donations.                      been applied for is available and the institution agrees to spend
                                                                                            an equal amount wherever applicable on the construction from
22.      Whether the accounts of the institution are audited by a Chartered
                                                                                            its own resources at the rates which will not be more than the
         Accountant or a Government auditor? If so the statements in original
                                                                                            prevailing state PWD schedule of rates for similar work the funds
         of its annual audited accounts, viz, income & expenditure accounts,
                                                                                            to the extent agreed upon have been collected, the blue print of
         receipt and payment accounts and balance sheets for the last 3 years
                                                                                            the plan, reasonableness of the estimate of the building to be
         duly certified by the said auditors to be enclosed.
                                                                                            constructed duly certified by a qualified engineer/architect and
23.      Purpose for which financial assistance is sought.                                  a certiflcate from the local municipal or other appropriate
A-Equipment                                                                                 authority that the construction of the building has been permitted,
                                                                                            to be attached)
24. a)      Amount of grant asked for the purchase of costly hospital
                                                                                   26.    Schedule of charge recover able from paying patients.
            equipments (a detailed list of costly items of equipment indicating
            the quantity required, specifications and cost of each individual      27. Whether the project or scheme can be taken up in case the Central
            items to be attached).                                                     assistance is less than the amount asked for. If so, how?
      b) Whether equipment proposed to be purchased is readily available           28. Details of assistance received from foreign sources during last three
         (a letter from a reputable firm showing that the items of                     years.
         equipments proposed to be purchased are immediately available
                                          93                                                                             94
29. Name of the Scheduled bank or post office where accounts of the               Details of Enclosures :-
    institution/organisation are maintained and operated upon by its two
                                                                                  a)    Certified copy of Registration of the Institution (sr. No. 3 above).
    authorised office bearers.
                                                                                  b)    An uptodate copy of the documents duly attested by a Gazetted
30.    Any other information justifying the request for grant.                          Officer showing the aims and object of the institution (Sr. No. 9
      It is certified that the information given above is correct.                      above).
                                                                                  c)    The latest annual report of the institution (Sr. No. 10 above).
      It is also certified that this is a charitable institution and serves the
      gereral public without any distinction of caste, creed, colour or           d)    Documents showing constitution of the present Governing Body/
      religion.                                                                         Managing Committee (Sr. No. 11 above).
                                                                                  e)    Certificate regarding non-receipt of financial assistance for the same
                                                                                        purpose & utilisation of earlier grants (Sr. No. 18 (A) & 18 (B)
                                                 Signature of the authorised            above).
                                              Office bearer of the institution    f)    A certificate to the effect that the institution is not involved in any
                                                                                        procedings relating to the accounts or conduct of its office bearers
                                                                                        (Sr. No. 19 above).
                                    Designation and name of the institution
                                                                                  g)    Audited accounts for the last three years (sr. No. 22)
                                                                     (Seal)
                                                                                  h)    List of essential and costly equipments (Sr. No. 24 above).
                                                                                  i)    A letter from reputable firm about the availability of equipments
                                                                                        from indigenous sources (Sr. No. 24 (b) above).
                                                                                  j)    Certificate regarding availability of land for construction of building
                                                                                        (Sr. No. 2 (b) above).
                                                                                  k)    Blue prints of the construction plan (Sr. No. 25 (b) above).
                                                                                  l)    Detailed estimates for construction work & reasionableness of rates
                                                                                        for construction (Sr. No. 25 (b) above).
                                                                                  m)    Certificate regarding permission for construction of building (Sr.
                                                                                        No. 2 (b) above).
                                                                                  n)    Schedule of charges recoverable form paying patients (Sr. No. 26
                                                                                        above).
                                                                                        In case any of the above documents are in a language other than in
                                                                                  English or Hindi, a translated copy thereof in English of Hindi should be
                                                                                  attached.
                                      95                                                                               96
 DEFINITION OF FREE BED/FREE MEDICAL CARE                                               CERTIFICATE AND RECOMMENDATIONS OF
                                                                                                  THE STATE GOVT.
2.    Medical care should cover all the facilities such as supply of                                         FORWARDED
      medicines (Ordinary medicine as supplied in hospital, dressings and
      life saving drugs) investigations like laboratory tests, X-Ray and             This institution has been visited by the Director of Medical Service/
      other investigations, operations, medical attendance and nursing care   District Medical Officer/Civil Surgeon                               (place).
      as ordinarily provided to in-patients in General Ward.
                                                                              The State Govt. recommend a grant of Rs.
3.    Diet.
                                                                              (Rupees                          (For purpose)
                                                                              which is/are considered essential for the development and efficient working
                                                                              of the institution.
                                                                              2.    The State Govt. are satisfied that the institution has the experience
                                                                              and managerial ability to carry out the purposes for which the grant of
                                                                              financial assistance has been asked for.
                                   97                                                                               98
                                                                                                                                                          5.
                                                                                                                                                                                                                                    4.
To
99
                                                         The Secretary to the Govt. of India,
                                                                                                                                                                                                                                    The institution is not of a local character.
                                                                                                                                                     FROM G.F.R. 19
               ASSETS ACQUIRED WHOLLY OR SUBSTANTIALLY OUT OF GOVERNMENT
                      GRANTS-REGISTER MAINTAINED BY GRANTEE INSTITUTIONS
                                    Block Account maintained Sanctioning Authorities
      Name of sanctioning authority
      Sl. No.   Name of the   No. & Date    Amount of           Brief                                Whether any condition         Particulars of
                Grantee       of sanction   sanctioned          purpose                              regarding the right of        assets actually
                Institution                 Grant               of the                               ownership of Govt. in         created of
                                                                                                     Grant the property or         acquired
                                                                                                     other assets acquired out
100
8 9 10 11 12 13 14 15
        Health Minister’s Discretionary Grant scheme is a scheme being operated by the Ministry
of Health & Family Welfare for providing financial assistance to the poor and needy patients to
defray a part of expenditure on hospitalization for undergoing major surgical interventions and
treatment of major diseases. The disease for which grants are sanctioned are Heart ailments,
Kidney transplantation, Hip & knee replacement, Cancer, AIDS, Hepatitis, Eye, Tumor etc.
    (i)     Government servants (Central as well as State Government Employees) are not
            eligible to receive financial assistance out of the Health Minister’s Discretionary
            Grant.
    (ii)    The amount of the grants in any case does not ordinarily exceed Rs. 20,000/-. The
            grant is sanctioned as ‘one time’ grant and is released to the Medical Supdt. Of the
            hospital where the patient is taking treatment.
    (iii)   All grant are non-recurring nature and no recurring liability is undertaken.
    (iv)    Re-imbursement of expenditure already incurred is not admissible.
    (v)     The sanction of grant is restricted to patients taking treatment in Govt. hospital only.
    (vi)    For the purpose of sanctioning of financial assistance, an annual family income of up
            to Rs. 50,000/- (rupees fifty thousand) only is taken as the upper limit for being
            eligible for assistance.
Shri B. Nayak
Director,
Ministry of Health & Family Welfare,
Nirman Bhawan, New Delhi-110011
Tel. 011-23061527.
BUDGET ALLOCATION
                                 ( In lakh of rupees)
2005-06         B.E.             R.E.
100.00 60.00
2006-07 100.00
                                                                                                  1
                                                                           Annexure - I
                                W.12012/       /200   -Grants
      APPLICATION FORM FOR FINANCIAL ASSISTANCE OUT OF
           HEALTH MINISTER’S DISCRETIONARY GRANT
2.    AGE
3.          (A)   PERMANENT ADDRESS
4. FATHER’S/HUSBAND’S NAME
                                      DECLARATION
       I declare that the information given above is correct and complete in all respects
and that I am in no position at all to arrange for/provide funds for the purpose stated
above. I also declare that neither I nor my parents are employees of the Central/State
Government or a local body.
Dated :                                                                  SIGNATURE OF
                                                                THE APPLICANT/PATIENT
                                                                                        2
                            W. 12012/ /200 -Grants
                                   : 2 :
    TO BE FILLED IN BY THE M.O. INCHARGE OF THE CASE/HOSPITAL ETC.
            WHERE THE PATIENT IS RECEIVING THE TREATMENT
A) BASIC ILLNESS
B) COMPLICATION
C) ASSOCIATED ILLNESS
A)
B)
C)
A)
B)
C)
      Certified that the patient’s particulars given above are true to the best of my
knowledge and belief.
                                          SIGNATURE OF THE M.S. INCHARGE OF THE
                                HOSPITAL/MEDICAL INSTITUTION WITH OFFICE SEAL
                                                                                     3
                                                                      Annexure - II
147.   Shri Saikat          West Bengal   Cancer   Medical College &         20,000
       Deshmukh                                    Hospital, Kolkata
148.   Shri Mohan Dhani     West Bengal   Heart    IPGMER- SSKM              10,000
                                                   Hospital, Kolkata
149.   Smt. Babli           U.P.          Heart    SGPGIMS,                  20,000
       Kashyap                                     Lucknow
150.   Shri S.K. Mobidul    West Bengal   Thalassa Medical College           20,000
                                          emia     Hospital, Kolkata
151.   Smt. Laxmi           Maharashtra   Heart    Civil Surgeon ,           20,000
       Bhaskar Palke                               Kolhapur, MS
152.   Shri Ashoke          West Bengal   Heart    IPGMER- SSKM              10,000
       Bhuiya                                      Hospital, Kolkata
153.   Ms. Rupali           West Bengal   Heart    IPGMER- SSKM              10,000
       Khatoon                                     Hospital, Kolkata
154.   Shri Krishan         West Bengal   Heart    IPGMER- SSKM              10,000
       Kumar Sahu                                  Hospital, Kolkata
155.   Miss Gopa Ghosh      West Bengal   Cancer   NRS Medical               20,000
                                                   College Hospital,
                                                   Kolkata
156.   Master Vishal        Maharashtra   Heart    K.E.M. Hospital,          20,000
       Vinod Mahadik                               Mumbai
157.   Master Abhishek      Bihar         Heart    AIIMS, New Delhi          20,000
158.   Ms. Poonam           U.P.          Heart    SGPGIMS,                  20,000
       Mishra                                      Lucknow
159.   Shri Riyaz Ahamad    U.P.          Heart    SGPGIMS,                  20,000
                                                   Lucknow
160.   Smt. Kamla Devi      Delhi         Neuro    AIIMS, New Delhi          20,000
161.   Smt. Vibha Devi      Bihar         Heart    AIIMS, New Delhi          20,000
162.   Shri Vikash Kumar    Bihar         Heart    G.B. Pant Hospital,       20,000
                                                   New Delhi
163.   Shri Ranjan          Assam         Ortho    Gowahati Medical          20,000
       Rakhwa                                      college & Hospital,
                                                   Gowahati
                                                                                      9
164.   Smt. Ranno Devi       U.P.          Cancer   AIIMS, new Delhi      20,000
165.   Shri Inar Yadav       Bihar         Heart    AIIMS, New Delhi      20,000
166.   Mohd. Akidul          West Bengal   Heart    IPGMER- SSKM          10,000
       Islam                                        Hospital, Kolkata
167.   Shri Aftabul Alam     West Bengal   Heart    IPGMER- SSKM          10,000
                                                    Hospital, Kolkata
168.   Ms. Neha Mandal       West Bengal   Heart    IPGMER- SSKM          20,000
                                                    Hospital, Kolkata
169.   Smt. Basanti          West Bengal   Heart    IPGMER- SSKM          20,000
       Karmakar                                     Hospital, Kolkata
170.   Master Sandeep        Delhi         Heart    AIIMS, New Delhi      20,000
       Kumar
171.   Shri Ashok Jona       West Bengal   Heart    IPGMER- SSKM          10,000
                                                    Hospital, Kolkata
172.   Smt. L. Tombi         Manipur       Cancer   RIMS, Imphal,         10,000
       Devi                                         Manipur
173.   Shri Kalipada Sit     West Bengal   Heart    IPGMER- SSKM          20,000
                                                    Hospital, Kolkata
174.   Shri Nanda Dulal      West Bengal   Heart    IPGMER- SSKM          20,000
       Dutta                                        Hospital, Kolkata
175.   Master Ankur          Haryana       Heart    AIIMS, New Delhi      20,000
176.   Shri Maharaj          U.P.          Cancer   AIIMS, New Delhi      20,000
       Sarena
177.   Mohd. Taleem          Bihar         Cancer   AIIMS, New Delhi      20,000
178.   Shri Tushar Kanti     West Bengal   Cancer   CNCI, Kolkata         20,000
       Sheel
179.   Shri Sanjay Kumar     West Bengal   Neuro    AIIMS, New Delhi      20,000
       Raut
180.   Shri Heera Lal        Bihar         Heart    G.B. Pant Hospital,   20,000
                                                    New Delhi
181.   Shri Sreedharan       Kerala        Cancer   Medical College &     20,000
                                                    Hospital, Kottayam,
                                                    Kerala
182.   Ms. Suvarna S.        Maharashtra   Heart    CPR Hospital,         20,000
       Kavade                                       Kolhapur,
                                                    Maharashtra
183.   Kum. Sumiti           Haryana       Cancer   AIIMS, New Delhi      20,000
184.   Shri Sudhir Das       West Bengal   Heart    IPGMER- SSKM          20,000
                                                    Hospital, Kolkata
185.   Master Vishal Patil   Maharashtra   Heart    CPR Hospital,         20,000
                                                    Kolhapur, M.S.
186.   Master Basil Joy      Kerala        Heart    SCTIMST,              9,214
                                                    Trivendrum, Kerala
187.   Master Kushal         Delhi         Cancer   AIIMS, New Delhi      20,000
       Kalra
188.   Smt. Meera Singh      U.P.          Heart    AIIMS, New Delhi      20,000
189.   Smt. Anita Devi       U.P.          Heart    AIIMS, New Delhi      20,000
190.   Shri Shashi           Bihar         Heart    AIIMS, New Delhi      20,000
       Bhushan Roy
191.   Smt. Mumtaz Bibi      West Bengal   Heart    IPGMER- SSKM          20,000
                                                                                  10
                                                   Hospital, Kolkata
192.   Ms. Mampi            West Bengal   Heart    IPGMER- SSKM          10,000
       Khatoon                                     Hospital, Kolkata
193.   Smt. Sail KUmari     Bihar         Heart    AIIMS, New Delhi      20,000
194.   Ms. Gulnaz Bano      Bihar         Heart    AIIMS, New Delhi      20,000
195.   Shri Prasanta        West Bengal   Heart    IPGMER- SSKM          20,000
       Bachar                                      Hospital, Kolkata
196.   Shri Shahsikant S.   Maharashtra   Heart    Shri J.J. Group of    20,000
       Dhanashree                                  Hospital, Mumbai
197.   Smt. Kunjamma        Kerala        Cancer   Medical College       10,000
                                                   Hospital, Kottayam,
                                                   Kerala
198.   Shri Benny K.P.      Kerala        Ortho    Distt. Ayurveda       20,000
                                                   Hospital,
                                                   Thodapuzha, Kerala
199.   Smt. Geeta Singh     U.P.          Cancer   AIIMS, New Delhi      20,000
200.   Shri Ram Chandra     Rajasthan     Heart    S.M.S. Hospital,      20,000
       Yadav                                       Rajasthan
201.   Shri S.N. Sinha      Bihar         Renal    PGIMER,               20,000
                                                   Chandigarh
202.   Smt. Pramita         West Bengal   Heart    IPGMER- SSKM          20,000
       Bhunia                                      Hospital, Kolkata
203.   Shri Sahalam         West Bengal   Heart    IPGMER- SSKM          20,000
                                                   Hospital, Kolkata
204.   Smt. Rahinara        West Bengal   Heart    IPGMER- SSKM          20,000
       Begum                                       Hospital, Kolkata
205.   Shri Saujanya        U.P.          Cancer   SGPGIMS,              20,000
       Kumar                                       Lucknow
206.   Shri Manik Roy       West Bengal   Heart    Gandhi Memorial       10,000
                                                   Hospital, Nadia,
                                                   West Bengal
207.   Master Faisal        U.P.          Heart    PGIMER,               20,000
                                                   Chandigarh
208.   Ms. Pramita          West Bengal   Heart    IPGMER- SSKM          10,000
       Barman                                      Hospital, Kolkata
209.   Smt. Kamla Paul      West Bengal   Heart    IPGMER- SSKM          20,000
                                                   Hospital, Kolkata
210.   Shri Sachindra       West Bengal   Heart    IPGMER- SSKM          10,000
       Nath Dulai                                  Hospital, Kolkata
211.   Ms. Bratati Das      West Bengal   Heart    IPGMER- SSKM          10,000
                                                   Hospital, Kolkata
212.   Master Akash Ali     West Bengal   Heart    IPGMER- SSKM          10,000
                                                   Hospital, Kolkata
213.   Shri Mohan Singh     West Bengal   Heart    IPGMER- SSKM          20,000
                                                   Hospital, Kolkata
214.   Ms. Gudia            U.P.          Heart    SGPGIMS,              10,000
                                                   Lucknow
215.   Ms. Piya Sarkar      West Bengal   Heart    IPGMER- SSKM          20,000
                                                   Hospital, Kolkata
216.   Shri saziruddin SK   West Bengal   Heart    IPGMER- SSKM          20,000
                                                   Hospital, Kolkata
217.   Shri Kartik          Orissa        Cancer   Tata Memorial         20,000
                                                                               11
       Chandra Behara                              Hospital, Mumbai
218.   Master Bishwanath    West Bengal   Heart    Gandhi Memorial       10,000
       Halder                                      Hospital, Nadia,
                                                   West Bengal
219.   Smt. Anjana          Bihar         Cancer   AIIMS, new Delhi      20,000
       Verma
220.   Smt. Aleykutty       Kerala        Cancer   Medical College       8,500
       Devasia                                     Hospital, Kottayam,
                                                   Kerala.
221.   Shri Rajbir          U.P.          Heart    G.B. Pant Hospital,   20,000
                                                   New Delhi
222.   Ms. Mousina          West Bengal   Heart    IPGMER- SSKM          20,000
       Santra                                      Hospital, Kolkata
223.   Shri Ram Prasad      West Bengal   Heart    Gandhi Memorial       8,246
       Halder                                      hospital, Nadia,
                                                   West Bengal
224.   Shri Ratan Dhar      West Bengal   Heart    Medical College       20,000
                                                   Hospital, Kolkata
225.   Shri Rajib Parial    West Bengal   Heart    IPGMER- SSKM          10,000
                                                   Hospital, Kolkata
226.   Smt. Rambiri         U.P.          Heart    G.B. Pant Hospital,   20,000
                                                   New Delhi
227.   Master Sumit         U.P.          Heart    G.B. Pant Hospital,   20,000
       Kumar                                       New Delhi
228.   Ms. Ragini           U.P.          Cancer   AIIMS, New Delhi      20,000
229.   Shri P. Sanjay       Manipur       Cancer   RIMS, Imphal,         10,000
       Singh                                       Manipur
230.   Smt. N. Chaobi       Manipur       Cancer   RIMS, Imphal,         10,000
       Devi                                        Manipur
231.   Shri Samsul Huda     West Bengal   Heart    IPGMER- SSKM          20,000
                                                   Hospital, Kolkata
232    Smt. Sundari Soren   West Bengal   Heart    IPGMER- SSKM          20,000
                                                   Hospital, Kolkata
233.   Shri Vinod Ari       West Bengal   Heart    IPGMER- SSKM          20,000
                                                   Hospital, Kolkata
234.   Baby Sangeeta        Delhi         Heart    AIIMS, New Delhi      20,000
235.   Ms. Safeena Bibi     Kerala        Renal    Medical College       20,000
                                                   Hospital,
                                                   Trivendrum, Kerala
236.   Shri Neelmani Bar    West Bengal   Heart    IPGMER- SSKM          20,000
                                                   Hospital, Kolkata
237.   Shri Narinder        Bihar         Heart    AIIMS, New Delhi      20,000
       Kumar Singh
238.   Ms. Indrani Roy      West Bengal   Heart    Medical College &     20,000
                                                   Hospital, Kolkata
239.   Smt. Susheela B.     Maharashtra   Heart    CPR Hospital,         10,000
       Koingade                                    Kolhapur,
                                                   Maharashtra
240.   Master Abdul         U.P.          Heart    AIIMS, New Delhi      10,000
       Mateen
241.   Smt. Abha Jha        Bihar         Heart    AIIMS, New Delhi      20,000
242.   Shri Sharad Kumar    U.P.          Renal    AIIMS, new Delhi      20,000
                                                                               12
243.   Shri Kumar Sahu   West Bengal   Heart   IPGMER- SSKM        20,000
                                               Hospital, Kolkata
244.   Master Somnath    West Bengal   Heart   IPGMER- SSKM        20,000
       Debnath                                 Hospital, Kolkata
245.   Smt. Shukla Das   West Bengal   Heart   IPGMER- SSKM        20,000
                                               Hospital, Kolkata
                                                                        13
     LIST OF PATIENT TO WHOM FINANCIAL ASSISTANCE HAS BEEN
  EXTENDED OF HEALTH MINISTER’S DISCRETIONARY GRANT DURING
                              THE YEAR 2006-07
                                                     (As on September, 2006)
S. No. Name of Patient     Name of     Disease Name of Hospital     Amount in Rs.
                           State
1.      Sh. Syed Anwar     West Bengal Heart   IPGMER- SSKM         20,000
        Ali                                    Hospital , Kolkata
2.      Master Sourav      West Bengal Heart   Gandhi Memorial      10,000
        Chakravorty                            Hospital, Nadia, WB
3.      Master Ashutosh    U.P.        Heart   KEM Hospital ,        20,000
                                               Mumbai
4.      Sh. Narender       Haryana     Ortho.  AIIMS, New Delhi     20,000
        Gupta
5.      Smt. Shama         U.P.        Heart   G.B. Pant Hospital,   20,000
        Praveen                                New Delhi
6.      Sh. Pramod Kumar U.P.          Heart   G.B. Pant Hospital,   20,000
                                               New Delhi
7.      Shri Krishna Bala  Maharashtra         KEM Hospital,        20,000
        Shewade                                Mumbai
8.      Sh. Madhu Kant     Bihar       Kidney  AIIMS, New Delhi      20,000
        Kumar
9.      Sh. Kailash Pati   Bihar       Cancer  AIIMS, New Delhi     20,000/-
        Sharma
10.     Smt. Roshan Jahan U.P.         Heart   G.B. Pant Hospital,   20,000
                                               New Delhi
11.     Mohd. Tayyab Ali U.P.          Hemoph AIIMS, New Delhi      20,000
                                       ilia
12.     Sh. Ashok Kumar    Delhi       Ortho.  Dr. RML Hospital,    20,000
        Sethi                                  New Delhi
13.     Sh. Shivaji Prasad Bihar       Heart   Dr. RML Hospital,    20,000
        Yadav                                  New Delhi
14.     Master Sonu        Bihar       Heart    AIIMS, New Delhi     20,000
        Kumar
 15.    Sh. Tapan Sarkar   West Bengal Heart   IPGMER-SSKM          20,000
                                               Hospital, Kolkata
16.     Smt. Arati Mondal West Bengal Heart    IPGMER-SSKM          10,000
                                               Hospital, Kolkata
17.     Sh. Khoda Box      West Bengal Heart    IPGMER-SSKM         20,000
                                               Hospital, Kolkata
18.     Sh. Subendu Santra West Bengal Heart   IPGMER-SSKM          20,000
                                               Hospital, Kolkata
19.     Ms. Puja Das       West Bengal Heart   IPGMER-SSKM           20,000
                                               Hospital, Kolkata
20.     Sh. Bikash Ghosh   West Bengal Heart   Gandhi Memorial      10,000
                                               Hospital, Nadia, WB
21.     Master Rohit       Haryana     Cancer   AIIMS, New Delhi     20,000
22.     Sh. Narayanan      Kerala      Cancer   Medical College,    10,000
        Nayar                                  Hospital, Kozhikode,
                                               Kerala.
23.     Smt. Pramod Rani Haryana       Heart   PGIMER,               20,000
                                               Chandigarh
                                                                          14
24.   Sh. Viresh Tyagi     U.P.          Cancer   AIIMS, New Delhi     20,000
25.   Master Saurav        U.P.          Heart    AIIMS, New Delhi      20,000
      Singh
26.   Miss Debi Debnath    West Bengal   Heart    IPGMER-SSKM          20,000
                                                  Hospital, Kolkata
27.   Smt. Asima Das       West Bengal   Heart    IPGMER-SSKM          10,000
                                                  Hospital, Kolkata
28.   Miss Sumita Pal      West Bengal   Heart     IPGMER-SSKM         20,000
                                                  Hospital, Kolkata
29.   Master Chandan       West Bengal   Heart    IPGMER-SSKM          20,000
      Ram                                         Hospital, Kolkata
30.   Master Alish Mann    West Bengal   Cancer   Tata Memorial        20,000
                                                  Hospital, Mumbai
31.   Smt. Susheela        Kerala        Cancer   Medical College      10,000
                                                  Hospital,
                                                  Trivendrum, Kerala
32.   Smt. Ruksana Bibi    West Bengal   Heart    IPGMER-SSKM          20,000
                                                  Hospital, Kolkata
33.   Master Idrish Ali    West          Heart    IPGMER-SSKM          20,000
                           Bengal                 Hospital, Kolkata
34.   Sh. Durga Shaw       West Bengal   Heart    IPGMER-SSKM          20,000
                                                  Hospital, Kolkata
35.   Ms. Tuhina Khatun    West Bengal   Heart    IPGMER-SSKM          20,000
                                                  Hospital, Kolkata
36.   Master Chandra       Delhi         Heart    Dr. RML Hospital,    10,000
      Kishore                                     New Delhi
37.   Sh. Andrews          Kerala        Cancer   RCC, Trivendrum,     20,000
                                                  Kerala.
38.   Sh. Salendra         M.P.          Heart     AIIMS, New Delhi    20,000
      Kumar Sharma
39.   Master Sauman        West Bengal   Heart    IPGMER-SSKM          20,000
      Dutta                                       Hospital, Kolkata
40.   Sh. Dipak Kar        West Bengal   Heart    IPGMER-SSKM          20,000
                                                  Hospital, Kolkata
41.   Master Sumit         West Bengal   Heart    IPGMER-SSKM          20,000
      Kundu                                       Hospital, Kolkata
42.   Sh . Sudarshan       West Bengal   Heart    IPGMER-SSKM          20,000
      Ghuku                                       Hospital, Kolkata
43.   Sh.Mainul Haque      West Bengal   Heart    IPGMER-SSKM          20,000
                                                  Hospital, Kolkata
44.   Smt. Nabeeza         Kerala        Cancer   RCC, Trivendrum,     10,000
                                                  Kerala
45.   Sh. Dasrath          Uttarakhand   Heart    AIIMS, New Delhi     20,000
46.   Sh. Sanjeev Kumar    U.P.          Heart    Dr. RML Hospital,    20,000
      Tyagi                                       New Delhi
47.   Ms. Suchitra Patra   West Bengal   Heart    IPGMER-SSKM          10,000
                                                  Hospital, Kolkata
48.   Baby Shariqua        Delhi         Heart    AIIMS, New Delhi     20,000
49.   Smt. Sarita          U.P.          Heart    GB Pant Hospital,     20,000
                                                  New Delhi
50.   Master Chicku        Kerala        Cancer   Instt. Of Child      6,600
      Bose                                        Health Medical
                                                                               15
                                                  College, Kottayam,
                                                  Kerala
51.   Md. Ikram            U.P.          Heart    AIIMS, New Delhi      20,000
52.   Sh. Satbir           Haryana       Heart    GB Pant Hospital,     20,000
                                                  New Delhi
53.   Smt. Anjali Ghosh    West Bengal   Heart    Gandhi Memorial       20,000
                                                  Hospital, Nadia, WB
54.   Ms Tulsi Malo        West Bengal   Heart    IPGMER-SSKM           20,000
                                                  Hospital, Kolkata
55.   Kum. Puja Kumari     Bihar         Heart    AIIMS, New Delhi      20,000
56.   Master Sayan         West Bengal   Heart    IPGMER-SSKM           20,000
      Majumdar                                    Hospital, Kolkata
57.   Master Abhijeet      West Bengal   Heart    Calcutta National     20,000
      Vadhya                                      Medical College &
                                                  Hospital, Kolkata
58.   Master Parvez        Bihar         Ortho.   AIIMS, New Delhi      20,000
      Alam
59.   Sh. Devendra Nath    West Bengal   Heart    Medical College       20,000
      Mondal                                      &Hospital, Kolkata
60.   Sh. Tapan Roy        West Bengal   Heart    IPGMER-SSKM           10,000
                                                  Hospital, Kolkata
61.   Master Asmat Ali     West Bengal   Heart    IPGMER-SSKM           20,000
                                                  Hospital, Kolkata
62.   Sh. Riyasat Ali      U.P.          Renal    SGPGIMS,              20,000
                                                  Lucknow
63.   Smt. Barnali Malik   West Bengal   Heart    IPGMER-SSKM           20,000
                                                  Hospital, Kolkata
64.   Sh. N.Ayyappan       Kerala        Cancer   RCC, Trivendrum,      10,000
      Pillai                                      Kerala
65.   Smt. Sarojini P.     Kerala        Cancer   Medical College       10,000
                                                  Hospital, Kottayam,
                                                  Kerala
66.   Master A. Mani       Andhra        Renal    SVIMS, Tirupati,      20,000
                           Pradesh                A.P.
67.   Sh. Agraj Singh      U.P.          Renal    SGPGOMS,              20,000
                                                  Lucknow
68.   Smt. Dipali          West Bengal   Heart    IPGMER-SSKM           20,000
      Mondal                                      Hospital, Kolkata
69.   Sh. Rahul Amin       West Bengal   Heart    IPGMER-SSKM           20,000
                                                  Hospital, Kolkata
70.   Sh. Alok Priya       U.P.          Neuro.   AIIMS, New Delhi      42,974
      darshi
71.   Master Bushra        Bihar         Cancer   AIIMS, New Delhi      20,000
      Praveen
72.   Sh. Kumaran          Rajasthan     Heart    SMS Hospital,         20,000
      Yadav                                       Jaipur, Rajasthan
73.   Sh Baldev Raj        J&K           Heart    AIIMS, New Delhi      20,000
74.   Smt. Halima          West Bengal   Heart    IPGMER-SSKM           10,000
      Begum                                       Hospital, Kolkata
75.   Sh. Bappan Sk        West Bengal   Heart    IPGMER-SSKM           10,000
                                                  Hospital, Kolkata
76.   Smt. Smita P.        Maharashtra   Cancer   Tata Memorial         20,000
                                                                             16
        Pawar                                      Hospital, Mumbai
77.     Smt. Salima Bibi    West Bengal   Heart    IPGMER-SSKM           10,000
                                                   Hospital, Kolkata
78.     Smt. Angur Majhi    West Bengal   Heart    NRS Medical           20,000
                                                   College Hospital,
                                                   Kolkata
79.     Sh. Darshan Lal     U.P.          Cancer   AIIMS, New Delhi      20,000
80.     Sh. Balwan Singh    Haryana       Cancer   PGIMS, Rohtak,        20,000
                                                   Haryana
81.     Sh. Vineet Kumar    U.P.          Renal    SGPGIMS,              20,000
                                                   Lucknow
82.     Master Bikash       West Bengal   Heart    IPGMER-SSKM           10,000
        Kumar                                      Hospital, Kolkata
83.     Sh. Ananda          West Bengal   Heart    IPGMER-SSKM           20,000
        Bodhak                                     Hospital, Kolkata
84.     Smt. Sunita Devi    Bihar         Heart    AIIMS, New Delhi      20,000
85.     Shri Dilip Basak    West Bengal   Heart    IPGMER-SSKM           20,000
                                                   Hospital, Kolkata
86.     Smt. Jaimala Devi   Bihar         Cancer   IGIMS, Patna, Bihar   20,000
87.     Shri Lal Moham      Bihar         Heart    AIIMS, New Delhi      20,000
        Prasad
88.     Smt. Chaderkala     Bihar         Heart    AIIMS, New Delhi      20,000
        Devi
89.     Sh. Suman Anand     Bihar         Cancer   AIIMS, New Delhi      20,000
90.     Sh. Abdul Shaid     M.P.          Heart    KEM Hospital,         20,000
        Sheikh                                     Mumbai
91.     Smt. Ponnamma       Kerala        Cancer   Medical College       10,000
        Prabhakaran                                Hospital, Kottayam,
                                                   Kerala
92.     Sh. Bablu Molla     West Bengal   Heart    IPGMER-SSKM           20,000
                                                   Hospital, Kolkata
93.     Master Ranjan       West Bengal   Heart    IPGMER-SSKM           20,000
        Sahoo                                      Hospital, Kolkata
94.     Ms. Arifa Khatoon   West Bengal   Heart    IPGMER-SSKM           10,000
                                                   Hospital, Kolkata
95.     Babay Kartik        U.P.          Heart    AIIMS, New Delhi      20,000
96.     Sh. Brijesh Kumar   M.P.          Cancer   AIIMS, New Delhi      20,000
97.     Sh. Hori Lal        U.P.          Heart    SGPGIMS,              20,000
                                                   Lucknow
98.     Sh. Amit            Delhi         Neuro    AIIMS, New Delhi      10,000
99.     Sh. Madhav Prasad   U.P.          Heart    SGPGIMS,              20,000
                                                   Lucknow
100..   Master Jani Amin    West Bengal   Heart    Calcutta National     10,000
        Mondal                                     Medical College &
                                                   Hospital, Kolkata
101.    Smt. Indu devi      Bihar         Heart    AIIMS, New Delhi      20,000
102.    Mohd. Sarfaraz      Bihar         Heart    AIIMS, New Delhi      20,000
        Alam
103.    Sh. Lokendra        U.P.          Renal    SGPGIMS,              20,000
        Singh                                      Lucknow
104.    Sh. Munna Lal       M.P.          Ortho    AIIMS, New Delhi      20,000
        Kauri
                                                                              17
105.   Smt. Mitlesh Singh    U.P.          Heart    Dr. RML Hospital,     20,000
                                                    New Delhi
106.   Master Samarpit   U.P.              Heart    AIIMS, New Delhi      20,000
107.   Smt. Haseem Jahan U.P.              Heart    G.B. Pant Hospital,   20,000
                                                    New Delhi
108.   Sh. Surender          Bihar         Heart    AIIMS, new Delhi      20,000
       Prasad
109.   Sh. Sanjay Kumar      West Bengal   Neuro    AIIMS, New Delhi      20,000
       Rauth
110.   Smt. Ameena           U.P.          Renal    PGIMER,               20,000
       Begum                                        Chandigarh
111.   Sh. Girija Shankar    Orissa        Cancer   Distt. Hospital,      20,000
       Tripathi                                     Koraput, Orissa
112.   Sh. Abul Hassain      West Bengal   Heart    IPGMER-SSKM           20,000
       Molla                                        Hospital, Kolkata
113.   Sh. Chintamoni        West Bengal   Heart    IPGMER-SSKM           20,000
       Bag                                          Hospital, Kolkata
114.   Master Aman Lalit     M.P.          Cancer   Tata Memorial         20,000
       Kushwaha                                     Hospital, Mumbai
115.   Ms. Lakhi Das         West Bengal   Heart    IPGMER-SSKM           20,000
                                                    Hospital, Kolkata
116.   Smt. Rajlakshmi       West Bengal   Heart    IPGMER-SSKM           20,000
       Goswami                                      Hospital, Kolkata
117.   Sh. Sudarsan Bitte    West Bengal   Heart    IPGMER-SSKM           20,000
                                                    Hospital, Kolkata
118.   Sh. S.K. Firojuddin   West Bengal   Heart    IPGMER-SSKM           20,000
                                                    Hospital, Kolkata
119.   Master Bappa          West Bengal   Heart    IPGMER-SSKM           20,000
       Dutta                                        Hospital, Kolkata
120.   Sh. Kaushik Das       West Bengal   Heart    IPGMER-SSKM           20,000
                                                    Hospital, Kolkata
121.   Smt. Annakutty        Kerala        Cancer   Medical College       10,000
       Paulose                                      Hospital, Kottayam,
                                                    Kerala
122.   Master Abhilash       Delhi         Ortho    AIIMS, New Delhi      20,000
       Mundir
123.   Master Pawan          U.P.          Heart    KEM Hospital,         20,000
       Kumar                                        Mumbai
124.   Ms. Chandana Ray      West Bengal   Heart    IPGMER-SSKM           20,000
                                                    Hospital, Kolkata
125.   Sh.SK. Kutubuddin West Bengal       Heart    IPGMER-SSKM           20,000
                                                    Hospital, Kolkata
126.   Smt. Usha Devi        Bihar         Heart    AIIMS, New Delhi      20,000
127.   Kum. Manisha          U.P.          Heart    G.B. Pant Hospital,   20,000
                                                    New Delhi
128.   Smt. Sonali           West Bengal   Heart    NRS Medical           20,000
       Mondal                                       College & Hospital,
                                                    Kolkata
129.   Master Munna          Bihar         Heart    AIIMS, New Delhi      20,000
       Kumar
130.   Smt. Sunita Shukla    U.P.          Heart    AIIMS, New Delhi      20,000
131.   Smt. Chanderkanta     Delhi         Heart    AIIMS, New Delhi      20,000
                                                                                18
132.   Smt. Leela V.     Maharashtra   Ortho    KEM Hospital,      20,000
       Phutane                                  Mumbai
133.   Smt. Gayatri      Orissa        Cancer   Acharya Harihar    20,000
       Biswal                                   Regional Cancer
                                                Centre, Cuttack
134.   Smt. Usha Verma   U.P.          Heart    AIIMS, New Delhi   20,000
                                                                        19
                               RASHTRIYA AROGYA NIDHI
         The scheme provides for financial assistance to patients, living below poverty line who
are suffering from major life threatening diseases, to receive medical treatment at any of the super
speciality Hospitals/Institutes under the Government or other government hospitals. The financial
assistance to such patients is released in the form of ‘one-time grant’, to the Medical Supdt. of the
Hospital in which the treatment is being received.
         In a bid to speed up the assistance to the needy patients, an advance of Rs. 20 lakhs has
been kept with the Medical Supdts. of AIIMS, New Delhi and Rs. 10 lakhs each to Dr. RML
Hospital, Safdarjung Hospital LHMC & Smt. S.K. Hospital, New Delhi, PGIMER, Chandigarh,
JIPMER Pondicherry, NIMHANS, Bangalore, CNCI, Kolkata, SGPGIMS, Lucknow, Gandhi
Memorial & Associated Hospitals KGMC, Lucknow and CIP, Ranchi to enable sanction of an
amount up to Rs. 50,000/- in each deserving case reporting for treatment in the respective
Hospitals/Institute.
         All State Govts./UT Administrations have been advised vide Ministry of Health &
Family Welfare letter dated 11/11/96 to set up an Illness Assistance Fund in their respective
States/UTs. It has been decided that grant-in-aid from Central Government would be released to
each of these States/UTs (with Legislature) where such Funds are set up. The Grant-in-aid to
States/UTs would be to the extent of 50% of the contributions made by the State Govts./UTs to
the State Fund/Society subject to a maximum of Rs. 5 crores to States with larger number and
percentage of population below poverty line viz. Andhra Pradesh, Bihar, Madhya Pradesh,
Karnataka, Maharashtra, Orissa, Rajasthan, Tamilnadu, Uttar Pradesh and West Bengal and Rs. 2
crores to other States/UTs. The State/UT level Funds could also receive contributions/donations
from donors, as mentioned for RAN. The Illness Assistance Fund at the State/UT level would
release financial assistance to patients living in their respective States/UT up-to Rs. 1.5 lakhs in
an individual case and forward all such cases to RAN, where the quantum of financial assistance
is likely to exceed Rs. 1.5 lakhs.
        The following States/UTs (with Legislature) have set up Illness Assistance Fund:-
Karnataka, Madhya Pradesh, Tripura, Haryana, Andhra Pradesh, Tamilnadu, Himachal Pradesh,
Jammu & Kashmir, Maharashtra, West Bengal, Kerala, Mizoram, Rajasthan, Goa, Gujarat,
Sikkim, Bihar, Jharkhand, Chhattisgarh, Uttranchal, the NCT of Delhi and Pondicherry..
        As per recent decision taken by Hon’ble Health & Family Welfare Minister, all
applicants receiving treatment in Delhi Hospitals would be eligible for receiving grants of
Rashtriya Arogya Nidhi.
                                                                                     Contd….2…..
                                                   :2:
        The following States/UTs have not yet set up the respective State Illness Assistance
Fund.
1. Assam
2. Manipur
3. Arunachal Pradesh
4. Meghalaya
5. Orissa
6. Punjab
7. U.P.
8. Nagaland
       There is also a provision of two non-official members to be co-opted from amongst the
prominent donors to the fund.
1. DGHS
2. Joint Secretary
3. Medical Superintendent, Dr. RML Hospital
4. HOD, Cardiology, AIIMS, New Delhi.
         It has also been provided in the scheme that Union Territories (which do not have a
legislature) will be sanctioned a budget outlay out of the RAN, as and when the UT
administration have sets up an Illness Assistance Society/Committee. It was decided in the first
meeting of the Managing Committee held on 21-10-98 that each UT will be sanctioned a budget
outlay of Rs. 50 lakhs. Accordingly the following UTs have been sanctioned a budget outlay of
Rs.50 Lakhs each, during the year1998-99.
1. Lakshdweep
2. Daman & Diu
3. Dadra & Nagar Haveli
4. Andaman & Nicobar Islands
5. Chandigarh
                                                                                  contd…..3……
                                                :3:
        List of beneficiaries to whom the amount was sanctioned under the scheme during the
year 2005-06 and 2006-07 (as on September, 2006) in Annexure-III.
BUDGET ALLOCATION
                               ( In lakh of rupees)
Year           B.E.            R.E.
2. Cancer
       Radiation treatment of all kinds. Anti-Cancer Chemotherapy
3. Urology/Nephrology
        Dialysis along with consumable goods (coils and dialysis solution etc.). Vascular shunts
for Dialysis, P.C.N. & P.C.N.L. Kits, Lithotripsy (for stones)-disposable and stents for
endoscopic surgical procedure in Urology and Gastroenterology, Renal & Hepatee
transplantation.
4. Orthopaedics
         Artificial prosthesis for limbs, implants and total hip and knee replacement external
fixaters, AO implants used in the treatment of bone disease and fractures.
5. Miscellaneous
       Intra-ocular lens implants, hearing aids and shunts for hydrocephalus.
6. Investigations
7. Drugs
l    The Institute imparts both long and short term training courses:-     ix)    Oral Health (Cancer).
                                                                           x)     Anaemia.
l    For health professionals (doctors and paramedical of Allopathic
     as well as of Indian System of medicine & Homeopathy),                xi)    Healthy Life Style.
                                                                           Xii) Safe Drinking Water.
l    For teachers
                                                                           Xiii) Washing Hands.
l    Courses for WHO for the participants from SEARO countries.
                                                                           Xiv) Mental Tension.
l    Two year Post Graduate Diploma in Health Education (DHE)              Health Education material is also available on the following
     under Delhi University.                                               topics :-
l    Tailor made courses for different organizations of different          i)     Handbill on Hepatitis - B
     Diseases and Programmes (e.g. IEC on Cancer for CGHS doctors)         ii)    Poster on 'Our Children need clean habits'.
l    Orientation courses for the students of different medical colleges,   iii)   Posters on Locomotor Disability with the caption -
     nursing colleges and schools.                                                a)   'See The Difference'
l    CHEB is also actively involved in development of Health                      b)   'Both the children need your equal love and affection'.
     education materials both for print and electronic media and                  c)   'Surgical Intervention, Exercise & Appliances can help
     dissemination of health information to the masses. The T.V. video                 Rehabilitation'.
     spots on health issues produced by CHEB are telecast through
                                                                           iv)    Handbill on Clean Habits'.
     Doordarshan for public awareness. Copies can be made available
     to State Govt. & other organizations working in health care or        v)     Folders on Dengue Fever.
     health education. The title of the spots are :                        vi)    Booklet on Malaria for School children in both Hindi &
                                                                                  English.
                                 107                                                                      108
l   The School Health Division of this Bureau plans, strengthens                   MEDICAL CARE FOR
    and revises health and population education curriculum; provides
    consulative and advisory service in school health to various
                                                                               REMOTE AND MARGINALISED
    organizations. It also coordinates Plans and programmes in the           TRIBAL & NOMADIC COMMUNITIES.
    field of School Health carried out in the states & UTs to produce
    model instructional material for strengthening health education           A new Scheme entitled “Medical Care for Remote and Marginalised
    component of formal and informal education.                         Tribal and Nomadic Communities” has been launched during IXth Five
    The institute has also taken up projects in the Kalahandi and       Year plan. An approval outlay of Rs. 10.00 Crores exists under the IX th
    Nuapada districts of Orissa under the SCP and STP programme.        plan period for the scheme. The scheme could be launched from
                                                                        1998-99, as necessary plan provision for launching the scheme was
•   CHEB has taken up awareness programme in ill effects of tobacco     provided from 1998-99 onwards. Under this scheme following projects
    through Panchayat leaders in the states of U.P, Bihar, Orissa,
                                                                        have been taken up by ICMR.
    M.P., and Rajasthan (under WHO funded Tobacco Free
    Initiative).                                                        S.No.                  Name of Project
•   CHEB has also taken up awareness programme on ill effects of        1.      Prevention & Control of Hepatitis ‘B’ infection among primitive
    tobacco through school teachers and school children in the states           Tribes of Andaman & Nicobar Islands.
    of Andhra Pradesh, Rajasthan, Bihar and West Bengal (under          2.      Intervention for hereditary common hemolytic disorders among
    WHO funded Tobacco Free Initiative).                                        major Tribals of Sundergarh Distt.
•   Organised Exhibitions in the Health Melas at Mathura and Kargil     3.      Intervention programme for Cholera and Intestinal; Parasiptism,
    and also to be held at Patna from 19th to 21st November 2000.               Vitamin A deficiency disorders among some primitive Tribal
                                                                                population Orissa.
                  For more information contact :                        4.      Intervention Programme for Nutritional Anaemia and
                             Director                                           Hemoglobinopathies amongst primitive Tribal Population in India.
                 Central Health Education Bureau                                            For more information contact :
               Kotla Road, Temple Line, New Delhi.                                            Under Secretary (Research)
                          Tel. : 3239943                                                 Ministry of Health and Family Welfare
                                                                                          Nirman Bhawan, New Delhi-110011
                                                                                              Tel. : 3022200 / Extn. 2761
                               109                                                                        110
            ‘NATIONAL PROGRAMME FOR                                                            ORAL HEALTH CARE
            CONTROL AND TREATMENT OF
                                                                             l   Oral diseases such as dental caries, periodontal diseases, malocclusion
              OCCUPATIONAL DISEASES’
                                                                                 and Oral Cancers constitute an important public health Problems in
                                                                                 India today.
       A New national programme entitled ‘National Programme for
                                                                             l   Almost 85% of our children and 95 to 100% of our adult population
Control and Treatment of Occupational Diseases has been launched during
                                                                                 is suffering from periodontal diseases which is initially painless,
the IXth Five Year Plan. An outlay of Rs. 25.00 crores has been proposed
                                                                                 chronic, self destructive leading to gradual tooth loss.
for the programme during the entire plan period.
                                                                             l   35% of all body cancers are oral cancers. About 30-35% of children
      The Scheme was started in 1998-99. Under this Scheme following             suffer from maligned teeth and jaws affecting proper function.
projects have been under-taken by NIOH, Ahmedabad (ICMR)                     l   At present there are about 35,000 registered dentists serving the entire
S.NO.                    Name of the Project                                     population of 100 crore with majority of them living in the urban
                                                                                 areas.
1. Prevention control & treatment of silica Tuberculosis in Agate Industry
                                                                             l   A comprehensive Oral Health Care Project on a pilot basis was
   & Occupational Health Problems of Tobacco Harvesters and their
                                                                                 launched by the Directorate General of Health Services, Government
   prevention.
                                                                                 of India in July, 1995 for three years in one district each of five
2. Evaluation of Occupational Health Problems Evaluation and Control.            States, namely, Himachal Pradesh, Haryana, Punjab, Delhi and
3. Child Labour Occupational Health Problems, Evaluation and Control.            Rajasthan.
4. Capacity Building to promote Research Education & Training.               l   At present, there is no National Oral Health Programme under
5. Prevention & Control of Occupational Health hazards among salt                implementation. However, a pilot project on Oral Health was initiated
   workers in remote desert areas of Gujarat & Rajasthan.                        in 1999 and All India Institute of Medical Sciences, New Delhi has
                                                                                 been the nodal agency for developing a Project.
6. Health risk assessment and development of intervention programme
   in Cottage Industries with high risk silicosis.                           l   Five regional workshops were held at New Delhi, Mumbai,
                                                                                 Thiruvanathapuram, Guwahati and Chandigarh. The 6th workshop to
7. Hazardous process of Chemicals, Database generation, Documentation
                                                                                 formulate the recommendations for prevention of common dental
   and Information Dissemination.
                                                                                 diseases was held at New Delhi in March, 2000. Separately, a
                                                                                 nationwide survey on common dental problems is being undertaken
                    For more information contact :                               by the Dental Council of India.
                      Under Secretary (Research)
                 Ministry of Health and Family Welfare                                           For more information contact :
                  Nirman Bhawan, New Delhi-110011                                                    Under Secretary (MEPG)
                      Tel. : 3022200 / Extn. 2761                                             Ministry of Health and Family Welfare
                                                                                               Nirman Bhawan, New Delhi-110011
                                                                                                          Tel. : 3022200
                                  111                                                                           112
          SCHEMES AND PROGRAMMES                                                   institutions recognised by the Board can appear in the final
                                                                                   examination held in the months of January and July every year. For
            IN MEDICAL EDUCATION
                                                                                   application form and other details contact the executive director,
                                                                                   National Board of Examination, M.G. Marg, Ansari Nagar, New
     The Central Government lays down the policy on medical education              Delhi. Tele. No. 6560517, Fax : 6512886, Website : www.natboard.org
and has set up regulatory bodies like, Medical Council and Dental Council
                                                                              4.   Central Pool of MBBS and BDS seats : Every year some of the
of India for monitoring the standards of medical/dental education in India.
                                                                                   state govts. and Institutions contribute voluntarily few MBBS and
For this purpose the Councils have framed various 'Regulations' with the
                                                                                   BDS seats to the central pool maintained by the Ministry of Health
approval of the Central Government. Besides, the Health Ministry has
                                                                                   and Family Welfare. The seats in the central pool are in turn allocated
also a Scheme to assist the States/UTs without medical/dental colleges
                                                                                   by the M/o Health & FW before the commencement of each academic
and also certain other deserving categories by allotting them MBBS/BDS
                                                                                   year to the concerned authorities for allotment to the under mentioned
seats from the central pool.
                                                                                   categories of students.
1.   Establishment of Medical College Regulations, 1999 (Published
                                                                              5.   Opening of Higher Courses of Study and Increase of Admission
     in the Part III, Section 4 of the Gazette of India dated 28.8.1999)
                                                                                   Capacity in Medical Colleges Regulations, 2000 : The opening of
     : These 'Regulations' contain the procedure to be followed by any
                                                                                   New or Higher Courses of Study or Training (including Post-graduate
     eligible person desirous of opening a new medical college.
                                                                                   Course of Study of Training) and Increase of Admission Capacity
2.   Scheme on Continuing Medical Education : Under this Scheme                    in any course of Study or Training (including postgraduate course of
     services of Indian doctors residing in USA, U.K. and Canada are               study or Training) Regulations, 2000 has been published in the Part-
     utilised for 'Continuing Medical Education & patient care services in         III, Section 4 of the Gazette of India on 7th October, 2000 with the
     India. Medical Council of India is the nodal agency to coordinate             approval of this Ministry. These regulations contain the entire process
     this programme. Grant upto Rs. 1.00 lakh is provided to Medical               medical courses and increase of seats in undergraduate and
     Colleges/hospitals/Institutions for holding CME programmes with NRI           postgraduate course in medical colleges and institutions, upto issue
     participation. MCI also provides assistance upto Rs. 50,000/- for             of letter of permission by Government to applicant.
     holding CME programmes with Indian faculty participation.
                                                                                   Eligible Category                        Authority concerned
     For more information contact : The Secretary, medical Council of
                                                                              (1) Students belonging to                     Health Secretary,
     India, Aiwan-E-Galib Marg, Kotla Road, New Delhi. Tel. : 3232618,
                                                                                  States/Union Territories                  State/Union Territory
     3235178, 3236081 Fax : 011-3236604.
                                                                                  with no Medical/Dental                    Government concerned.
3.   Diplomate of National Board : MBBS doctors who have qualified                College.
     in the Preliminary Examination conducted by the National Board of
                                                                              (2) Wards of defence Personnel                Liaison Officer,
     Examination, an autonomous body under the M/o Health, and have
                                                                                                                            Kendriya Sainik Board,
     undergone three years of training in any one of the accredited
                                                                                                                            Ministry of Defence,
                                   113                                                                            114
                                            West block-IV, Wing No. 5,          The eligible candidates are required to contact the authorities
                                            R.K. Puram, New Delhi-66        concerned indicated above for consideration of their candidature and for
                                                                            more information on the scheme.
(3) Children of para-military               Ministry of Home Affairs,
    Personnel : (BSF/CRPF/IB etc.)          FR-I Section, North Block,      5.   Central Pool of MDS seats : There are four MDS seats in the central
                                            New Delhi-110001.                    pool contributed by the Govt. of Uttar Pradesh each year in King
                                                                                 George Medical College, Lucknow, one each in the specialities of
(4) Wards of Cabinet Sectt. Personnel:     Cabinet Secretariat,
                                                                                 Orthodontics, Oral Surgery, Operative Dentistry and prosthodontics.
    (R&AW/SSB/SFF/ARC)                     EA-II section,
                                                                                 The in-service BDS doctors working under the Govts. of the State/
                                           Bikaner House (Annexe),
                                                                                 UT of Arunachal Pradesh, Mizoram, Andaman & Nicobar Islands,
                                           Shahjahan Road,                       Dadra & N.H., Daman & Diu, Manipur, Meghalaya, Lakshadweep,
                                           New Delhi-110011.                     Sikkim, Nagaland, Jammu & Kashmir, Himachal pradesh and Tripura
(5) Children of Indian                     Ministry of External Affairs,         where MDS teaching facility is not available at present are eligible
    Staff Serving in Indian                Welfare Cell, Akbar Bhawan,           for nomination against these four MDS seats.
    Missions abroad                        Chanakyapuri, New Delhi-21
                                                                            6.   The M/o Health & F.W. provides for quality medical education in
(6) For meeting diplomatic/                 Ministry of External Affairs,        undergraduate and postgraduate courses and research in the field of
    bilateral commitments                   Students Cell,                       medicine through the central institutions of All India Institute of
                                            Akbar Bhawan,                        Medical Sciences, New Delhi, Post Graduate Institute of Medical
                                            Chanakyapuri, New Delhi-21           Education & Research, Chandigarh, JIPMER, Pondicherry, Lady
(7) Tibetan Refugees                        Ministry of Human Resource           Hardinge Medical College, New Delhi.
                                            Development, Department of      7.   Medical Education/training facilities for foreign students :
                                            Education, UT-2 Section,
                                            A-2/W-4, Curzon Road                 1. Foreign students can seek admission in under graduate medical/
                                            Barracks New Delhi-110001               dental courses in India against the MBBS/BDS seats allotted to
                                                                                    M/o External Affairs from the central pool for self financial
(8) National Bravery Award                  Indian Council for Child                foreign students as per bilateral agreements. For more details
    Winning Children                        Welfare, 4-Deen Dayal                   contact the Under, Secretary, Students Cell, M/o External Affairs,
                                            Upadhyay Marg,                          Akbar Bhavan, Chanakyapuri, New Delhi.
                                            New Delhi-110002
                                                                                 2. There are five post graduate medical seats in the Institute of
     In addition to the category of students mentioned above, few MBBS              Medical Sciences, Benares Hindu University, Varanasi, in one
seats are also allotted to Jammu & Kashmir on an adhoc basis due to the             calendar year reserved for foreign students from the countries of
disturbed conditions in the state for allotment to students who have been           Mauritius, Nepal and Maldives. The M/o Health and FW
affected by terrorism.                                                              nominates the foreign students for these seats on the
                                                                                    recommendation of the M/o External Affairs.
                                  115                                                                          116
3. The foreign students can also take admission in MBBS and BDS                       PREVENTION OF FOOD
   courses in the private recognised institutions in India against 15%
   of seats reserved for NRI/foreign students. After getting admission
                                                                                   ADULTERATION PROGRAMME
   in any of such institutions, the foreign students should obtain the
   'No Objection Certificate' of the M/o Health & family Welfare               Ministry of Health and Family Welfare is responsible for ensuring the
   for which they should apply through the Principal of the College.     quality and safety of food consumed in this country be it manufactured /
   The foreign students admitted in Govt. Colleges against seats         produced indigenously or imported. This is ensured through the statutory
   allotted to M/o External Affairs by the Ministry of Health & FW       provisions of the Prevention of Food Adulteration Act 1954 and the Rules
   are not required to obtain NOC.                                       made thereunder.
4. Foreign students coming to India for undergoing elective training
   in medical/dental institutions generally for a period of less than         The objective is to ensure pure and wholesome food to the consumers
   three months should approach the Head of the Institution in which     and also to prevent fraud or deception. The Act has been amended thrice,
   they wish to undergo the training. The Institution concerned will     in 1964, 1976 and in 1986 with the objective of plugging the loopholes and
   obtain the clearance of MCI/DCI and the M/o Health & Family           making the punishments more stringent and empowering Consumers and
   Welfare before permitting the foreign students to join the training   Voluntary Organisations to play a more effective role in its implementation.
   course.
                                                                                The subject of the Prevention of Food Adulteration is in the concurrent
               For more information contact :                            list of the Constitution. However, the enforcement of the Act is done mainly
                         Director (ME)                                   by the State/U.T. Governments. The Central Government primarily plays
             Ministry of Health & Family Welfare                         an advisory and co-ordinating role in its implementation, besides carrying
             Nirman Bhawan, New Delhi-110011                             out various statutory functions/ duties assigned to it under the various
                Tel. : 3019579 Fax: 3019579                              provisions of the Act. These include formulation of guidelines and standards
                                                                         for food products from the point of view of food safety, examination and
                                                                         approval of the labels of infant foods; ensuring quality of food imported
                                                                         into India, under the provision of the Act; coordinating with the State
                                                                         Govts. on important issues arising out of the administration of the PFA
                                                                         Act and liaising with National and International Organisations like Codex
                                                                         Alimentarius Commission, FAO , WHO etc. Ministry of Health and F.W.
                                                                         is the National focal point for all work relating to the Codex Alimentarius
                                                                         Commission.
                                                                              The work relating to PFA is looked after at the Central Level by the
                                                                         PFA Division in the Dte. GHS and the officer responsible for this
                                                                         programme is the Assistant Director General (PFA).
                              117                                                                             118
       In the States the work is managed through their respective State              Based on the recommendation of the CCFS, Govt. takes a view on
Food Health Authorities, generally the Director of Health Services of the      the proposal and issues the preliminary notification calling for comments
State. However in certain States / UTs, separate Departments have been         from the public indicating the intention to amend the existing provisions.
established for enforcement of the PFA Act under the control of                These comments from the public, are duly considered before the final
Commissioners / Controllers / Directors of the Food / Food and Drug            notification is published. A Press Note explaining the objective of the
Administration.                                                                amendment is also being published to create consumer awareness.
      The State Food Health Authorities are assisted by the local Health             Products imported into the country are required to comply with all
Authorities, Food Inspectors and Public Analysts. Samples of various           domestic rules and regulations. For this purpose, the Department assists the
articles of food are lifted by the Food Inspectors of the State Govt. for      Customs Authorities in testing any product, which, to the former, appears
getting them analysed in respect of their quality standards, as laid down      to violate the domestic regulations.
under the provisions of the PFA Rules, addition of any foreign matter or
injurious substances in the food product and ensuring compliance with the            The PFA Authorities in the States are also empowered to routinely
labelling provisions stipulated under the law.                                 test imported products available for sale in the domestic market. Unlike
                                                                               Drug products, currently no license under the PFA Act is necessary for
     The rule making power under the Prevention of Food Adulteration Act,      import of any food products.
1954 (PFA Act) Act is exercised by Central Govt. in consultation with the
Central Committee for Food Standards, (CCFS) a Statutory Advisory                    Every manufacturer, distributor or dealer of an article of food is
Committee under the PFA Act, which comprises representatives from all          required to obtain a licence from the Licensing Authority appointed by the
the State Govts., eminent experts representatives of consumer and industry     concerned State Government for the respective local area. Every licensee
associations, including the hotel industry, as well as representatives from    is required to follow and comply with the licensing conditions / regulations
all Ministries / Departments and agencies in Govt., who have a stake in the    laid down under the respective State Prevention of Food Adulteration Rules.
food sector.                                                                   The State Prevention of Food Adulteration Rules are framed by the State /
                                                                               UT Governments after Consultation with the Central Committee for Food
      A proposal for consideration of the CCFS is required to be sent to       Standards and with prior notification in the State Gazette.
ADG (PFA) in the Dte. GHS, along with adequate technical data justifying
the proposal. After assessing the adequacy of the data, in consultation with        Although standards of quality have been prescribed for a large number
some of the eminent institutions like NIN, CFTRI etc., the proposal is         of food articles under the Appendix B of the Prevention of Food
placed before the Sub Committee of the CCFS on the concerned subject.          Adulteration Rules, 1955, the provisions under the Prevention of Food
There are 9 Technical Sub-Committees of the CCFS set up for different          Adulteration Act/ Rules also permit manufacture / sale of various
subjects. If the proposal is recommended for acceptance, then it is placed     proprietory foods for which no statutory standards / specifications have been
before the CCFS.                                                               laid down under the Appendix-B of the PFA Rules. However the
                                                                               manufacturer / packers of such food articles have to ensure that the food
                                   119                                                                             120
item is free from any harmful and non-permitted ingredients and all                   Four Central Food Laboratories have been established under the Act,
necessary information about the product and the ingredients are provided        which work as appellate laboratories for the purpose of analysis of appeal
on the labels of the food packages, as per the rules laid down in this regard   samples of food lifted by the Food Inspectors of the States/U.Ts. and Local
under the Prevention of Food Adulteration Rules 1955.                           Bodies. The two laboratories viz. (i) Food Research and Standardization
                                                                                Laboratory, Ghaziabad and (ii) Central Food Laboratory, Calcutta are under
     One of the important initiatives currently underway is the issue of        the administrative control of the Directorate General of Health Services and
harmonising the standards under PFA Act and Rules with related standards        the other two viz. Central Food Laboratory, Pune and Central Food
under the various Orders under the Essential Commodity Act, the BIS and         Laboratory, Mysore are under the administrative control of the Government
Agmark specifications etc. This is important to avoid duplication of            of Maharashtra and Council of Scientific and Industrial Research, Govt.
standards for the same products and also because certification of a number      of India respectively.
of food products such as condensed milk products, infant milk food, fat
spread etc. are being done by agencies such as BIS and Agmark as per the             The Act has a provision that a vendor whose sample has been drawn
provisions of the PFA Rules.                                                    by a Food Inspector and found adulterated, can make a submission before
                                                                                the Court for getting his sample retested at the Central Food Laboratory.
      Effort is also being made to harmonise national standards with            The findings of the Central Food Laboratory shall supercede the report of
international standards laid down by the Codex Alimentarius Commission,         Public Analyst.
in terms of upgrading safety parameters and hygiene standards, updating
standards of food products to accommodate modern developments in food                               For more information contact :
technology and to provide more information to the consumers, with a view                                     Director (SK)
to helping them to make “informed” choices, keeping in view health and                           Ministry of Health and Family Welfare
quality concerns, as well as cultural and religious practises.                                    Nirman Bhawan, New Delhi-110011
                                                                                                             Tel. : 3019317
     Recent notifications which have been finally notified include;
mentioning details of “Best Before” date on packages of all food articles;
providing for printing a specific symbol on the packages of food containing
non–vegetarian ingredients etc.
                                    121                                                                             122
  CENTRAL DRUG STANDARD CONTROL                                             Pharmacopoeia which lays down the National standards for drugs
                                                                            and formulations.
       ORGANIZATION (CDSCO)
                                                                         l The CDSCO has a network of four Zonal Offices located at
                                                                           Mumbai, Ghaziabad, Calcutta and Chennai, three Sub-Zonal
l The Central Drugs Stand Control Organsiation (CDSCO) in the Dte
                                                                           Offices at Hyderabad, Lucknow and Patna and seven port offices
  G.H.S. along with Drug Control Transition in the State are
                                                                           responsible for ensuring quality of imports. The Zonal Officers
  responsible for safety, efficacy and quality of drugs, their import,
                                                                           inspect the Drug Manufacturing Units, Blood Banks and Approved
  manufacture, distribution, sale and standards. This is regulated
                                                                           drug testing laboratories, either jointly with State Drug Control
  under the Drugs & Cosmetics Act, 1940 and the Rules, 1945 made
                                                                           Authorities or independently, and deficiencies observed during
  thereunder.
                                                                           these inspections are invariably brought to the notice of State Drug
l Drugs Control can be broadly defined as controlling the standard         Control Authorities.
  of the drugs marketed in India on the basis of the regulatory norms
                                                                         l Import of Drugs is directly controlled by the Ministry of Health
  provided in the Drugs and Cosmetics (D&C) Act and Rules
                                                                           through the Drug Controller (I). To bring only efficacious drugs
  thereunder. Since 1988, all units manufacturing drugs and
                                                                           and to prevent unnecessary dumping of drugs of poor quality,
  formulation have to mandatorily comply with the requirements of
                                                                           Ministry is in the process of formulating a scheme for registration
  Good Manufacturing Practices, which are spelt out in the Drugs &
                                                                           of each drug to be imported into the country, which will also,
  Cosmetics *(D&C) Rules.
                                                                           interalia, spell out the requirement of residual shelf life of such
l The CDSCO is headed by the Drugs Controller (India) in the Dte.          products.
  GHS under the ministry of Health & F.W. while the Drug Control
                                                                         l At present licences in Form 10 are issued by the Drug Controller
  Organization in the States are generally headed by the State Drug
                                                                           of India and the port offices, for importing Schedule C and C(1)
  Controllers under the Director of Health Services.
                                                                           drugs i.e. biological and other special products. There is provision
l The main functions of the CSDCO include control of the quality           for renewal of such licences also.
  of drugs imported into the country, co-ordination of the activities
                                                                         l The provisions contained in the drugs & Cosmetics Act and Rules
  of the States/UTs drug Control authorities, approval of new drugs
                                                                           made thereunder also regulate collection, storage, testing and
  proposed to be imported or manufactured in the country, laying
                                                                           distribution of blood and its products. These provisions also ban
  down standards and regulatory measures and acting as the Central
                                                                           the collection of blood from professional donors.
  License Approving Authority (CLAA) in respect of whole human
  blood and its products, Large Volume Parenterals (IV Fluids), Sera     l While license for import of drugs are normally given only for
  and Vaccines Quality of cosmetics manufactured and marketed in           drugs approved by the Drug Controller for manufacture and sale in
  the country are also regulated under the D&C Act. The I.P.               the country, there is a provision for patients requiring medicine
  Committee       under the CDSCO brings out the Indian                    manufactured by the Pharmaceutical company in the world, but not
                                                                           available in India, to import such drugs by obtaining import
                                123                                                                       124
   approval from the Drugs Controller (India), Nirman Bhavan, New            (DTAB) constituted under the Drugs and Cosmetics Act, 1940 to
   Delhi-110011. The requirement for such import approval is just an         advise the Central Govt. and the State Govts. on technical matters
   application from the patient with a valid prescription from the           arising out of the administration of the Drugs and Cosmetics Act
   doctor treating the patient. No fee is required to be deposited for       and to carry out other functions assigned to it by this Act. The
   such an application and license for such import is normally issued        Board, comprising experts of various related disciplines and
   within a day of receipt of the application.                               representatives of the Pharmaceutical industry, is chaired by the
                                                                             Director General of Health Services, Govt. of India. There is also
l Similarly any new drug manufactured or marketed in India has to
                                                                             a Drugs Consultative Committee (DCC0, set up under the Drugs &
  be cleared by the Drug Controller (India). The approval for
                                                                             Cosmetics Act, 1940 to advise the central Government, State
  permission for clinical trial of new drugs in India is therefore
                                                                             Govts. and the DTAB on any matter, with a view to securing
  granted by the Drug Controller (India) under the Drugs and
                                                                             uniformity of guideline throughout India in the administration of
  Cosmetics Act and Rules made thereunder. The clearance process
                                                                             the Drugs & Cosmetics Act, 1940.
  involves acute and long term toxicity studies in different species
  of animals, special toxicity studies including re-productive studies,   l The initiation of Rule making is through both, States and central
  mutagenicity and carcionogenicity, clinical trail report etc. It also     Drug Control Authorities. The proposals including technical
  includes examination of the package insert, label claims,                 justification of the proposal is made through the DCC which
  promotional literature etc. and testing of the bulk drugs at the          consists of al State Drug Controllers with Drugs Controllers
  Central Drug Laboratory, Calcutta. Even after approval, licences          (India), as Chairman Recommendations made by DCC are
  for such drugs in the first four years continue to be given by the        deliberated and approved by DTAB. Any recommendation from
  Drug Controller (India) subject to submission of data on bio-             DTAB is considered by the Ministry of Health and, after due
  availability and bio-equivalance of the drugs manufactured. The           approval, is notified, calling for public comments. After the public
  procedure seeks to ensure the safety and efficacy of drugs                suggestions and objections are examined, the final notification is
  introduced in the country.                                                issued in the Gazette indicating date of implementation.
l In so far as regulating the quality of cosmetics is concerned, the      l Central Govt. through Drug Controller (India) is also responsible
  main control is on manufacture, not on sale. The raw materials,           for prohibiting manufacture, sale or distribution of nay Drug or
  colour and perfume, alcohol contents etc. are controlled under the        cosmetic, the use of which is likely to involve any risk to human
  D&C Rules through specific standards prescribed, in consonance            beings or animals or any drug that does not have the therapeutic
  with those formulated by the BIS. For purposes of monitoring the          value claimed or contains ingredients and in such quantity for
  quality, samples of cosmetics are randomly taken by the Drug              which there is no therapeutic justification. This is done by
  Control machinery in the State for testing.                               notification in the Official Gazette. Such prohibition is undertaken
                                                                            in consultation with the experts in the field.
l The rule making power under the D&C Act and Rules is vested
  only with the Central Govt. through the Ministry of Health &            l The Drug Control Organization in the States are primarily
  Family Welfare. There is a Drug Technical advisory Board                  responsible for monitoring and enforcing quality standards through
                                 125                                                                       126
   a system of licensing, inspection, sampling and testing. Licences           medical devices such as disposable perfusion sets, disposable
   are granted in different forms for manufacture and sale of                  syringes and disposable needles, for which standards are included
   biological and non-biological drugs and formulation, respectively.          in the D&C Rules.
   The State Drug Control Organizations also undertake, licensing of
                                                                            l There is specific provision in the D&C Rules, which allows a
   private drug testing laboratories, recall of substandard drugs etc.
                                                                              purchaser/consumer of a drug to test any drug he has purchased
l The Drug Control Organization in the States also exercise strict            and to launch prosecution, if felt necessary. Rule 26 of the D & C
  vigilance on the movement of spurious drugs and those of doubtful           Rules empowers a consumers to test his purchased drug from a
  quality through surveillance interaction with the public.                   Govt. testing lab after paying requisite fee (Schedule B) and if
                                                                              aggrieved he may prosecute the person (dealer/supplier of the drug)
l There are 4 Central Drug Laboratories (CDL) in the country at
                                                                              under Drugs and Cosmetics Rules (Rule 32).
  Calcutta, Mumbai, Ghaziabad & Chennai, in addition to the 21
  State labs. the CDL, Calcutta functions as the appellate laboratory.                         For more information contact :
  The CDLs also carry out tests of imported samples of specific                                         Director (SK)
  classes for drugs. The Government has also taken over the existing                        Ministry of Health and Family Welfare
  State Drug Testing Laboratory at Guwahati at Assam to develop it                           Nirman Bhawan, New Delhi-110011
  as a Regional Drug Testing Laboratory under the CDSCO. This                                           Tel. : 3019317
  laboratory will cater to the needs of all States in North-Eastern
  Region in matters relating to testing of drugs and related
  investigations. The CDSCO has also accredited about 150 private
  testing laboratories in the country to facilitate the testing of drugs.
                                  127                                                                       128
   VALLABHABHAI PATEL CHEST INSTITUTE                                        Deptt of Respiratory Allergy and Immunology and Deptt of
          UNIVERSITY OF DELHI                                                Radiodiagnosis and Imaging.
             DELHI - 1100007                                              REFERRAL PATIENT CARE SERVICES AT CLINICAL
Phone Nos.7257667, 7257102 FAX: 7257420 E Mail: vpci(a)delnet,rennic,in   RESEARCH CENTRE
                                                                          l Provides OPD) services from 9 AM to 1 PM (on all working days
                                                                            (registration between 8.30 AM to 10.30 AM)
BACKGROUND PROFILE
                                                                          l Registration, Consultation, Investigation, supply of medicines free
l An unique Post Graduate Research and Teaching Institute with its
                                                                            of charges.
  clinical research and patient care services devoted mainly to the
  study and treatment of chest diseases in India.                         l Free Indoor services through a 60 bedded well equipped ward with
                                                                            free food for patients.
l Established in 1946. Discovery of lung deflation receptors by Prof.
  A.S. Paintal in 1955-a historical landmark in understanding the         l Free Respiratory Emergency treatment services.
  functioning of lungs and its diseases.
                                                                          l Free Investigation including allergen tests, sleep lab tests, lung
POST GRADUATE RESEARCH, TEACHING/TRAINING                                   function tests, Bronchoscopy, Radiological tests and other
SERVICES                                                                    investigations at laboratories/deptts.
l Ph.D. programme (Medical Sciences) in Allergy & Immunology,             l Free Ambulance services.
  Bacteriology, respiratory Medicine.
                                                                          Recent Addition:
l Mycology. Pharmacology, Physiology and virology etc.
                                                                          l Whole Body CT Scanner installation on its final stages: likely to
l M.D. Courses in tuberculosis and respiratory diseases and                 be available by the end of year 2000.
  specialties.
                                                                                               For more details contact:
l DTDC (Diploma in Tuberculosis and Chest diseases)
                                                                          Dr. V.K. Vijayan                         Dr. Binod Kumar Singh
l Other PG Courses: M.Sc. in Medical Microbiology/Medical                 Director,                                Dy. Registrar
  Biochemistry, Diploma in Microbiology.                                  Phone Nos:7256180(Office)(Home)          Phone Nos.7257993 (Office
                                                                                                                   3988791 (Home)
DEPARTMENT/LABORATORIES
l Departments of Respiratory Medicine, Deptt. of Microbiology,
  Deptt of Biochemistry, Deptt of Medical Mycology. Deptt of
  Respiratory Virology, Deptt of Pathology, Deptt of Physiology,
  Deptt of Pharmacology, Deptt of Cardiorespiratory Physiology,
                                 129                                                                      130
             NATIONAL INSTITUTE OF                                           evaluation of various blood grouping reagents and products, anti-
                                                              3              human globlulin and Bovine serum albumin etc. and 4     quality
               BIOLOGICALS (NIB)
                                                                             assurance and evaluation of various vaccines from various
                                                                             indigenous and foreign manufacturers referred by drug Controller
l The National Institute of Biological (NIB) was set up as an                General (India).
  autonomous body under the Ministry of Health & Family Welfare,
                                                                          l The NIB ensures availability of quality diagnostic reagents,
  registered under the Societies Registration Act, 1860.
                                                                            therapeutical agents or biologicals and thus provides indirect
l It is envisaged to function as a National Control Laboratory to           support to various National Health Programmes specially the
  assure quality of Biologicals, such as vaccine, blood products, anti-     National Mission on Immunization and the National AIDS Control
  sera, anti-toxins, recombinant DNA products and immuno-                   Organization.
  diagnostic kits produced indigenously, to be used within the
                                                                                            For more information contact :
  country or for export as well as those imported into the country.
                                                                                                     Director (SK)
l NIB also imparts training to various categories of professionals in                    Ministry of Health and Family Welfare
  quality control of biologicals.                                                         Nirman Bhawan, New Delhi-110011
                                                                                                     Tel. : 3019317
l The NIB is located at Institutional Area Phase-II, NOIDA (UP).
  The designing of NIB has been done in consultation with National
  Institute of Health, USA. It, inter-alia, aims at serving as a data
  repository and source of information on quality assurance of
  biolgicals and establishing, producing, monitoring and distributing
  National Reference Standards.
                                 131                                                                     132
             NURSING PROGRAMME                                            3. STRENGTHENING OF EXISTING SCHOOLS/COLLEGES
                                                                             OF NURSING:
1. TRAINING OF NURSES:                                                      In order to improve the quality of training imparted in the existing
                                                                            Nursing Educational institutions, a sum of Rs.3 lakhs per
  Due to advancement of science and technology in Health Sector             institution assistance given towards AV Aids, library Books,
  there is a need to update the knowledge and skills of Nursing             Furniture, Laboratory equipment and Transport etc.
  Personnel to provide qualitative Nursing Care to the patients. A
  sum of Rs.100 lakhs has been allocated for the year 2000-2001.            A sum of Rs.200.00 lakhs has been provided for the year 2000-
  The same has been sanctioned to conduct 200 courses at various            2001. The same amount is kept at RE stage also. It is anticipated
  centes in the country and to train about 6000 in-service nurses. In       to strength about 66 nursing institutions in the country.
  one course 30 participants will be trained for a duration of 10 days.   4. DELHI NURSES COLONY:
  It is proposed to provide 10 days continuing education in the area
  of education technology for Nursing Teachers, Management                  To mitigate the acute housing problem faced by the nurses in the
  Technique for the Nursing Administrators and clinical                     capital, a proposal to construct about 413 dwelling units has been
  specialisation for the Staff Nurses. It is proposed to retain Rs.100      launched. Construction of Nurses Housing Complex has been
  lakhs in R.E. also.                                                       started by HSCC. In the 1st phase 236 units are under
                                                                            construction. The target date of completion of 1st phase is
2. SETTING UP OF NEW NURSING SCHOOLS                                        December, 2001. Another 177 units will be taken up in 2nd phase.
   TOWARDS PROVIDING RECURRING EXPENDITURE                                  A RCE meeting was held to consider the revised cost estimate. The
  In order to train additional Nurses to meet the shortage of Nurses        Revised Cost Estimate will be Rs.36.19 lakhs. The same has been
  in the country sanction was issued to open new Nursing Schools.           approved and the proposal is being sent to Ministry of Finance for
  It has been proposed to open 10 new nursing schools during the            approval. After the approval of Ministry of Finance sanction will
  year 2000-2001. As per the pattern of assistance approved by the          be issued to HSCC to take up 2nd phase. The target of completion
  PIC, State Government institutions and other Voluntary                    of 2nd phase will be August, 2003.
  Organizations are given financial assistance for opening the              A sum of Rs.1000.00 lakh has been allocated for the year 2000-
  schools. Financial assistance is given for the five years. From 6th       2001. Now the activity is going on as per schedule. Therefore a
  year onward institutions or State Govt. has to bear the expenditure.      sum of Rs.1000.00 lakh has been proposed under RE 2000-2001
  Proposals from Voluntary Organization may be routed through the           also.
  State Governments.                                                                      For more information contact :
  A sum of Rs.450.00 lakhs has been allocated for the year 2000-                                  Director (PMS)
  2001. The same amount of Rs.450.00 lakhs may be kept in RE                           Ministry of Health and Family Welfare
  stage in order to provide recurring expenditure for the Schools                       Nirman Bhawan, New Delhi-110011
  which have been sanctioned earlier.                                                             Tel. : 3017288.
                                133                                                                       134
        INTERNATIONAL COOPERATION                                            iii) Where the applicant has spent more than 20 years abroad.
                                                                             iv) Where the applicant has worked for more than 15 years in India
     The I-C-Section issues NOC and NORI Certificates to medical                 and is over 55 years of age.
     officers for pursuing higher studies abroad.                            v) Whether the candidate is engaged in basic science research in
1. No Objection Certificate (NOC)                                               medical science and related areas.
     NOCs are granted to private/individual doctors after doing MBBS,             In case he falls in nay of the above categories, he is required to
     MD to pursue their higher studies/residency training in super-               furnish the requisite documentary evidence indicating details of his
     specialisation field abroad particularly in USA. It is granted               education qualification with names of institutions/University and
     maximum up to 7 years for staying abroad on J-I Visa. For                    places of his stay during the last 20 years/Family details etc.
     obtaining NOC, the applicants are required to produce an offer               In case, he falls category No.5 above, he is required to furnish the
     letter from the Institute/College indicating the specialty and period        following documents to this Ministry:-
     of training. They are also required to produce a bound of
     Rs.50,000/- in the (enclosed format at Annexure I) as an assurance      i)   Detailed bio-data
     to return to India after completion of training abroad. The bond        ii) Details of basic research project in which he is currently involved.
     should be signed by the candidate himself and two sureties who are
                                                                             iii) List of publications with authors name.
     either Govt. servants or income tax payees in India. In case
     sureties are Income Tax payees, the necessary proofs from income        iv) Prints/Reprints of Publication.
     tax Dept are required. The witness should be made alongwith name
                                                                             v) Letter from the employer that he is not involved in patient care.
     and full address against for each signatory person i.e. doctor + both
     sureties in the bond format.                                            vi) Proof of continuity of his basic research through his Programme
                                                                                 Director.
2. No Obligation to Return to India (NORI) Certificate
                                                                                                  For more information contact :
     As per US Law, the doctors are required to obtain No Obligation
     to Return to India (NORI) Certificates to settle permanently abroad                                Shri Anil K. Jha,
     on H-1 visa to avoid family separation. NORI certificate are issued                              Deputy secretary (IC),
     by this Ministry to doctors after meeting any one criteria of the                        Ministry of Health and Family Welfare
     following:-                                                                               Nirman Bhawan, New Delhi-110011
                                                                                                        Phone No3014495
i)   Where the spouse of the applicant is a foreigner or Green Card
     holder.
ii) Where the applicant has received his/her entire education including
    medical education abroad.
                                   135                                                                          136
                                                          Annexure-I           Now the condition of the above written obligation is such that if
                                                                           in the event of the above bounden not returning to India after the
    BOND FOR INDIAN DOCTORS SEEKING NO                                     expiry or termination of the period of training in_________________
     OBJECTION CERTIFICATE FOR HIGHER                                      he/she shall forthwith refund to the Government on demand the said
              STUDIES ABROAD                                               sum of Rs.50,000/- (Rupees fifty thousand only) on account of his/her
                                                                           having been permitted to have his/her higher studies abroad as
    Know all men by these presents that I/We, Dr. __________               aforesaid together with the interest thereon from the date of demand
________________________(bounden) son/daughter/wife of_______              at Government rates for the time being in force on Government loans.
_____________________resident of __________________________                    And upon the above bounden Dr._____________________making
District_____________at present employee as _________________in            such refund the above written obligation shall be void and of no effect,
the ministry/Office of___________________________________
                                                                           otherwise it shall be and remain in full force and virtue.
and_______________________________ (surety No.1) son/daughter/
wife of________________________resident of___________________                  It is hereby mutually agreed and declared that the liability of the
District___________________________________ at present employed            sureties shall not be discharged or be affected by an extension of time
as_________________in the Ministry/Office of____________________           indulgence given by the Government to the bounden.
and______________________________ (surety No.2) son/daughter/                 The Government of India have agreed to bear the stamp duty
wife of________________________resident of___________________              payable on this Bond.
District____________________ at present employed as____________
                                                                                  In witness whereof, these presents have been signed by a duty
in the Ministry/Office of__________________________________do
                                                                           authorised officer on behalf of the President and by the other persons/
hereby bind ourselves and our respective executors and administrators
                                                                           party thereto.
to pay to the President of India (hereinafter called “The Government”)
on demand the sum of Rs.50,000/- (Rupees fifty thousand only) on                           Signed and delivered by____________________________
account of ‘No Objection Certificate’ issued by the Government of                          the above named     Dr._____________________________
India vide No.L.20019/ / /             .F, dated the______________for
higher studies abroad in respect of Dr.__________________________                          in the presence of_________________________________
(name of the person and name of course and discipline and institution                      Signed and delivered by____________________________
and the country of study) for the period from________to_________                           the Surety No.1 above named ______________________
together with interest thereon from the date of demand at Government
rates for the time being in force on Government loans or if payment                        in the presence of_________________________________
is made in a country other than India, the equivalent of the said                          Signed and delivered by_________________________
amount in the currency of that country converted at the official rate of                   the Surety No.2 above named __________________
exchange between that country and India.
                                                                                           in the presence of ______________________________
   On this____________________day of____________Two thousand
and_______________whereas the above bounden Dr._____________is             For and on behalf of the President of India_______________________
permitted for higher studies abroad.
                                 137                                                                         138
                                NATIONAL FAMILY WELFARE
                                      PROGRAMME
                    The turning point
                            With the adoption of the National Population Policy, 2000,
                    population and development have begun to once again occupy centre-
                    stage in the nation’s agenda for social development . A series of bold
                    initiatives by the Government in recent months have catapulted population
                    related issues to high priority.
                         Following announcement of the country’s population policy in
                    February , 2000 , the National Commission on Population was constituted
                    followed by the first meeting of National Population Commission under
                    the chairmanship of the Prime Minister on July 22, 2000, in which State
                    Chief Ministers, Health Ministers, Experts, dignitaries and well known
   DEPARTMENT       personages took part.
                         This meeting decided to have a National Population Stabilisation
OF FAMILY WELFARE   Fund with a seed money of Rs.100 crore from the Central Government,
                    with support from the corporate Sector, NGOs etc. and an Empowered
                    Action Group, attached to the Ministry of Health & Family Welfare, to
                    give focussed attention to the five States of Uttar Pradesh, Madhya
                    Pradesh, Rajasthan, Bihar and Orissa.
                          The Empowered Action Group will be charged with the responsibility
                    of preparing area-specific programmes, with special emphasis on States
                    that have been lagging behind in containing population growth to
                    manageable limits and will account for nearly half the country’s population
                    in the next two decades.
                          The Group will also concentrate on involving voluntary associations,
                    community organisations and Panchayati Raj Institutions in this national
                    effort. It will explore the possibility of expanding the scope of ‘Social
                    Marketing’ of contraceptives in a manner that makes them easily accessible
                    even while raising awareness levels.
       139                                             141
      The National Population Stabilisation Fund, which will provide a           Indicator                       1951           1971      1981       1991          1999
window for canalising monies from national voluntary sources , is being          1. Birth rate                    40.8           36.9      33.9       29.5          26.1
set up to specifically aid projects designed to contribute to population
                                                                                 2.   Death Rate                  25.1           14.9     12.5         9.8           8.7
stabilisation. Corporate sector, trade organisations, and individuals have
                                                                                 3.   Infant Mortality Rate      148.0             129     110          80           70
been appealed to generously contribute to this fund.
                                                                                 4.   Child (0-4)                  NA            51.9     41.2        26.5 23.9(1996)
     After a series of consultation conferences with Medical professionals,           Mortality rate
Associations, NGOs, Corporate Sector and Media people, a concrete Action
                                                                                 5.   Total Fertility Rate         6.0             5.2      4.5        3.6     3.3(1997)
Plan to implement many of the programmes suggested in the National
                                                                                 6.   Expectation of Life
Population Policy has already been prepared by the Department of Family               at Birth
Welfare for the year August, 2000 to August, 2001.                                    (M)                         37.1           46.4     54.1        60.6       62.36
                                                                                      (F)                         36.2           44.7     54.7        61.7       63.39
       With the country’s population crossing 100 crore mark in May 2000,                                                    (1961-71)            (1991-96) (1996-2001)
the urgency to stabilize our population is self evident . Recent media
                                                                                Maternal Mortality Ratio (per 1000 live births) : 4.37 (1992-93)(NFHS-I)
efforts to highlight the population issues over and above other issues mirror
                                                                                                                                  4.08 (1997) (SRS)
this urgency.                                                                                                                     4.07 (1998) (SRS)
Preamble                                                                              India’s population numbered 238 million in1901, doubled in 60 years
                                                                                to 439 million in 1961, doubled again, this time in only 30 years to reach
      The Family Welfare Programme was officially launched in India in
                                                                                846 million by 1991. India’s population has crossed 100 crores on 11th
1952 with the objective of reducing the birth rate to the extent necessary      May, 2000. Population is increasing currently by about 16 million each
to stabilise the population at a level consistent with the requirement of       year in the country.
the national economy. In keeping with the democratic tradition of the
                                                                                Performance:
country, the family welfare programme seeks to promote responsible and
Planned Parenthood through voluntary and informed choice of family                   The performance of Family Planning Methods during the last four
planning methods best suited to individual acceptors. As a result, birth        years is given hereunder:-                     (Figures in Millions)
rate, death rate and infant mortality rate have declined over the periods.       Year                        Sterilisation         IUD        Condom         Oral Pills
The achievements of the Family Welfare Programme has been quite                                                                                Users         Users
significant as may be seen from the indicators given below:                      1995-96                         4.42              6.86        17.30             5.00
                                                                                 1996-97                         3.87              5.68        17.21             5.25
                                                                                 1997-98*                        4.24              6.17        16.80             6.39
                                                                                 1998-99*                        4.18              6.07        17.31             6.87
                                                                                 1999-2000                       4.44              6.08        18.70             6.87
                                                                                 2000-2001                       1.15              2.14        11.50             5.77
                                                                                 (up to August)
                                                                                 * Figures Provisional
                                    142                                                                                      143
     Of the 171 million eligible couples in the country as on 31.3.2000,      (e)   The Programme aims at improving the outreach of services primarily
29.1% have been protected due to sterilisation and 15% on account of                for the vulnerable groups of population who have till now been
spacing methods, as per the program data.                                           effectively left out of the planning process including involvement
                                                                                    of NGOs and Voluntary Organisations.
REPRODUCTIVE AND CHILD HEALTH PROGRAMME:
                                                                              MATERNAL HEALTH
      On the recommendations of the International Conference on
Population and development held in1994 at Cairo (Egypt), the Government              As per the estimates of Registrar General of India in 1976 , for
of India launched the Reproductive and Child Health (RCH) Programme           every 100,000 live births , 407 mothers die every year due to pregnancy
on 15.10.1997 for implementation during 9th Plan period by integrating        related causes(this is known as Maternal mortality rate ) . This implies
and strengthening all the existing interventions under the Child Survival     that more than one lakh women in India die every year due to causes
and Safe Motherhood (CSSM) interventions of fertility regulation and          related to pregnancy and child birth . The major causes of these deaths
adding the component of Reproductive Tract Infection (RTI) and Sexually       have been identified as anaemia, haemorrhage (both ante and post partum),
Transmitted Infections (STI). The concept of RCH Programme is to              toxemia (hypertension during pregnancy), obstructed labour, puerperal
provide need based, client centres, demand driven, high quality and           sepsis (infections after delivery) and unsafe abortions.
integrated RCH services to the beneficiaries. The programme is being
                                                                                    The new initiatives taken in respect of Maternal Health issues are :
implemented in a differential approach basis and in a phased manner.
All the districts of the country have been covered under the programme        Contractual appointment of staff
during 1999-2000.
                                                                              Additional ANM
The main highlight of the RCH Programme are:
                                                                                    Essential Obstetric Care includes those items of obstetric care, which
(a)   The Programme integrates all interventions of fertility regulation,     any pregnant woman requires during normal pregnancy. Many of these
      maternal and child health with reproductive health of both men          inputs are provided by ANM. In Category ‘C’ districts where the status
      and women.                                                              of RCH is poor and the infrastructure, roads and electricity is also generally
                                                                              weak, the task of the ANMs is more difficult. Therefore, in all C category
(b)   The services to be provided will be client centered, demand driven,
                                                                              districts of eight states (UP, Bihar, Orissa, MP, Haryana, Assam, Nagaland
      high quality and based.
                                                                              and Rajasthan), in 30% of sub-centers, which qualify to be categorized as
(c)   The programme envisages upgradation of the level of facilities for      remote sub-centers, one additional ANM, on contractual appointment, is
      providing various interventions and quality of care. The First          provided under the RCH programme. The input is also available for
      Referral Units (FRUs) being set up at sub-district level will provide   appointment of 140 ANMs in Delhi for extending their services in slum
      comprehensive emergency obstetric and newborn care. Similarly           areas. The scheme has been expanded to all North Eastern States with
      RCH facilities in PHCs will be substantially upgraded.                  effect from 1999-2000.
(d)   It is proposed to improve facilities for obstetric care, MTP and
      IUD insertion in the PHCs. Also for IUD insertion in Sub-Centres.
                                  144                                                                              145
PHN/Staff Nurses                                                              of many families. Because of this, even if there is a complication
                                                                              identified during pregnancy or delivery, the women have the delivery
      On the same rationale, the PHCs/CHCs with adequate infrastructure       conducted in the village and frequently by untrained dais.
for conducting deliveries will be able to engage PHN/Staff Nurse on
contract basis during the project period or till the State Government is      Safe Motherhood Consultant
able to make a regular arrangement.                                                 To supplement the regular arrangement, provision have been made
Hiring of Private Anesthetist:                                                for engaging doctors trained in MTP as SM Consultant who will visit to
                                                                              the PHC (including CHCs in NE States) once a week or at least once in
     Emergency Obstetric Care is an important intervention for preventing     a fortnight on a fixed day for performing MPT and other Maternal Health
maternal mortality and morbidity. One of the deficiencies identified for      care services. These doctors will be paid @Rs.500/- per day visit. For
providing emergency obstetric care at FRU is non-availability of              this purpose Rs.0.98 crores have been released to 19 States/UTs.
Anesthetist for surgical interventions. To tide over the immediate needs,
                                                                              Dai Training
the States have been permitted to engage the Anesthetist from the private
sector on a payment of Rs.1,000 per case and this facility is available at          Reduction in Maternal Mortality and Morbidity is one of the main
sub-district and CHC level but only for emergency obstetric care.             goals of National Population Policy, 2000. Unsafe deliveries conducted
24 hours delivery services at PHCs/CHCs                                       at home by relatives and dais are an important cause of maternal mortality
                                                                              and morbidity and most of these dais are illiterate, poor and do not have
      Institutional deliveries have beneficial impact on maternal mortality   adequate skills in conducting safe deliveries or in identifying high risk
and morbidity as also on the health and well being of the new born. One       among pregnant women during the ante-natal period. It was, therefore,
of the reasons de- motivating people from seeking deliveries in the health    decided that district with safe deliveries less than 30% will be included
institution is non-availability of medical/para-medical/cleanliness staffs    in the scheme for rendering training to said. A scheme to this effect has
especially beyond normal working hours. Therefore, the RCH programme          already been formulated and funds released to the States.
has made provision to provide honorarium to the PHC/CHC doctors, nurses
                                                                              The RCH Out Reach Services
and cleaners @ of Rs.200, 100 and 50 respectively, per delivery, conducted
by him/her between 8 PM to 7 PM provided they are not on night shift                The RCH house hold surveys conducted in 252 districts have shown
duty. The program will attempt to set up 24 hours delivery services in        that only 53.5 percent of all children are fully immunised with a range of
CHCs/PHCs in as many districts as becomes feasible. The project will be       16.8 percent in Bihar to 89.5 percent in Tamil Nadu. The situation in the
monitored on the basis of implementation report for individual districts.     eight large northern and eastern States has been a cause of concern with
                                                                              the coverage for fully immunised children in most of these States being
Referral Transport to indigent families through panchayats:
                                                                              below the national average. Coverage levels for other services also
      One of the causes of high maternal mortality and morbidity in the       followed similar pattern.
weakly performing eight states, particularly in ‘C’ Category districts of
                                                                                   For improving the Maternal and Child Health coverage in these
these States is weak communication infrastructure and low economic status
                                                                              States, it has been decided to strengthen outreach services by providing
                                   146                                                                           147
inputs to increase coverage and improve quality of Immunisation, child         Bihar, Gujarat, Madhya Pradesh, Orissa, Rajasthan, Uttar Pradesh and
health interventions and maternal health services by addressing gaps in        West Bengal. Four national rounds have been completed. The effort
service delivery and improving outreach and creating demand through            during these rounds is to reach every child even if he/she is living in
IEC and social mobilisation both in urban and rural areas within the           remote/inaccessible areas. Panchayats, NGOs and community are being
districts. In the current financial year the scheme will be implemented in     fully involved in this effort. The reported coverage during these
50 districts in the States of Assam, Bihar, Gujarat, Madhya Pradesh, Orissa,   rounds has been above 100%. The additional rounds are on 27.2.2000
Rajasthan, Uttar Pradesh and West Bengal, which will be extended to            and 26.3.2000.
150 district during the next financial year.
                                                                               Immunization
CHILD HEALTH                                                                         The Universal Immunisation Programme(UIP) aimed at reduction in
     Improvement in Child Health and Survival are important aspects of         mortality and morbidity among infants, younger children and pregnant
the Family Welfare programme. Low birth weight, diarrhoeal diseases            mothers was started in 1985-86. Under this programme, Vaccines are
acute respiratory infections, vaccine preventable diseases and inadequate      administered to Infants and Pregnant women for prevention of Vaccine
maternal and newborn care have been identified as major causes of high         preventable diseases among infants and reduction in Neo-natal tetanus
infant and child mortality rates in the country.                               and other diseases among pregnant women. The impact of the programme
                                                                               is reflected in significant drop in the infant mortality rate from 129 in
      Under the RCH programme, interventions like antenatal care,              1976 to 71 in 1998 per 1000 live births. Child mortality (0-4) rate has
improving safe deliveries, essential new born care, immunisation against       declined from 26.5 in 1991 to 23.9 in 1996.
six vaccine preventable diseases, control of deaths diarrhoea and acute
respiratory infections are being implemented.       As a result of these               The immunisation coverage (% of targets) is given below:
interventions deaths due to vaccine preventable diseases have come down         Year             DPT (%)   OPV (%)         BCG (%) Measles (%) TT(PW) (%)
significantly. In 1985, 247519 deaths had been reported due to measles.
These have now come down to 38950 in 1998, which is a reduction of              1997-98           92.9       93.7           99.5      85.6        82.4
more than 84%. Similarly with the implementation of Oral Rehydration            1998-99           92.8       94.3           97.0      87.3        82.9
Programme for presenting deaths due to diarrhoea, the number of deaths          1999-2000         93.6       94.1           99.5      87.8        80.2
have come down from an estimated 10-15 lakhs in 1985 to about 6-7
                                                                                2000-2001         85.6       85.8           94.2      81.5        78.4
lakhs in 1996-97.                                                               (up to August)
                                   148                                                                               149
cases to just over 7000 in 1999. The polio virus transmission is interrupted   This resulted in increase in detection of confirmed polio cases to 2276
from Europe (including Russia), Western Hemisphere, Western Pacific            during 1997, 4315 during 1998 and 2817 during 1999. The NPSP within
region (including China) and most of the Middle East and large part of         1 1/2 years of its existence was able to achieve the WHO bench marks. It
Southern & Northern Africa. As a result, poliovirus transmission is now        is now able to detect and take, follow up action on almost every polio
limited to few foci in 10 countries located in South Asia and Central/         case reported in the country. The success of India’s Polio Surveillance
Western Africa.                                                                measures, in a record time, has drawn the acclaim of WHO and all
                                                                               multilateral and bilateral partners
Situation in India:
                                                                                    In order to reach the global goal of reaching zero incidence of polio
     In India, vaccination against polio was initiated in 1978 under
                                                                               by 2000 AD, a strategy to intensify PPI was adopted in 1999-2000, after
Expanded Programme on Immunization (EPI) and the coverage achieved
                                                                               consulting national and international experts. The strategy consisted of
by 1984 was around 40% of all infants with 3 doses of Oral Polio Vaccine
                                                                               four nation-wide PPI rounds in the months of October, November,
(OPV). In 1985 the Universal Immunization Programme (UIP) was
                                                                               December 2000 and January 2001; followed by two sub-national rounds
launched and implemented in phased manner to cover all districts in the
                                                                               in 8 States of Assam, Bihar, Gujarat, Madhya Pradesh, Orissa, Rajasthan,
country by 1989-90. During 1986 the UIP was accorded the status of a
                                                                               Uttar Pradesh and West Bengal and routine immunization, especially in
Technology Mission under the banner of the Technology Mission on
                                                                               the poor performing States.
Immunization. This resulted in significant increase in coverage to over
95% during 1990-91 and is being sustained over 90% since then. The             SUPPLY AND SOCIAL MARKETING
number of reported cases of polio declined from 28757 during 1987 to
                                                                                     The items procured in the Department of Family Welfare can be
3265 in 1995.
                                                                               classified into two groups (i) for which the entire procurement process is
     At this stage, in pursuance to the World Health Assembly Resolution       being undertaken in the Supply Division in the Department of Family
of 1988, in addition to administration of routine OPV through the Universal    Welfare and (ii) for which the procurement consultant (HSCC) is
Immunization Program, the Pulse Polio Immunization (PPI) Programme             employed. For the items procured in the Department of Family Welfare
was launched in 1995-96 to cover all children below the age of 3 years.        the funds are provided in the budgetary allocation and the Department
In order to accelerate the pace of polio eradication, the target age group     has to follow the norms laid down by the Government of India, while in
was increased from 1996-97 to all children under the age of 5 years.           the later category the funds are provided by under the RCH Project (earlier
This resulted in further decline in number of polio cases to 1005 reported     it was provided under the CSSM Project except for the year 1998-99).
during 1996.
                                                                               PROCUREMENT UNDER RCH:
     Although, there had been steep decline in reported number of polio
                                                                               These can be categorised into following groups:
cases, however, it was estimated that only around 10% of cases were
actually being reported. In order to ensure full reporting, the National       i)   Vaccines:
Polio Surveillance Project (NPSP) was launched in October 1997 with            a)   Tetanus Toxide (TT)
financial support from DANIDA and technical collaboration with WHO.            b)   Diphtheria Tetanus(DT)
                                   150                                                                            151
c)    Diphtheria Pertusis Toxide(DPT)                                        guidelines manual on social marketing based on recommendations of
d)    Oral Polio (OPV)                                                       Working Group is under preparation.
e)    Measles                                                                Recanalisation Services (Centres of Excellence)
f)    B.C.G.
                                                                                   This scheme was initiated in 1987 as an UNFPA and AVSC assisted
ii)   Contraceptives                                                         project with Government of India contribution. Under the scheme training
a)    Condoms                                                                is conducted in Standards for Male and Female Sterilisation and in Micro-
b)    Copper-T (Cu.T)                                                        surgical Recanalisation. A total of 16 Centres of Excellence were set up
                                                                             in Medical Colleges in different parts of the country.
c)    Tubal Rings
d)    Non-Scalpal Vasectomy(NSV)                                             Supply of Laparoscopes and Tubal Rings:
e)    Oral Contraceptive Pills(OCP)                                               In order to ensure quality of Laparoscopes and Tubal Rings, this
                                                                             Ministry under the Laparoscopic Sterilisation Programme of Government
     The work on the procurement starting right from tendering stage is
                                                                             of India procures and supplies these items to the States/UTs. On an
undertaken by the Supply Division of the Department of Family Welfare.
                                                                             average 2.50-3.00 million pairs of Tubal Rings are required annually at
The stages involved are issuing tenders, finalising rate contracts, and
                                                                             an estimated cost of Rs. 600.00 lakhs.
placing orders for quantities required during the year and monitoring the
supply.                                                                           Similarly, Laparoscopes are provided to States/UTs @ 1.5
Social Marketing:                                                            Laparoscopes per trained team for the Laparoscopic Sterlisation
                                                                             Programme. These are also provided to the State Government for
     In view of the inherent weaknesses of the free distribution of          replacement of Laparsocopes which are unserviceable due to normal wear
contraceptives, the National Family Welfare Programme initiated the Social   and tear.
Marketing Programme of condoms in 1968 and that of Oral pills in 1987.
                                                                             Testing facility at IIT, New Delhi:
Under the Social Marketing Programme, both condoms and oral pills are
made available to the beneficiaries at highly subsidised rates, through           In order to ensure that quality equipments are utilised in the
diverse outlets.                                                             programme, a National Centre for testing of IUD and Tubal Rings was
                                                                             set up at the Bio-medical Engineering Wing at IIT, New Delhi in 1986-
     Recognizing that social marketing in India has potential for
                                                                             87 with financial assistance of UNFPA. With effect from April 1992
improvement and growth and is at a stage where some changes would be
                                                                             onwards the centre is being funded entirely by Government of India.
in order, to help strengthen the programme, during 1999-2000, the
Department of Family Welfare has constituted a Working Group on Social       PROCUREMENT OF DRUGS AND
Marketing comprising of NGOs, donors and technical agencies. The             EQUIPMENT UNDER RCH PROGRAMME
working group gave recommendations on six areas-supplies, IEC, costing,
                                                                                  Procurement and supply of Drugs and Equipment is a part of RCH
expanding the market, procedures and increasing contraceptive choice. A
                                                                             programme. A number of Drugs and Equipment are to be procured and
                                  152                                                                          153
supplied to all the Districts in States/UTs. The procurement of drugs and     contribution of the Government of India will be in kind such as providing
equipment is being undertaken as per the guidelines of the World Bank.        centres for training and making available the necessary infrastructure at
As per the agreement with the World Bank, a National Procurement              the training sites.
Support Agency (NPSA) is required to be installed to look after the
                                                                                   The training sessions are for 3-4 days held at district hospitals. At
procurement of drugs, pharmaceuticals, medical equipments, goods and
                                                                              each training session 2-4 surgeons or medical officers involved in Family
consultancy services. The States were also asked for establishing their
                                                                              Welfare services are given training. To ensure proper quality in training
own State Procurement Agencies (SPA). For the first year of RCH the
                                                                              each trainee is required to assist in 5 NSV operations and conduct 5 NSV
World Bank has allowed to use the services of M/s Rail India Technical
                                                                              operations independently before he or she is qualified as certified NSV
and Economic Services Ltd (RITES), Government of India Undertaking
                                                                              provider. This ensures that each trainee picks up the right technique.
as the procurement agency for this Department for procuring and arranging
supplies of the drugs to all destinations. The RITES had met the                   Each training session is preceded by IEC publicity on Radio, TV
requirement as per agreement and M/s. Hospital Services Consultancy           and news print media to attract large number of NSV acceptors.
Corporation (India) Ltd. (HSCC) was engaged for procurement of goods
                                                                                   The training sessions are organised on the request of the States.
and services presently for year-2 of RCH programme. For year 3, HSCC
                                                                              Funds for each training session is released to the State through Regional
will procure Kit ‘A’ and Kit ‘B’. The other items would be procured by
                                                                              Director of HFW.
HLL for year 3.
                                                                              INVOLVEMENT OF NGOs IN THE FAMILY WELFARE
NON SCALPAL VASECTOMY                                                         PROGRAMME:
      Non-Scalpal Vasectomy is one of the most effective contraceptive
                                                                                    The NGO Division of the Department of Family Welfare is looking
methods available for males. It is more effective than the oral pill or the
                                                                              after the Mother NGO proposals (received from all over the country) and
injectable contraceptive. It is an improvement on the conventional
                                                                              the innovative projects undertaken by the National NGOs. Apart from
vasectomy with practically no side effects or complications. This new
                                                                              these proposals on Gender Issue Projects are also being processed which
method is now being offered to men who have completed their families,
                                                                              are funded by UNFPA. Presently there are 67 MNGOs all over the country
as a special project, on a voluntary basis under the Family Welfare
                                                                              spread over 311 districts of 22 States/ UTs. It has been planned to cover
Programme.
                                                                              450 districts out of 568 (total) by the end of 2000-2001. Under the RCH
       The Non-Scalpal Vasectomy project is being implemented in the          scheme, out of 57 MNGOs, 24 of them had completed more than a year
country to help men adopt male sterilisation and thus promote male            and their performances have been evaluated by other National NGOs.
participation in the Family Welfare programme. Under the project, 1500        The GIA Committee Meeting was held on 29/08/00 considered them for
medical personnel all over the country are to be trained in the technique     further grants.
of No-Scalpel Vasectomy. Ensuring the availability of this new technique
                                                                                   Under the SGI Projects which is implemented in collaboration with
up to the peripheral level will help increase the acceptance of male
                                                                              UNFPA, 11 proposals were screened and approved by the Committee
sterilisation in the country. The project is being funded by the UNFPA.
                                                                              and a workshop was held in December 1999 to orient the implementing
The total contribution by UNFPA for the project is Rs. 9.15 crores. The
                                   154                                                                           155
and monitoring NGOs. Now that the funds have been released for this         category districts (socio-economically backward districts) as well as the
projects, implementing NGOs have been asked to initiate their programme     weaker States.
since January 2000. Other proposals received so far on Gender Issues
                                                                                  As part of the new strategy to utilise the services of eminent film-
are being processed and put up in the sub-committee for screening.
                                                                            makers, the Ministry assigned Shri Amol Palekar, Shri Shyam Benegal
      An amount of Rs.8.75 crores has been released by Government of        and Ms. Kalpana Lazmi for feature films on Reproductive Health issues.
India to the Mother NGOs in several States out of which Rs.5.92 crores      A documentary feature ‘Kal Ka Admi’ also directed by Shri Amol Palekar,
have been reported so far for the year 1999-2000. Under the innovative      feature films, ‘Daman’ by Ms. Kalpana Lazmi, and ‘Bitiya’ by Shri Ashok
projects, Government of India has released Rs.76.00 lakhs for the six       Chakradhar, are under production.
projects out of which Rs.26.21 lakhs have been reported so far. Provision
                                                                                  A professional agency has been assigned the job of conducting
for projected schemes for 2000-2001 :
                                                                            interactive panel discussions on crucial RCH issues. Telecasting of this
            MNGO Scheme               :    Rs.18.00 Crores                  programme will start soon.
            Innovative Projects       :    Rs. 5.00 Crores                       A folk-music based radio programme, ‘Lok Jhankar’, produced
            Gender Issues Project     :    Rs. 8.00 Crores                  through a professional agency, is broadcast twice a week from 22 Stations
                                                                            of Vividh Bharati to enlighten audiences in the Hindi speaking areas on
            Total                     :    Rs.31.00 Crores                  RCH and Family Welfare issues.
l Guidelines for sanction/conditions regulating assistance and Format for       Hoardings are being installed through a professional agency at
proposals placed at Annexure-II.                                            prominent places in six big cities of Northern India with messages on
INFORMATION, EDUCATION AND COMMUNICATION                                    RCH and Family Welfare issues.
      The Information, Education and Communication (IEC) component               To make local-specific IEC activities more effective, Zila Saksharta
of the National Family Welfare Programme is basically for generating        Samities (District Literacy Committee, in-charge of the literacy campaign
demand for the range of Family Welfare and Reproductive Health care         programme) are being involved in chalking out local-specific IEC
services available for healthy living.                                      campaign on vital RCH issues for every district. In this way, Family
                                                                            Welfare is being integrated with education at the district level and below.
New Initiative and Thrusts
                                                                                 Social Mobilisation for the Intensified Pulse Polio Immunisation
    During the year, IEC activities were organised on priority basis in     (IPPI) Programme.
weak districts. Greater emphasis was laid on a more judicious media-
mix based on local specific media forms and need based inter-personal             During the year 1999-2000 a total of six rounds of the IPPI
communication schemes. More stress was given on grass-root level            programme are being organised - four nation-wide rounds, once a month
communication for the audience segments unreached by conventional mass      from October 1999 to January 2000, and two more sub-national rounds
media channels. The IEC strategy is now being focused on the ‘C’            in eight States: Gujarat, Rajasthan, Madhya Pradesh, Bihar, Uttar Pradesh,
                                                                            Orissa, Assam and West Bengal. It is a recognised fact that success in
                                    156                                                                        157
awareness generation with a focused IEC campaign is the key to the           are funded by the Department of Family Welfare, out of a total number
success of Intensified Pulse Polio Immunisation programme.                   of 137271 Centres functioning in the Country at the end of June, 2000
                                                                             for which a budget provision of Rs. 56500 lakh have been provided during
Production of Audio-Visual Materials
                                                                             2000-2001.
     A number of audio-visual programmes were produced during the
                                                                             Rural Family Welfare Centres
year through professional agencies. These programmes were in Hindi
and in other regional languages. Video spots were telecast on the national         There are 5435 RFWCs functioning in the country at present. It is
network (Doordarshan).                                                       manned by one Assistant Surgeon supported by 11 paramedical and other
                                                                             staff. Rs. 35000 lakh have been provided under the Scheme during 1999-
      World Population Day: Like every year, the World Population Day
                                                                             2000.
was observed on 11th July by arranging Population Race at 33 centres all
over the country. In addition, number of functions and activities were       Minor Civil Works
organised by various governmental and non-governmental organisations
                                                                                   An amount of Rs. 10 lakh per district has been released to all the
all over the country.
                                                                             States for minor repair and maintenance of buildings especially for
     Exhibition in India International Trade Fair: The Department of         Operation Theatres, Labour Rooms and for improvements in Water and
Family Welfare participated in the India International Trade Fair, New       electric supply. An amount of Rs. 49 Crores has been released to the
Delhi, and arranged a display at the Family Welfare Pavilion.                states and UT Admn. in last two years.
RCH-IEC Activities through Zila Saksharta Samitis:                           Major Civil Works
      The Department of Family Welfare in co-ordination with the                   An amount of Rs. 10 lakh /CHC/District Hospital is being released
Department of Education, Ministry of Human Resource Development, has         to all States to Improve facilities for essential and emergency obstractics
operationalised the initiative to have district level IEC, relating to RCH   services. An amount of Rs. 34 Crores has been released during last two
and Population Control through Zila Saksharta Samitis(ZSS). The Literacy     years. Till September, 2000, Rs.27.7 crore has been released. This is so
programme has substantially succeeded in mobilising masses and this          far funded from our own budget.
strategy of integrating Family Welfare with Literacy Programme is
                                                                             Basic Training of Female Health Workers(MLPW/ANMs)
expected to be effective.
                                                                                   It is a 100% centrally sponsored scheme under Family Welfare
RURAL FAMILY WELFARE INFRASTRUCTURE:
                                                                             programme. There are 478 ANM/MPW(F) Training Centres functioning
Sub-Centres                                                                  in the country with an annual admission capacity of 16455 candidates.
      It is the most peripheral contact point between the Primary Health     Female Health Assistant(LHV)
Care System and the Community. It has mainly promotive and educative              There are 42 LHV Promotional Training Centres with an admission
functions and provides basic drugs for minor ailments. 97757 Sub-Centres     capacity of 2596 are functioning in the country.
                                  158                                                                           159
     Rs. 4200 lakh have been provided for these two schemes during the     URBAN FAMILY WELFARE INFRASTRUCTURE:
year 2000-2001.
                                                                           Post Partum Programme:
Multi-purpose worker(Male) Training
                                                                                 At present Post Partum Programme is being implemented in 550
      The scheme of basis training for MPW(Male) was initiated during      District level and 1012 Sub District level institutions in the country. It
the 7th Plan period because of the shortage of MPW(Male) at Sub-Centres    functions at referral centre for Peripheral Institutions. It ensures effective
level. At present there are 30 HFWTCs and 28 New Basic MP’ W(M)            obstetric services leading to decline in infant and maternal mortality and
Schools, providing training to MPWs(M). A provision of Rs. 900 lakh        better acceptance of family planning methods. The Post Partum
has been for the schemes during 2000-2001.                                 Programme both at district and Sub-district level are underplan scheme
Health and Family Welfare Training Centres                                 and 100% centrally funded. This assistance is provided to States for
                                                                           implementation of the Programme i.e. for funding expenditure like salary
     These provides in service training to Health personnel in the rural   of staff, maintenance of Post Partum Ward and Operation Theatre, POL
health sector and are set-up with 100% Central Assistance. In addition     etc.
they also provide in service training under various vaertical National
programmes, Reproductive and Child Health Programmes and to                Strengthening of Post Partum Centre under WHO/UNFPA
MPWs(M). A provision of Rs.1100 lakh has been for the Scheme during        assisted Project by supply of Ambulance/Equipments:
2000-2001.                                                                       To strengthen maternity based services to the beneficiaries in Tribal
Family Welfare Training & Research Centre, Mumbai                          districts, Government of India has supplie 25 Ambulances to the selected
                                                                           institutions in the State of Andhra Pradesh, Bihar, Gujarat, Madhya
      FWTR&C, Mumbai is a Central Training Institute, responsible for      Pradesh, Orissa and Rajasthan and 20 ambulances in North-Eastern States.
in service training in the key Health areas, for different categories of   In addition 150 institutions have been supplied equipments viz. Hydraulic
health personnel all over the country. Rs. 100 lakh have been provided     operation table, Vertical sterilizer, shadowless lamp and Obst. Labour table
for the Institute during 2000-2001(B.E).                                   under WHO/UNFPA assisted projects. All the four medical colleges in
Village Health Guide Schemes                                               North Eastern States have been supplied Ultra sound machines.
     The Scheme was started in 1977 as the 100% Centrally sponsored        Urban Revamping Scheme and Urban Family Welfare Centre:
Scheme with the basic objective of providing Primary Health Care at the         The Urban Family Welfare Centre and Health Posts provide
doorsteps of the people. At present about 3.23 lakh VHGs are reported      comprehensive RCH Services with focus on outreach services. The referral
to be working under the schemes and they are being paid an honorarium      support for these centres are provided by the nearest hospital/post partum
of Rs. 50 per month. The scheme has recently reviewed by an Expert         centres. These centres are envisaged to functioning close coordination
Committee and is pending a final decision. Rs. 500 Lakh has been           with ICDS (Anganwadis) and Urban Basic Centres in their respective
provided in the Scheme during the year 2000-2001.                          areas.
                                 160                                                                            161
Sterilisation Bed Scheme:                                                      various topics of Population Stabilisation, Demographic and Socio-
                                                                               Demographic Surveys and Communication aspects of Population and
     A Scheme for reservation of sterilisation beds in hospitals run by
                                                                               Family Welfare Programme. 17 area specific studies relating to RCH
Government, Lok Bodies and Voluntary Organisation was introduced in
                                                                               programme have been completed by 11 PRCs during 1999. In all, 110
1964 in order to provide immediate facilities for tubectomy operations in
                                                                               studies have been completed during 1999-2000.
hospitals where such cases could not be admitted due to lack of availability
of beds etc. At present beds are being sanctioned to hospitals run by          SURVEYS:
Local Bodies and Voluntary Organisation. These oranisations are provided
                                                                               Rapid Household (District level) Surveys
grant-in-aid as per approved pattern of assistance. The Department of
Family Welfare has been increasing the involvement of NGOs over the                  In order to make critical assessment of the health services provided
years and currently about 6000 NGOs are being assisted for various             by the State Governments under RCH programme, important survey called
programmes.                                                                    Rapid Household Survey(RHS) is being conducted since 1998 in 50%
                                                                               districts of each State/UT. The first phase of the RHS was conducted
Community Needs Assessment Approach (CNAA)
                                                                               within a very short time from October, 98 to December,98 in 50% districts
       The Family Welfare Programme is now being implemented on the            of each of the 32 States/UTs. Second phase of RHS covering the
basis of Community Needs Assessment Approach(CNAA) with effect from            remaining 50% districts have also been completed in 1999.
April 1996. Under this approach, the practice of fixing targets from above
                                                                               Facility Survey
was given up. Now, all the States and Union Territories in the beginning
of the year will prepare the District/State level Family Welfare & Health            To assess availability and utilisation of facility in various health
care plans by assessing the service needs of the community for planning        institutions all over the country, district-wise facility survey was conducted
qualitative services. This ensures community’s involvement in the              during 1998-99. Although it was proposed to start these surveys from
programme. All the States/Union Territories are to send monthly                July 1998, all agencies except SERC, New Delhi started survey in one
performance reports from district level to State and National level through    State or the other in December,1998. Facility survey reports from about
NICNET network. During 1999-2000, State Annual Action Plans and                340 districts/sub-divisions/blocks have been received so far.
District Annual Action Plans have been received from 21 States and 329
                                                                               National Family Health Survey-II (NFHS-II)
Districts respectively. The monthly performance statistics reports are being
received in respect of about 330 districts and it is further improving.             Keeping in view the vast utility of the valuable data for population
                                                                               management collected in the first round of the survey ( NFHS-I
Population Research Centres:
                                                                               1992-93), decision has been taken to conduct the second round of NFHS
     The Union Ministry of Health and Family Welfare have established          from November, 1998 with the financial assistance of the USAID. IIPS,
a network of 18 Population Research Centres (PRCs) in various                  Mumbai is the nodal agency for NFHS-II. In this second round, 26
Universities (12), other Institutions (6) of national repute, scattered over   States and about 10 lakh million ever-married women in the age group of
17 major States of India on the basis of facilities and other infrastructure   15-49 will be covered. The main objective of the survey is to give
available. These Centres are responsible for carrying out research on          information on evaluation and acceptance of family welfare measure
                                   162                                                                              163
alongwith demographic indicators needed for policy formulation.              United Nations Population Fund (UNFPA):
In addition to States and all India, estimates of various parameters will
                                                                                  In the Country Programme-V for 5 years beginning January, 1997,
be prepared at Regional level alongwith separate estimates for Mumbai,
                                                                             an assistance for US $ 100 million is proposed by UNFPA including $
Calcutta, Chennai and Delhi. All India report on NFHS-II has been
                                                                             20 million in ‘multi-bi assistance’. Details of projects to be taken up
released.
                                                                             during CP-V cycle, have been finalised in consultation with different
                                                                             Ministries/Departments, State Governments and UNFPA. As there was
EXTERNALLY AIDED PROJECTS:
                                                                             delay in starting the projects in 1997, the period of the project has been
Area Projects:                                                               extended by one year that is upto 2002 at no extra cost basis. The major
                                                                             programmes include Integrated Population Development Projects in
      Area Development Projects are being implemented with the financial     Madhya Pradesh, Rajasthan, Maharashtra, Orissa, Gujarat and Kerala,
assistance from World Bank and other donor agencies for strengthening        strengthening of logistics, enhancing mobility of the health staff by
health and family welfare infrastructure in the States and morbidity and     providing ambulances and interest free loans to ANMs assistance to NGOs
birth rate and to increase the couple protection rate. These projects also   for gender issues and supply of raw materials for oral pills.
have components for upgrading the skills of concerned manpower through
                                                                             IFPS Project:
training and for better programme management with the aim of reducing
Maternal and Child Mortality. Currently, 7 Area Projects are being                 Apart from these, there is a large project in Uttar Pradesh, which is
implemented in 15 states and NCT of Delhi at a total cost of Rs.1127.36      assisted by USAID. It has an outlay of US$ 225 million, over a 10 year
crores, with financial assistance from World Bank, United Nations Fund       period 1992-2002. It aims at reducing Total Fertility Rate from 5.4 to
for Population Activities (UNFPA), Department For International              4.0 and increasing Couple Protection Rate from 35% to 50% over the
Development (U.K), Danish International Development Assistance and           project period. So far an amount of US$ 35.7 million has been released
German Government.                                                           to the project implementation agency. Mid-term Appraisal of the project
                                                                             was conducted in the middle of 1997 by USAID. The appraisal shows
Funding Pattern:                                                             that though the project started two years late and initially the pace of
                                                                             implementation was slow, the pace of implementation has picked up now
      The total cost of the project is shared between the Government of
                                                                             and the broad directions are correct.
India and the State Governments in the ratio of 90:10. The funds are
provided to the State Governments as grant-in-aid under the centrally-       NATIONAL POPULATION POLICY
sponsored Family Welfare Programme. Reimbursement is claimed from
                                                                                   A new National Population Policy has been approved by the Cabinet
the external donor agencies on the basis of expenditure reported by the
                                                                             in its meeting held on 15th February, 2000. The Policy aims at the
State Governments. The assistance in the case of UNFPA, DANIDA and
                                                                             following objectives:-
DFID (U.K) is in the form of grant amounting to 100%, 85% and 75%
respectively of the total project cost, while the assistance in respect of   Short term:
World Bank projects is in the form of interest-free loan.                         The immediate objective of the National Population Policy is to
                                                                             address the unmet needs of contraception, health infrastructure, health
                                  164                                                                           165
personnel and to provide integrated service delivery for basic reproductive    (ix) Achieve 100 percent registration of births, deaths, marriage and
and child health care.                                                              pregnancy.
Medium term:                                                                   (x)   Contain the spread of Acquired Immunodeficiency Syndrome, and
                                                                                     promote greater integration between the management of reproductive
     The medium term objective is to bring the total fertility rates to
                                                                                     tract infections (RTI), and sexually transmitted infections(STI) and
replacement level by 2010, through vigorous implementation of inter-
                                                                                     the National AIDS Control Organisation.
sectoral operational strategies.
                                                                               (xi) Prevent and control communicable diseases.
Long term:
                                                                               (xii) Integrate Indian System of Medicine (ISM) in the provision of
      The long-term objective is to achieve a stable population by 2045,             reproductive and child health services, and in reaching out to house
at a level consistent with the requirements of sustainable economic growth,          holds.
social development and environmental protection.
                                                                               (xiii) Promote vigorously the small family norm to achieve replacement
      The policy states the following National Socio-Demographic Goals                levels of TFR.
to be achieved by 2010:-
                                                                               (xiv) Bring about convergence in implementation of related social sector
(i)    Address the unmet needs for basic reproductive and child health               programms so that family welfare becomes a people centred
       services, supplies and infrastructure.                                        programme.
(ii)   Make school education up to age 14 free and compulsory, and reduce
                                                                                   For achieving these goals the following strategies have been
       drop outs at primary and secondary levels to below 20 percent for
                                                                               formulated:
       both boys and girls.
                                                                               1)    Panchayats and Zila Parishads will be rewarded and honoured for
(iii) Reduce infant mortality rate to below 30 per 1000.
                                                                                     exemplary performance in universalising the small family norm,
(iv) Reduce maternal mortality ratio to below 100 per 100,000 live births.           achieving reductions in infant mortality and birth rates, and
(v)    Achieve universal immunisation of children against all vaccine                promoting literacy with completion of primary schooling.
       preventable diseases.                                                   2)    The Balika Samridhi Yojana run by the Department of Women and
(vi) Promote delayed marriage for girls , not earlier than age 18 and                Child Development, to promote survival and care of the girl child,
     preferably after 20 years of age.                                               will continue. A cash incentive of Rs.500 is awarded at the birth of
                                                                                     the girl child of birth order 1 or 2.
(vii) Achieve 80 percent institutional deliveries and 100 percent deliveries
      by trained persons.                                                      3)    Maternity Benefit Scheme run by the Department of Rural
                                                                                     Development will continue. A cash incentive of Rs.500 is awarded
(viii) Achieve universal access to information / counselling, and services
                                                                                     to mothers who have their first child after 19 years of age, for birth
       for fertility regulation and contraception with a wide basket of
                                                                                     of the first or second child only. Disbursement of the cash award
       choices.
                                   166                                                                             167
     will in future be linked to compliance with antenatal check up,            12) Increased vocational training schemes for girls, leading to self-
     institutional delivery by trained birth attendant, registration of birth       employment will be encouraged.
     and BCG immunisation.
                                                                                13) Strict enforcement of Child Marriage Restraint Act, 1976.
4)   A Family Welfare-linked Health Insurance Plan will be established.
                                                                                14) Strict enforcement of the Pre-Natal Diagnostic Techniques Act,
     Couples below the poverty line, who undergo sterilisation with not
                                                                                    1994.
     more than two living children, would become eligible (along with
     children) for health insurance (for hospitalisation) not exceeding         15) Soft loans to ensure mobility of the ANMs will be increased.
     Rs.5000, and a personal accident insurance cover for the spouse
                                                                                16) The 42nd Constitutional Amendment has frozen the number of
     undergoing sterilisation.
                                                                                    representatives in the Lok Sabha (on the basis of population) at
5)   Couples below the poverty line, who marry after the legal age of               1971 Census levels. The freeze is currently valid until 2001, and
     marriage, register the marriage, have their first child after the mother       has served as an incentive for State Governments to fearlessly pursue
     reaches the age of 21, accept the small family norm, and adopt a               the agenda for population stabilisation. The freeze needs to be
     terminal method after birth of the second child, will be rewarded.             extended until 2026.
11) Local entrepreneurs at village levels will be provided soft loans and
    encouraged to run ambulance services to supplement the existing
    arrangements for referral transportation.
                                   168                                                                            169
Non-Governmental Organisations (NGOs)                                                Government or to come to Delhi. Therefore, assistance to such small
                                                                                     NGOs will be organised through Mother NGOs each for 5-10 districts.
       The work through the NGOs is not by way of alternative to work
through a Government system, it is actually complementary in nature.           Mother NGOs
Both sectors have their own strong points which cannot be ignored and
therefore, both the Government Sector and the NGOs should be used in           iii   Mother NGOs with substantial resources and proved competence will
complementary manner for optimum effect. The NGOs have the advantage                 be approved. They will be given grants by the Department directly
of flexibility in procedures, rapport with local population and credibility.         once in a year at the beginning of the year. In subsequent years the
They are therefore, better placed to try innovations which the Government            annual grant will be given after taking into consideration the
system is not in a position to even attempt. The Department of Family                performance report for the previous year and utilisation certificate
welfare has been increasing the involvement of NGOs over the years and               for the grants given earlier.
currently about 600 NGOs are being assisted for various Programmes.            iv    The Mother NGO will have one nominee of the State Government
The main thrust of the NGO Programme in the 9th Plan will be to involve              and one of the Government of India on its Executive Committee.
NGOs essentially in innovative programmes and not to use them for                    They will screen the credentials of the applicant small NGO, obtain
implementing routine Government Programmes. Also the NGO Programme                   proposal from it, consider it for sanction, release money to it, monitor
will be so directed as to not burden the Department of Family Welfare                its work and obtain utilisation certificate from the small NGO. The
with all the NGO cases of the country which obviously the Department                 nominee of the State/Central Governments must be present while
cannot deal with efficiently.                                                        sanctioning the Projects otherwise such sanctions may not be valid.
Inputs                                                                         v.    The Mother NGO will also provide training to the staff of the small
                                                                                     NGOs for both management of the NGO and for management of the
      In view of the above mentioned policy thrusts, the following NGO
                                                                                     Programmes.
Programmes would be implemented in the 9th Plan.
Small NGOs                                                                     vi    The Mother NGO will furnish Annual Report and its audited accounts
                                                                                     to the Department every year mentioning the work done by each
i.   At the village, Panchayat and Block levels, small NGOs will be                  NGO during the year and the result of periodic verification done by
     involved basically for advocacy of RCH and Family Welfare Practices             the Mother NGO in the field of the work of small NGOs while
     and for counselling to explain the facts and consequences of using              claiming grant for the next year.
     or not using RCH/Family Welfare Practices. However, the individual
                                                                               vii   In order to facilitate easy working, it has been decided that there
     NGOs at this level will be allowed to propose innovative programmes
                                                                                     will be no insistence on any share being contributed for
     also and these will be considered for sanction if they are found
                                                                                     implementation of the Programme by the small NGO or the Mother
     practicable by Mother NGO.
                                                                                     NGO. Also the annual grant to all NGOs will be released in one
ii   These small NGOs have small resources and they should not in                    annual installment because the system of two installments in the
     fairness be asked to send their proposals all the way upto Central              year has been found to be impracticable.
                                   170                                                                              171
viii While sanction to small NGO by the Mother NGO will be for the                 equipped vans offering RCH and spacing methods services including
     needs of the Programme, the sanction to the Mother NGO by the                 IUD insertions. These clinics will operate in identified areas and
     Department of Family Welfare will be to the extent of financing               visit villages on fixed days of the week or fortnight. The cost of
     done by the Mother NGO to the small NGO plus 20% of such                      vans, drugs, a lady medical officer and a paramedical worker will
     financing by way of institutional overheads of the Mother NGO and             be funded under the programme. Initially these clinics will be
     for providing support services to the small NGOs.                             operationalised at 10 places in the country and extended later based
                                                                                   on the experience gained from the projects.
ix   No mother NGO would be expected to sanction a project to itself
     for implementation. This applies to any branch or affiliated office of   xiii. A large number of hospitals and clinics have come up and are coming
     the Mother NGO as well. However, in few cases, if some branch of               up in urban areas which unfortunately are so far not setting adequately
     the National or Mother NGO submit the project for implementation,              involved in offering facility for contraceptive/terminal methods and
     the same would be got verified from other National/Mother NGO                  for counselling both in regard to RCH and population control
     and the project will be sanctioned if all necessary conditions are             measures. The desirability of involving the hospitals/clinics in non-
     fulfilled by that branch independently for being a suitable NGO.               government sector in these activities is obvious. It is proposed to
                                                                                    motivate such hospitals/clinics for setting up the above mentioned
x.   Annual funds required by a Mother NGOs will be released on
                                                                                    units by offering them a token one time start-up assistance of not
     quarterly/six-monthly basis and will be based on their performance.
                                                                                    more than Rs. 2 lakh after which they will be expected to maintain
National NGOs                                                                       these services in any case for not less than 5 years.
xi   A limited number of national level NGOs will be assisted by the          xiv. A small number (6 to 8) of national level NGOs/Institutions will be
     Department on project basis for innovative Programmes. Again, the             selected to make verification of credentials of Mother NGOs. Apart
     attempt will be to not involve the NGOs in repeating the Government           from the verification of Mother NGOs, National level NGOs may
     Programmes. In addition to above mentioned general categories or              also be assigned the work of the assessing the performance of some
     NGO Programmes, the Department proposes to involve NGOs for                   of the Mother NGOs on a regular basis.
     some specific areas wherever involvement is expected to yield good
                                                                              Procedure for sanction/conditions regulating assistance
     results. For example, for introducing Baby-friendly practices in
     hospitals it is proposed to give projects for individual hospitals in    i    The following conditions will apply to small NGOs and Mother
     cities to individual NGOs. Similarly for helping in enforcement of            NGOs:
     Pre-natal Diagnostic Technique Act by detecting offending sex
                                                                                   NGO should have the character of a registered society or trust or
     determination clinics and collecting evidences for making specific
                                                                                   non-profit making company.
     complaints against them to the designated authorities in the States,
     it is proposed to involve a number of NGOs in different parts of the          NGO should have been in existence preferably for at least 3 year
     country.                                                                      but this can be considered for being waived in areas which are weak
                                                                                   in NGO coverage.
xii. A limited number of NGOs may be assisted for mobile clinics having
                                   172                                                                            173
      NGO must have office premises either its own or rented. There should             application the sanction to the Mother NGO is likely to take three
      be at least minimum necessary furniture and office equipment.                    months after the application is received in the Department.
      NGO should have at least one full time or part-time specialist relating    v.    A limited number of national level NGOs will be assisted by the
      to field of activity and at least one full time/part-time person for             Department on project basis for innovative programmes. Again, the
      administration/financial management. The Government Body of NGO                  attempt will be to not involve the NGOs in repeating the Government
      must have at least 35% members with background in the field of                   programmes.
      activity.
                                                                                       The conditions specified for small and Mother NGOs will apply to
      National and Mother NGOs must have at least Rs. 1 lakh in fixed/                 the national level NGOs also. Although many of the national level
      cash assets to ensure that it is an organisation of substance. For field         NGOs have established credentials but the NGOs which have not
      level small NGOs this would be to the extent of Rs. 25,000/-.                    earlier worked for the Department may be subjected to verification
                                                                                       through an identified national level NGO before a project is
      Before the first project is assigned to the NGO its credentials and
                                                                                       sanctioned to it.
      assets must be verified by an independent agency to establish its
      bona fides.                                                                      All such sanctions to national level NGOs will be on project basis
                                                                                       which will be generally for 3-4 years. Each project will be for a
      An NGO blacklisted by any Ministry/Department of GOI would not
                                                                                       well defined area with stated objectives to be attained at the end of
      be sanctioned a project by the Department for next 5 years.
                                                                                       the project. While the sanction under the individual projects will
      The NGO should have already existing premises/office in the state                vary depending on the nature of the project but generally an upper
      where it wishes to work.                                                         limit of Rs. 50 lakh for a 3 year project will be observed.
ii.   It will be the responsibility of the Mother NGOs to verify fulfilment      vi.   All NGO cases at the central level will be considered for sanction
      of these conditions and to keep a record of the verification made for            by a committee headed by the Secretary, Department of Family
      being made available to the Department of Family on demand.                      Welfare and will include in addition to the Programme Joint Secretary
                                                                                       and Financial Advisor of the Department, two NGO representatives,
iii. In the case of Mother NGOs, the Department of Family Welfare
                                                                                       there RCH specialists and representative of the Planning Commission.
     will have their antecedents and credentials verified through a national
                                                                                       The Committee will meet atleast every quarter and will consider
     level NGO before according it the status of Mother NGO and before
                                                                                       cases which have been received up to that stage.
     sanctioning any project to it.
                                                                                 vii. The effectiveness of the NGO projects in the area of counselling
iv.   For this purpose, the Department of Family Welfare will enter into
                                                                                      and advocacy will be assessed on the basis of the improvement in
      an arrangement with one or more national level NGOs like SOSVA
                                                                                      increased CPR, sterilisations and other project related goals. Similarly,
      or Voluntary Health Association of India or Family Planning
                                                                                      while evaluating the performance of National level NGOs and Mother
      Association of India etc., by agreeing to pay to those national level
                                                                                      NGOs, their effectiveness will be judged on the same criterion.
      NGOs for every verification report. Therefore, at the time of first
                                    174                                                                               175
viii. All ongoing NGO projects will continue as per the conditions of
                                                                                 By all Meth.
                                                                                 CPR(in %)
                                                                                  31.3.2000
                                                                                   (Prov.)
45.9
37.6
                                                                                                                                                                                                                                                                                                                                  27.0
                                                                                                                                                                        49.4
39.6
38.0
                                                                                                                                                                                                                                                                                                                       14.0
                                                                                                                                                              52.8
                                                                                                                 46.2
                                                                                                                                  52.8
                                                                                                                                            15.2
                                                                                                                                                     21.2
56.3
49.3
                                                                                                                                                                                                                                              65.5
                                                                                                                                                                                                                                                       36.1
                                                                                                                                                                                                                                                                   50.4
                                                                                                                                                                                                                                                                                                32.2
                                                                                                          (12)
      sanction in each case and will be valid till the date of completion of
      such projects.
                                                                                 at effective
                                                                                 Mean age
                                                                                  (females)
                                                                                  Marriage
FORMAT FOR PROPOSALS TO BE SUBMITTED
1997
                                                                                                                                                                                                                                                                                                                                  NA
                                                                                                                                                                                                      19.1
                                                                                                                                                                                                                                     19.8
                                                                                                                                                                        19.3
                                                                                                                                                                                                                                                                                19.6
                                                                                                                                                                                             22.0
                                                                                                                                                                                                                                                                                                                       NA
                                                                                                                                                              20.3
                                                                                                                 19.5
                                                                                                                                  17.8
                                                                                                                                            20.5
                                                                                                                                                     18.9
19.3
19.2
                                                                                                                                                                                                                                              20.9
                                                                                                                                                                                                                                                       19.1
                                                                                                                                                                                                                                                                   20.6
                                                                                                                                                                                                                                                                                                19.2
                                                                                                          (11)
BY THE NGOs UNDER RCH SCHEME
Part-I
                                                                                 T.F.R.
                                                                                 1997
(10)
3.4
4.0
3.0
                                                                                                                                                                                                                                                                                                                                  1.6
                                                                                                                                                                                                                                                                                4.8
                                                                                                                                                              3.0
                                                                                                                 3.3
                                                                                                                                  2.5
                                                                                                                                            3.2
                                                                                                                                                     4.4
                                                                                                                                                                                  2.5
                                                                                                                                                                                             1.8
2.7
                                                                                                                                                                                                                                              2.7
                                                                                                                                                                                                                                                       4.2
                                                                                                                                                                                                                                                                   2.0
2.6
                                                                                                                                                                                                                                                                                                                       2.8
1.   Full name of the NGO, its headquarters and postal address.
                                                                                 Mortality
                                                                                  (Infant
                                                                                  I.M.R.
                                                                                  1999*
                                                                                  Rate)
68
91
97
                                                                                                                                                                                                                                                                                                                                  31
                                                                                                                                                                                                                                                                                84
                                                                                                                                                              63
                                                                                                                 70
                                                                                                                                  66
                                                                                                                                            76
                                                                                                                                                     66
58
48
                                                                                                                                                                                                                                                       81
                                                                                                                                                                                             14
53
52
52
                                                                                                                                                                                                                                                                                                                       43
                                                                                                          (9)
2.   Year from which the NGO is functioning (annex copy of the
     registration certificate)
                                                                                 Increase
                                                                                  Natural
19.1
20.1
13.5
                                                                                                                                                                                                                                                                                                                                  14.6
                                                                                                                                                                                                                                                                                21.6
                                                                                                                                                              17.5
                                                                                                                 17.4
                                                                                                                                  13.5
                                                                                                                                            17.3
                                                                                                                                                     21.3
14.6
13.6
                                                                                                                                                                                                                                                       22.7
                                                                                                                                                                                             11.6
14.1
11.3
13.6
                                                                                                                                                                                                                                                                                                                       16.3
                                                                                  (CBR-
                                                                                   1999*
                                                                                   CDR)
                                                                                                          (8)
3.   Name of the President, Vice-President and Secretary of the NGO
     and the date from which they are holding their respective position.
                                                                                 (Crude
                                                                                 C.D.R.
Death
1999*
7.7
                                                                                                                                                                                                                                                                                                                                  4.8
                                                                                                                                                                                                      10.6
10.6
                                                                                                                                                                                                                                                                                10.5
                                                                                                                                                              7.9
                                                                                                                 8.7
                                                                                                                                  8.2
                                                                                                                                            9.7
                                                                                                                                                     9.1
7.7
7.5
                                                                                                                                                                                                                                              7.4
                                                                                                                                                                                                                                                       8.4
                                                                                                                                                                                                                                                                   8.0
7.1
                                                                                                                                                                                                                                                                                                                       6.0
                                                                                                                                                                                             6.4
                                                                                  Rate
                                                                                                          (7)
4.   Total number of members of the NGO and the year of last election
     in which the present office bearers were elected.
                                                                                 (Crude
                                                                                 C.B.R.
                                                                                  1999*
                                                                                  Rate)
                                                                                                                                                                                                                                                                                32.1
                                                                                                                                                                                                      30.7
                                                                                                                                                                                                                                     24.1
                                                                                                                                                                        26.8
                                                                                                                                                                                                                                                                                                                                  19.4
                                                                                                                 26.1
                                                                                                                                  21.7
                                                                                                                                            27.0
                                                                                                                                                     30.4
                                                                                                                                                              25.4
22.3
21.1
                                                                                                                                                                                                                                              21.5
                                                                                                                                                                                                                                                       31.1
                                                                                                                                                                                                                                                                   19.3
20.7
                                                                                                                                                                                                                                                                                                                       22.3
                                                                                                                                                                                             18.0
                                                                                  Birth
                                                                                                          (6)
5.   Number of full time and part time employees of the NGO (annex
     list of employees, their qualification and their present monthly salary).
Sex Ratio
                                                                                 per 1000
                                                                                 (females
1036
                                                                                                                                                                                                                                                                                879
                                                                                                                                                                        865
931
971
                                                                                                                                                                                                                                                                                                                                  827
                                                                                                                 927
                                                                                                                                  972
                                                                                                                                            923
                                                                                                                                                     911
                                                                                                                                                              934
960
934
                                                                                                                                                                                                                                              882
                                                                                                                                                                                                                                                       910
                                                                                                                                                                                                                                                                   974
917
                                                                                                                                                                                                                                                                                                                       859
                                                                                  males)
                                                                                   1991
                                                                                                          (5)
6.   Assets of the NGO (cash and immovable assets and copy of the
     latest balance sheet of the NGO as audited by its Chartered
                                                                                                                                                                                                                                                                                25.31
                                                                                                                                                                        40.47
28.85
34.68
                                                                                                                                                                                                                                                                                                                                  66.99
                                                                                                                 39.3
                                                                                                                                  32.72
                                                                                                                                            43.03
                                                                                                                                                     22.89
                                                                                                                                                              48.64
                                                                                                                                                                                  44.34
                                                                                                                                                                                             86.17
52.32
                                                                                                                                                                                                                                              50.41
                                                                                                                                                                                                                                                       20.44
                                                                                                                                                                                                                                                                   51.33
46.56
                                                                                                                                                                                                                                                                                                                       29.69
                                                                                                   1991
                                                                                                          (4)
7.   Brief Resume of the work done by the NGO including the projects
     implemented in last three years and assistance, if any, obtained by
                                                                                 Growth Rate
                                                                                 Exponential
     the NGO in each of the last three years alongwith particulars of the
                                                                                   1981-91
                                                                                    Annual
2.14
                                                                                                                                                                                                                                                                                2.27
                                                                                                                                                                        2.42
                                                                                                                                                                                                                                                                                                                                  4.15
                                                                                                                                                                                                      2.38
                                                                                                                                                                                                                                     1.83
                                                                                                                                  2.17
                                                                                                                                            2.17
                                                                                                                                                     2.11
                                                                                                                                                              1.92
                                                                                                                                                                                  1.92
                                                                                                                                                                                             1.34
2.29
                                                                                                                                                                                                                                              1.89
                                                                                                                                                                                                                                                       2.50
                                                                                                                                                                                                                                                                   1.43
2.21
                                                                                                                                                                                                                                                                                                                       3.14
                                                                                                          (3)
                                                                                      %
     source of assistance.
Part-II
                                                                                 Population
                                                                                  (in '000)
16,464
66,181
                                                                                                                                                                                                                                     31,660
                                                                                                                                  66,508
                                                                                                                                            22,414
                                                                                                                                                     86.374
                                                                                                                                                              41,310
                                                                                                                                                                                  44,977
                                                                                                                                                                                             29,098
78,937
                                                                                                                                                                                                                                              20,282
                                                                                                                                                                                                                                                       44,006
                                                                                                                                                                                                                                                                   55,859
                                                                                                                                                                                                                                                                                                68,078
                                                                                                                 846,303
139,112
                                                                                                                                                                                                                                                                                                                                  9,421
                                                                                                                                                                                                                                                                                                                       865
                                                                                    1991
                                                                                                          (2)
1.   Description of geographical area and duration in which project is
     proposed.
                                                                                                                                                                                                                                                                                                              SMALLER STATES
                                                                                                                                                                                                                                                                                                              Arunachal Pradesh
2.   Description of the project along with strategy and methodology.
MAJOR STATES
                                                                                                                                                                                                      Madhya Pradesh
                                                                                                                           Andhra Pradesh
                                                                                                                                                                                                                                                                                Uttar Pradesh
                                                                                                                                                                                                                                                                                                West Bendal
                                                                                                                                                                                                                       Maharashtra
     Financial requirement should be mentioned for each component and
                                                                                                                                                                                                                                                                   Tamil Nadu
                                                                                                                                                                                  Kamataka
                                                                                                                                                                                                                                                       Rajasthan
                                                                                 State/UT
                                                                                                                                                                        Haryana
                                                                                                                                                              Gujarat
     expected outcomes of each year of the project should be mentioned.
                                                                                                                                                                                                                                              Punjab
                                                                                                                                            Assam
Kerala
                                                                                                                                                                                                                                     Orissa
                                                                                                                 INDIA
Bihar
                                                                                                                                                                                                                                                                                                                                  Delhi
                                                                                                          (1)
3.   Crieteria for evaluation at annual, mid-term and at the end of the
                                                                                 No.
                                                                                                                                                                                                                                     10
                                                                                                                                                                                                                                              11
                                                                                                                                                                                                                                                       12
                                                                                                                                                                                                                                                                   13
                                                                                                                                                                                                                                                                                14
                                                                                                                                                                                                                                                                                                15
                                                                                                                                                                                                                                                                                                              II.
                                                                                                                           I.
                                                                                                                           1
                                                                                                                                            2
                                                                                                                                                     3
                                                                                                                                                              4
                                                                                                                                                                        5
                                                                                                                                                                                  6
                                                                                                                                                                                             7
                                                                                                                                                                                                      8
                                                                                                                                                                                                                       9
                                                                                                                                                                                                                                                                                                              1
                                                                                                                                                                                                                                                                                                                                  2
                                    176                                                                                                                                       177
       Sl.     State/UT           Population       Annual       Literacy Rate              Sex Ratio        C.B.R.              C.D.R.    Natural    I.M.R.      T.F.R.     Mean age         CPR(in %)
       No.                         (in '000)    Exponential       % Female                 (females         (Crude              (Crude   Increase    (Infant     1997       at effective      31.3.2000
                                     1991       Growth Rate    (7 Yrs & above)             per 1000          Birth              Death     (CBR-     Mortality                Marriage          (Prov.)
                                                     %                                      males)           Rate)               Rate      CDR)      Rate)                   (females)       By all Meth.
                                                  1981-91            1991                    1991            1999*               1999*     1999*     1999*                      1997
               (1)                   (2)            (3)               (4)                            (5)        (6)              (7)       (8)         (9)        (10)          (11)             (12)
       3       Goa                  1,170          1.49               67.09                           967       14.3              7.2       7.1         21         1.0            Na             23.9
       4       Himachal Pradesh       5,171         1.89             52.13                            976       23.8              7.3      16.5         62          2.5        20.6              46.9
       5       J&K                    7,719         2.54                NA                            NA         NA               NA        0.0         NA          NA           NA            14.4
       6       Manipu                 1,837         2.57             47.60                            958       18.6              5.4      13.2         25          2.4          NA            17.8
       7       Meghalya               1,775         2.84             44.85                            955       28.7              9.1      19.6         56          4.0          NA              4.7
       8       Mizoram                 690          3,34             78.60                            921       17.0              5.5      11.5         19          NA           NA            34.3
       9       Nagaland               1,209         4.45             54.75                            886        NA               NA        NA          NA          1.5          NA              8.2
178
       10      Sikkim                  406          2.51             46.69                            878       21.6              5.8      15.8         49          2.5          NA            21.5
       11      Tripura                2,757         2.95             49.65                            945       17.0              5.7      11.3         42          3.9          NA            23.4
       III     UNION TERRITORIES
       1.      A&N Islands             281          3.97             65.46                            818       18.1              5.5      12.6         25          1.9          NA            38.4
       2.      Chandigarh              642          3.52             72.34                            790       17.9              3.9      14.0         28          2.1          NA            33.5
       3.      D&N Haveli              138          2.89             26.98                            952       32.4              5.9      26.5         56          3.5          NA            27.5
       4.      Daman & Diu             102          2.52             59.40                            969       26.9              7.1      19.8         35          2.5          NA            29.3
       5.      Lakshadweep                 52       2.51             72.89                            943       25.1              4.7      20.4         32          2.8          NA              7.2
       6.      Pondicherry             808          2.90             65.63                            979       17.7              6.9      10.8         22          1.8          NA            58.4
      Source     1: Col. 2 to 5 - 1991 Census              2: Col. 6-11 = SRS Estimates              3: Col. 12 = Deptt. of Family Welfare
                 #: Excludes J&K and Nagaland              NA: Not Available          Note : 1. TRF for smaller States and UTs are three year moving avarage, 1995-97
                                                                                                                2. Infant mortality rates for Smaller States and UnionTerritories are for the period 1997-99.
179
                                                                                                           OF
                                                                                                                   DEPARTMENT
                                                                             & HOMOEOPATHY
                                                                        INDIAN SYSTEMS OF MEDICINE
        DEPARTMENT OF INDIAN SYSTEMS OF
           MEDICINE & HOMOEOPATHY
180                                      181
       Scheme for upgradation of Post Graduate Departments of                    C)      Non-recurring expenditure:-
                       ISM & Homoeopathy
                                                                                      Non-recurring expenditure is provided based on scrutiny of actual
ISM                                                                              requirements.
       Under this scheme being continued in the current plan it is proposed           The scale of pay etc. of the above posts will be according to State
to upgrade some Departments. in selected ISM Colleges for Post Graduate          scales of pay etc. for similar posts. The staff proposed in para (A) on
training in Ayurveda/Unani/Siddha. The Departments, which were being             pre-page is the maximum; sanction for actual staff shall be made after
assisted under the scheme in the earlier plan, will not be eligible to receive   examining the position of the existing staff in the Deptt., which is to be
any further assistance for their maintenance during the current plan. The        upgraded.
pattern of assistance for this scheme is as under in future:-
                                                                                 2.     Application for assistance will be considered subject to fulfillment
A)      Expenditure on maintenance of following posts:-                                 of certain conditions as specified in the scheme.
1.      Professor/Reader/Associate Professor        1                            HOMOEOPATHY
2.      Assistant Prof./Lecturer                    1
                                                                                        The pattern of assistance under the scheme is as under:
3.      Technician                                  1
                                                                                                                                  (One Deptt.)(Rs. in lakhs)
4.      Technical Assistant                         1
                                                                                                               RECURRING
5.      Laboratory Attendant                        1
6.      Junior Clerk/Typist                         1                                  Salary*                                                    0.83
        Total:                                      6                                  Stipend                                                    2.60
                                                                                       Contingency grant                                          1.60
B)       Stipends and other facilities to students:-                                   Total                                                      5.03
                                                                                 *     Additional post each of Teacher and Lab. Assistant can be financed
(i)     The rate of stipend payable to students is equal to the rate being
                                                                                       by grant in aid. The scale of pay etc. of this post will be according
        paid to Post Graduate students in other upgraded Departments.
                                                                                       to the scale of pay for similar post in the State concerned.
        prevalent in the State but in any case not more than Rs. 2500/- per
        month for first and second year and Rs. 2800/- per month for                                        NON-RECURRING:
        third year students.
                                                                                     For purchase of X-ray machine, ECG machine,                  12.50
(ii)      Contingent grant per student for purchase of chemical etc. will            Computer system, Photocopier etc.
         also be similarly admissible at the prevalent rate in the State
                                                                                     Book-grant                                                    0.50
         concerned but in any case not exceeding Rs. 1000/- per annum per
         student.                                                                    Total                                                        13.00
Grand Total for one Department. (Rs. 5.03+13.00) = Rs. 18.03 lakhs.
                                    182                                                                              183
   Conditions similar to ISM colleges apply for grant in aid to              9.    Whether the college/institution has received any Central assistance
Homoeopathic colleges as well.                                                     in the past? If so, the details thereof with particular reference to
                                                                                   whether the utilization documents have been dispatched or not.
    If a State Government wish to recommend the case of non-
Government institution, that will be decided on merit.                       10.   How many departments are maintained in the college presently and
                                                                                   whether it has the basic requirements for starting the Post-Graduate
1.   The Central Government will review annually the progress of work
                                                                                   course(s) and if so, full details should be furnished.
     done on the basis of which the necessary Central assistance will be
     released. After the administrative approval to upgrading of             11.   Number of teaching staff and other staff department-wise together
     Department in such institution is given, the State government may             with their educational and professional qualification/experience in
     incur the expenditure themselves and get it reimbursed later under            the field.
     the scheme.                                                             12.   The subjects in which Post-graduate course is sought to be
      The Scheme is under revision. However, applications can be made              introduced and the number of students to be admitted for each
for assistance under the existing scheme.                                          course.
APPLICATION FOR GRANT                                                        13.   Whether the college is maintaining a Library and if so, the number
TO HOMOEOPATHY COLLEGES                                                            of books subject-wise and list of periodicals received regularly.
                                                                             14.   Whether the institution/organisation agrees to adopt CCH standards
1.    Name of the voluntary organisation/State/U.T. Administration which
                                                                                   and what are the plans for this purpose.
      runs the institution with full postal address.
                                                                             15.   Whether the college has its own land and buildings and if so, certified
2.    Name of the Homoeopathic institution with postal address.
                                                                                   copies of the lease-deed or other instruments establishment properly
3.    Name of the University with which the institution is affiliated.             rights on the institution/society running the institution to be attached.
4.    Year of establishment of the college/institution.                      16.   Details of equipment already available with the institution and the
5.    Whether the college is following the syllabus prescribed by the              equipment from out of the last under list Scheme that are essential
      Central Council of Homoeopathy and if so, since when.                        for the institution.
6.    Which course (s) were followed before adopting Central Council         17.   Whether the college has attached hospital? If so, the number of
      of Homoeopathy (CCH) course.                                                 beds available.
7.    Details of the infrastructural facilities already available with the   18.   Annual expenditure of the college during the last three years together
      institution and how do they compare with the requirements/norms              with Audited Income and Expenditure Account, Receipts and
      laid down by CCH for Graduate/Post Graduate courses.                         Payments Account and Balance Sheet for the preceding three years.
8.    Source of income of the college/organisation. Whether grant-in-        19.   Purpose for which grant-in-aid required with specified amount and
      aid is received from State Govt. and if so, the details thereof.             justification thereof.
                                   184                                                                            185
20.   Whether the College/Organisation is registered under the Societies      International Exchange Programme/Seminar/Conference/
      Registration Act, 1860 or any other statute/registered public or        Workshop on Indian Systems of Medicine and Homoeopathy
      Charitable Trusts and if so, a certified copy of the Memorandum
                                                                              Objectives of the Scheme
      and Articles of Association and Bye-laws made up to date and the
      registration certificate to be attached.                                The Scheme aims at achieving the following objectives:-
21.   Whether the institution is regularly inspected by the CCH. Please       a)    Promotion and development of Indian Systems of Medicine and
      attach a copy each of the inspection report of CCH for the previous           Homoeopathy;
      three years.
                                                                              b)    Dissemination of proven result of R&D work in ISM & H; and
22.   Whether the deficiencies, if any, pointed out by CCH have been          c)    Provide a forum where horizontal and vertical interaction between
      rectified/complied with, and if so, the details.                              stake holders of ISM & H can take place through International
23.   Whether the University to which the institution has been affiliated           Cooperation, Conference and Seminars (International, National &
      has approved the introduction of Post Graduate course in the                  Regional).
      institution.                                                            Institutions/Bodies eligible for assistance:-
24.   Whether the institution agrees to maintain all-India character to the   1.    Deptt. Of Indian Systems of Medicine and Homoeopathy
      Post Graduate department(s) and whether 75% seats would be kept
                                                                              2.    Autonomous bodies functioning under the Deptt. of ISM & H
      reserved for students from outside, if forth-coming.
                                                                              3.    Central/State Governments institutions involved in the promotion
25.   Whether the voluntary Organisation/State/UT Admn. agree to treat
                                                                                    of the cause of ISM & H
      the expenditure on running the Post Graduate departments as part
      of its own budget from the financial year 1995-96 onwards when          4.    Reputed NGOs and individuals (Indian and foreign ) involved in
      no funds are likely to be available from the Central Govt. under              the dissemination of proven results of ISM & H, promotion and
      the scheme.                                                                   development of ISM & H and having at least 3 years experience in
                                                                                    the field.
                                                                              Pattern of assistance
                                                                                    Funds will be provided to eligible organizations for meeting
                                                       Signature
                                                                              expenses on airfare, boarding and lodging, local transport and other
                                                       (with rubber stamp)
                                                                              contingencies of the delegates invited from abroad to attend the
                                                                              International Conference on ISM & H.
                                                       Date :
                                                                              1.    National conference/Workshops/Seminar organized by Department
                                                                                    of Indian Systems of Medicine and Homoeopathy (3) @ Rs. 3
                                                                                    lakhs - Rs. 9 lakhs.
                                  186                                                                          187
2.    National Seminars organized by NGO’s (5) @ Rs. 1 lakh - Rs. 5            4.     Topic and subject of Seminar/Symposium/Workshops (please be
      lakhs.                                                                          specific)
3.    National Seminar or workshops/Conference by State Govt./                 5.     Date(s) and place of holding Seminar/Symposium/Workshop.
      University (-5) @ Rs. 2 lakhs - Rs. 10 lakhs.
                                                                               6.     (a) Scientific details of the Seminar/Symposium/Workshop
4.    Delegates from the Deptt. Including non-official members to foreign                 (including various technical sessions). A tentative programme
      countries - not more than Rs. 15 lakhs (as per expenditure involved).               of activities may be supplied.
5.    International Conference (1) not more than Rs. 10 lakh.                         (b) Relevance and importance of the topic in the context of priority
Procedure for Grant-in-aid                                                                areas of national health needs.
      Proposals for Grant-in-aid received from eligible organizations will            (c) Explain briefly as to how the subject of the Seminar/
be screened by a Screening Committee headed by Secretary (ISM&H).                         Symposium/Workshop is directly related to dissemination of
                                                                                          proven results of ISM&H.
      The Grant-in-aid to the organization will be released on the basis
of recommendations of the Committee, subject to the availability of funds             (d) In what way is the Seminar/Symposium/Workshop expected to
under the scheme.                                                                         contribute to the existing knowledge in the field?
APPLICATION FOR GRANT OF FINANCIAL ASSISTANCE FOR                                     (e) In case the topic of the Seminar/Symposium/Workshop is the
ORGANIZING SEMINARS/SYMPOSIA/ WORKSHOPS UNDER                                             same as in previous years, what is your justification for the
INTERNATIONAL EXCHANGE PROGRAMMES/ SEMINARS/                                              same?
WORKSHOPS ON ISM&H.                                                                   (f) Has any Chapter/Unit/Branch of the Association/Body/Society/
                                                                                          NGO received any grant from the Central Government i.e.
     All applications for grant of financial assistance should be furnished,
                                                                                          Ministry of Health & Family Welfare, Department of ISM&H
completed in all respects with all details in the prescribed proforma (in
                                                                                          during the last three years for organizing Seminar/Symposium/
seven copies) at least four months before the date of commencement of
                                                                                          Workshop? If so, give details year-wise and quote the relevant
the Seminar/Symposium/Workshop.
                                                                                          reference (letter No. and date), in tabular form under the
1.    Name of Scientific Association/Body/Society/NGO/Institution                         following heads alongwith a report of work done/summary of:-
      seeking financial assistance.
2.    Full postal address:                                                      Name of Body        Year   Amount   Letter No. &   Purpose   Name of
                                                                                (indicating if it                       Date                 Seminar/
3.    Please indicate whether it is the main Society or Chapter/Unit/           is a Branch/                                                 Symposium/
      Branch of the main Association/Body/Society and status of the             Chapter/Unit                                                 Workshop
      organization which is applying.                                           etc.
                                   188                                                                              189
      (g) If the application is from an Institute/Department, give details   11.   (a)   Whether report and Utilization Certificate for the grant, if any,
          regarding collaboration, if any, with particular Institute/                    received earlier, from the Central Government have been
          Department/Representative national scientific bodies.                          submitted.
7.    (a) How many delegates are expected to participate? (Indicate the            (b)   Name of the authority who will be responsible for submitting
          number of national and international delegates separately.                     the audited statement of accounts/utilization certificate and
                                                                                         proceedings/report of the Seminar/Symposium/Workshop.
      (b) How many of the delegates are expected to present papers?
          (Please give their names, designations and topics). If abstracts   12.   Are the organizers ready to furnish:-
          have been received, please send copies.
                                                                                   (a)   A brief summary report on the Seminar/Symposium/Workshop
      (c) To how many delegates is TA/DA offered?                                        and its impact on participants.
      (d) Please indicate the proportion of expenditure which is to be             (b)   One copy of the proceedings, as and when published.
          incurred on the faculty members and on young active scientists
                                                                             13.   Any other information relevant to the context.
          for participation in the Seminar/ Symposium/Workshop.
(a) What is the amount requested for from the Central Government.
                                  190                                                                            191
SCHEME FOR RE-ORIENTATION TRAINING                                                   For organizing 2 months Re-orientation Training Programme for
PROGRAMME (ROTP) OF ISM & H PERSONNEL.                                          Yoga, grant in aid of Rs.2,44,145/- is admissible for imparting training to
                                                                                20 participants.
       The scheme was circulated to Health Secretaries of all States/UTs,
Directors of all States/UTs, Principals of all colleges of ISM & H,                   Government/private/N.G.O. Institutions are eligible to take up this
Directors of Central Councils, Institutes etc. in July 1998 , the salient       training programme. Teachers, Government/private Physicians, Private
features of which are as under :-                                               Practitioners with minimum Degree Graduates in the ISM & H are eligible
                                                                                for this training. However, the preference will be given to Government
       As a part of continuing medical education to upgrade the knowledge
                                                                                Colleges teachers and Physicians.
of ISM & H personnel (Teachers /Government doctors/physicians,
practitioners, research workers, drug inspectors, etc.) with regard to latest          The Scheme is under revision to make it more rational, financially
development in their field this scheme had been taken up in the Eighth          attractive so that more institutions come forward to avail of the scheme.
Plan period as fully Central Scheme.                                            However, interested institutions can make applications under the existing
                                                                                scheme for assistance.
     The Government/private/NGO institutions are eligible to avail of
financial assistance for organizing training    program for physicians/
teachers, Government/private physicians, and private practitioners having
minimum Graduate level qualification in the ISM & Homoeopathy.
However, the preference will be given to Government colleges, teachers
and physicians.
                               196                                                      197
                                    @ Rs.150 per hour x 170 hours =        8.   Cost of stationery etc.          Rs.200/- per trainee
                                    Rs.25,500/=                                 (Manuals/Books, etc.             Total : Rs.200 x 2 months x 10
                                                                                for trainees.)                   Nos. =Rs.4,000/-
(ii) Number of trainers from        One expert from outside the faculty
     the faculty:                   per week for whom Rail fare upto       9.   Contingencies                    5% of the above expenditure i.e.
                                    IInd A.C. will be paid and one local                                         Rs. 1,32,200/- = Rs.6,610/-
                                    expert for whom only honorarium
                                                                           10. Institute support charges         10% of the above expenditure i.e.
                                    and local conveyance will be paid.
                                                                               for providing infrastructure      Rs. 1,32,200/- = Rs.13,220/-
                                    (a) Rail fare (upto IInd A.C.) for
                                                                               facilities, etc. to the trainees
                                        External expenses @ Rs.1000/-
                                                                               institution. The institution
                                        each
                                                                               is free to utilize this amount
                                        Total: Rs.1,000 x 8=Rs.8,000/-
                                                                               for the development activity
                                    (b) Honorarium to be paid to Guest         regarding training infrastucture.
                                        Speaker @ Rs.300/- per day
                                                                                Grant total of expenditure       Rs.1,52,030/=
                                        Total : Rs.300 x 8=Rs.2,400/-
                                                                                mentioned against Sl. Nos.3,
                                    (c) Boarding and Lodging for
                                                                                5(I),(II), 6,7,8,9 and 10.
                                        external experts @ Rs.150/- per
                                        day 8 outsiders in 8 weeks
                                        (Rs.150 x 8) = Rs.1,200/-
                                    (d) Honorarium to local/outside
                                        experts @
                                        Rs.300/- per day & Rs.100/- as
                                        Conveyance. 8 local in 8 weeks
                                        (Rs.400 x 8) = Rs.3200/-
                                        Total of 5(I) +5(II) =
                                        Rs.39,200/-
6.   Number of technical/adminis-   @ Rs.500/- per week.
     trative support staff, and     Total Rs.4000/- for two months-
     amount of honorarium to
     be paid.
7.   Cost of Consumables            Rs.1000/- per trainee per course
                                    Total : Rs.1000 x 10
                                    Nos.=Rs.10,000/-
                                198                                                                            199
                                                        ANNEXURE-III          5.   (i) Number of trainers from    One expert from outside the faculty
                                                                                       the faculty                per week for whom rail fare up to
TWO MONTHS RE-ORIENTATION TRAINING PROGRAMME                                                                      IInd A.C. will be paid and one local
FOR YOGA OF ISM & H PRSONNEL                                                                                      expert.
1.   Number of Trainees             20 (Twenty) but the minimum               (ii) Number of trainers from        For whom only honorarium and
                                    number could be 15. However, to                outside the faculty            local Conveyance will be paid.
                                    make it cost-effective, it is necessary                                       (a) Rail fare (upto IInd A.C.) for
                                    that full strength of participants is                                             External expenses @ Rs.1000/-
                                    mobilized to reach upto 20.                                                       each.
2.   Number of training courses     As per the capacity of the Institute                                               Total: Rs. 1000 x 8 = Rs. 8,000/
                                    College and sanction of the Govt.                                                  (b) Honorarium to be paid to
                                    of India. Number of training course                                                Guest Speakers @ Rs. 300/- per
                                    could be maximum 4 in a year.                                                      day.
3.   Expenditure on boarding        (i)    the institution will arrange for                                            Total = Rs. 300 x 8 = Rs. 2,400/-
     and lodging                           hostel accommodation at a                                              (c) Boarding and lodging for
                                           reasonable rate.                                                           external Experts @ Rs. 150/-
                                           @ Rs. 50 x 20 Nos. x 60 days                                               per day.
                                           = Rs. 60,000/-                                                             8 outsiders in 8 weeks
                                                                                                                      (Rs. 150 x 8) =Rs. 1200/-
                                    (ii)   Food = @ Rs. 75 x 20 Nos.
                                           x 60 days =Rs. 90,000/-                                                (d) Honorarium to local/outside
                                           Total Rs. 1,50,000/-                                                       experts @ Rs. 300/- per day +
                                                                                                                      Rs. 100 as conveyance
4.   Duration of Training           6 hours training per day for                                                      8 local in 8 weeks x Rs. 400 x
                                    5 working days.                                                                   8 =Rs. 3200/-
                                    2 hours lecture                                                                   Total of 5 (i) + 5 (ii) =
                                    2 hours practical                                                                 Rs. 40,300/-
                                    2 hours discussions
                                                                                                                       @ Rs. 500/- per week.
                                    Total: 50 days x 6 hours =300
                                                                                                                       Total=Rs. 4000/- for two months
                                    hours for whole course.
                                                                                                                       @ Rs.500/- per trainee per course
                                    4 to 5 trainers @ Rs. 150/- per hour
                                                                                                                       Total=Rs. 200 x 2 months x 20
                                    for 170 hours =Rs. 25,500/-
                                                                                                                       Nos. =Rs. 8000/-
                                  200                                                                            201
6.    Number of technical/              Rs. 200/-per trainee per month         1.   Usefulness of the programme
      Administrative support, Staff     Total=Rs. 200 x 2 months x 20
                                                                                    Very useful                   Useful                   Not useful
       and amount of Honorarium         Nos.=Rs. 8000/-.
      to be paid                                                               2.   About the teaching faculty member
7.    Cost of consumables etc.       5% of the above expenditure i.e.               (a) Observation about the local teachers from the Training Institute
      Medicines/material of Training Rs. 2,12,300/- Rs. 10615/-
                                                                                    Very Good                              Not Good
8.    Cost of stationery, etc.          @ 10% of the expenditure i.e.
                                                                                    No...........                          No...........
      (manuals/books, etc.              Rs. 2,12,300/- =Rs. 21,230/-
      for trainees)                                                            3.   What input do you suggest to be incorporated in the future training
                                                                                    programme:
9.    Contingencies
                                                                               4.   Best thing you observed in the training programme.
10. Institute support charges
    for providing infrastructure                                               5.   Worst thing you observed in the training programme.
    facilities etc. to the trainee
                                                                               Name and Address of the Trainee:
    institution. The institution
    is free to utilise this                                                    Grant-in-aid under the scheme for strengthening of the existing
    amount           for       the                                             undergraduate colleges of Indian System of Medicine and
    development          activity                                              Homoeopathy during Ninth Five Year Plan
    regarding            training                                              Pattern of assistance
    infrastructure
                                                                                     The Scheme was revised and circulated in December, 1999 to all
11. Grand total of expenditure          Rs. 2,44,145/-                         the State Governments/UTs, Directors of ISM&H, and all the Principals
    mentioned against Sl. Nos.
                                                                               of the ISM&H Colleges. The pattern of assistance for ISM&H Medical
    3,5(i) (ii), 6,7,8,9 & 10
                                                                               Colleges would be Rs. 30.00 lakhs for Capital Works, Rs. 10.00 lakhs for
     Assessment proforma of Training Programme (Feed Back)                     equipments, Rs. 5.00 lakhs for Corpus Fund and Rs. 2.00 lakhs for Library
                                                                               etc. subject to the conditions mentioned in the revised Scheme. The
      (To be filled by the participant at the end of the Training Programme)   salient features of the revised Scheme are as under :-
Name of the Institution:                                                       Construction works
Title of the Training Programme with dates:
                                                                                     The Capital works will include works such as strengthening/addition
Please tick mark the column of your choice                                     of the existing college building, hospital building, library and hostel
                                                                               facilities, Pharmacy Department etc. Private colleges will not be eligible
                                                                               for assistance for capital work.
                                      202                                                                         203
Add on Component of Pharmacy College                                         Financial Support
      Assistance will be provided to the existing Govt./Govt. aided ISM      1.    Non-recurring                                           (Rs. in Lakhs)
& H Colleges in the country, who fulfill the minimum standards of
                                                                             (a)   Capital works for strengthening/augmentation
infrastructure as prescribed by the respective Councils especially
                                                                                   of existing college building as well as
Dravyaguna-Rasshastra, Pharmacy, Materia Medica .and which require
                                                                                   construction of new college, hospital, hostel
additional infrastructure for conducting Pharmacy Courses.
                                                                                   buildings and capital works for setting up of
      The Government aided institutions will have to provide 50%                   Pharmacy and Raw Drug Museum.                                   30.00
matching grant for the capital works. There will be no such condition        (b)   Equipment                                                       10.00
for Government institutions. The private institutions will not be eligible   (c)   Library                                                          2.00
for grant for capital works                                                  (d)   *Corpus fund (one time assistance)                               5.00
Equipment                                                                          Total:                                                          47.00
      Department will approve the list of equipment, keeping in view the           “No objection Certificate, from the State Government/UT
essential Minimum Standards of Education. The Institute will give priority   Administration is required to be furnished alongwith the application
for the purchase of essential equipment directly related to the education    circulated with the Scheme.
and clinical services. In the case of Pharmacy Colleges/ Pharmacy Wings,                    APPLICATION FOR GRANT-IN-AID
the institute will give priority for purchase of essential machinery
equipment for drug preparation and laboratories. A maximum of Rs.10.00       1.    Name of the college with full postal address
Lakhs will be provided for the purpose.                                      2.    Status of the college/teaching institution   (A)   (1) Govt.
Library                                                                                                                         (2)   Govt. aided
                                                                                                                                (3)   Private
      Colleges which are having adequate space and having qualified                                                             (B)   (a) Degree
librarian and full time staff of Library Assistant/Attendants shall be                                                                (b) Post-graduate
considered for the release of a non-recurring grant of Rs.2.00 Lakhs for
the Plan Period. The Non-recurring grant will be used for the purchase                                                          (C) Whether
of books relating to ISM & H degree courses. As far as possible, not                                                                registered under
more than five copies of the usual text books prescribed for the students                                                           Society's Act XXI of
should be purchased, so as to encourage the students to procure the                                                                 1860 or Public Trust
same on their own.                                                                                                                  Act.
                                  204                                                                            205
4.    Year and month of establishment of the                plan with estimates of construction duly
      college and whether the college has                   approved by Architect may be provided
      completed 5 years and a batch of students             along with application and NOC from
      passed out.                                           Municipal Corporation.
5.    Whether the college is following the            11.   Whether the college/organisation has
      syllabus prescribed by the CCH/CCIM and               received any Central Assistance in the past?
      if so, since when.                                    If so, the details thereof (year-wise) and
                                                            photocopies of the utilisation certificate and
6.    Which course(s) were followed before
                                                            other related documents in respect of
      adopting CCH/CCIM courses.
                                                            previous grant.
7.    Whether the institution/college has been
                                                      12.   How many departments are maintained in
      visited/inspected by CCIM/CCH, if so, a
                                                            the college presently. (Reasons)
      copy of their latest report may be attached.
                                                      13.   Whether the college is having pathological
8.    Deficiencies pointed out in the last report
                                                            and physiological laboratories? Please
      of CCIM/CCH may also be mentioned. A
                                                            furnish details of staff, equipment and space
      reply from college to the report may also
                                                            available in case the grant is required for
      be attached.
                                                            purchase of laboratory equipment.
9.    The purpose for which the grant is required:
                                                      14.   (a) Whether the college has attached own
      (A) Capital works
                                                            hospital and bed Nos. (IPD)? If so, the
      (a) (i) Construction of college building;
                                                            No. of beds available.
          (ii)Hospital building;
          (iii)Library;                                     If more beds are required, No. of beds
          (iv)Hostel facilities.                            required may be stated with full
      (b) Pharmacy college of ISM & H.                      justification and also mention whether
                                                            space for these extra beds is available in
      (B) Equipment.
                                                            the hospital or not?
      (C) Books for Library.
                                                            (b) Average bed occupancy during the year.
10.   Give full details with justification if
                                                      15.   Whether the college has attached hostel
      required for expansion of hospital building,
                                                            facility? If required to be expanded, space
      college building and hostel building etc. in
                                                            available with the college and the amount
      that case land available for expansion, their
                                    206                                                    207
      required for this purpose may be stated with                          19.     In case grant-in-aid is required for
      full justification.                                                           equipment,       the      institution/State
                                                                                    Government may certify that these are
16.   Annual expenditure of the college during
                                                                                    absolutely essential and are in accordance
      the last three years (year-wise) statements
                                                                                    with the norms prescribed by the CCIM/
      in this connection duly approved by the
                                                                                    CCH. Particular requirement of a college
      audit authority/Chartered Accountant may
                                                                                    will depend upon what essentials are not
      kindly be added.
                                                                                    available in the college.
17.   Purpose for which grant-in-aid is required
      with specified amount and justification
      thereof, the following purposes may be                                                                                                  Signature
      included:                                                                                                                               (with rubber stamp)
      PURPOSE                                        AMOUNT REQUIRED
      (A) Capital works                                                                                                                       Date
1.   Name of the Agency/ Organisation                                     Sl.     Nature of activities         Year        Place where      Grant-in-aid
                                                                          No.                                              undertaken       received
2.   Registered Address
                                                                                                                           with duration
3.   Address for correspondence
4.   Registration No. and date
     (with Act, Status under which registered)
5.   Financial status of the Organisation
a)   Total income year-wise during the last 3 years.
b)   Total expenditure year-wise during the last 3 years.                 6.    (i) Whether grant-in-aid has been received from Deptt. of ISM&H
                                                                                    earlier, if so, the details thereof.
c)   Total assets year-wise during the last 3 years.
                                                                                (ii) Whether the audited accounts and the Utilisation certificate has
6.   Whether the Organisation has its own building If yes, give details
                                                                                     been furnished If not, the reasons therefor
     of infrastructure available alongwith the information relating to
     training equipment, aid, vehicle etc.                                7.    a)      Whether any grant-in-aid is being received from any other
                                                                                        source including Central/State Government.
4.   Personnel employed
                                                                                b)      If yes, details thereof including the activities undertaken.
     Sl.No. Name & Designation               Whether on full time or
                                                Part time basis.          8.    Project area proposed
                                                                                a)      Name of the State
                                                                                b)      Name of the District(s)
                                                                                c)      Name of the Block(s)
                                                                          9.    Activities proposed to be undertaken
                                                                                (i)
5. (i)    Whether the NGO is registered with                                    (ii)
          the Department of Family Welfare, G.O.I.
                                                                                (iii)
          as Mother NGO OR with CAPART
                                                                                (iv)
     (ii) if yes, attach a copy of the letter
          from the Department of F.W./CAPART                                    (v)
                                   214                                                                             215
13.   Amount of grant-in-aid required(item-wise) under the scheme (A                                  Undertaking
      working sheet for the grant be enclosed)
                                                      District Collector
                                                   Signatures with seal
                                                                                                        Name of the NGO——————————
                                                                                                         (with seal)
II.   For Medical Colleges of ISM&H and Charitable/Missionary
      Hospitals registered as Societies.
                                 216                                                                        217
SCHEME OF EXTRA MURAL RESEARCH ON ISM&H                                      l   Personnel for the Project: Research Associates (RA) and Senior
                                                                                 Research Fellows (SRF) may be sanctioned for carrying out a research
General:
                                                                                 project.
l   The Ministry of Health and Family welfare will provide financial
                                                                             l   Research Associate:
    assistance to accredited institutions for undertaking research work in
    the fields of various Indian Systems of Medicine (namely Ayurveda,       l   Qualification: Doctorate Degree in Medicine in any System of
    Siddha, Unani) and Homoeopathy including the science of yoga and             Medicine or Ph.D. in any field or ME/M.Tech.
    the drugless therapy of naturopathy;
                                                                             l   Stipend: Rs.10,000/- p.m. (Consolidated)
l   The assistance will be provided by way of grants to University
                                                                                 Senior Research Fellows:
    Departments, Medical and ISM & H colleges, Research Institutions
    of both in public and private sectors having requisite infrastructural       Qualification: MA/MSc/M.Pharm/BE/B.Tech degree holders; and
    facilities, Council of Scientific and Industrial Research (CSIR) etc.;                      BAMS/BUMS/BSMS/BHMS/MBBS/BDS/
                                                                                                MVsc.degree holders.
l   Research Project may be undertaken by an individual person, or a
    group of persons associated with one or more reputed institution(s);         l    Stipend to SRFs:
l   Priority will be given to collaborative projects involving inter-            l    SRF(ISM &H/ Medical)           -   Rs 8000/-p.m (consolidated)
    organisational cooperation.                                                  l    SRF (Non Medical)              -   Rs 6000/-p.m. (consolidated)
l   Basic Facilities for Research: All facilities for the conduct of the     l   Apart from fellowships, no posts of scientists will normally be
    research, such as basic equipment and ordinary laboratory chemicals,         sanctioned. The other non- scientific temporary posts sanctioned, if
    glassware, furniture and the resistance as may be required for the           any will also be on consolidated salary.
    smooth working of the research project shall be provided by the
    institution. Financial support for carrying our research is provided     l   Contingency Grant: A contingent grant is given to meet petty
    to investigator(s) to supplement the resources put at their disposal         expenditure on the purchase of stationery, postage, computational
    by the institution in which they are working. The grant should not           work, printing of questionnaire, Reprographic work etc.
    be regarded as a subvention towards the normal work of the institution   l   Equipment:
    but should be exclusively utilised for the research project for which
    it has been sanctioned.                                                  l   In addition to scientific equipment, grant can be used for the purchase
                                                                                 of personnel computer and software for technical data analysis, if
l   Financial support: The Ministry of Health and Family Welfare will            required;
    provide financial support for the items like equipment, books and
    journals, Research Personnel, Hiring Services, contingency, chemicals    l   All items are to be purchased according to the rules and procedures
    and consumables, Travel and Field work, Special needs etc.                   of the institution where the research to be carried out;
                                  218                                                                          219
l   All the assets in the form of equipment or other items will become         l   Release of Funds: The amount sanctioned for the research project
    the property of host institutions on completion of the research project;       under the scheme would be released in full for books and equipment
                                                                                   along with 50% for support for the remaining items. The remaining
l   Books purchased out of the grant may be retained by the principle
                                                                                   amount would be released after receiving the following documents
    investigator after the completion of the project.
                                                                                   in the prescribed proforma:-
l   Travel and Field work: Travel grant will be provided for fieldwork,
    attending group monitoring meetings and seminars /conferences and          l   Annual Progress Report;
    all such expenditure is to be met within the funds originally allowed      l   Statement of expenditure and Utilisation Certificate; and
    under the scheme. Foreign visits are not allowed under the scheme.
                                                                               l   Mid-appraisal by the respective Project Evaluation Committee.
l   Level of Assistance: The maximum level of assistance for individual
    Research Projects will be Rs.25 lakhs.                                     l   Report of Work Done: Reports on the progress of work done under
                                                                                   the research scheme will be submitted to the Ministry of Health
l   Duration of Schemes: Research Projects will be approved for a
                                                                                   and Family Welfare as and when called for.
    maximum period of 3(three) years.
                                                                               l   Patents:
l   Operation Features:
                                                                               l   The Ministry of Health and Family Welfare shall have the right to
l   The investigator who wishes to receive financial support under this
                                                                                   take out patents in respect of inventions/discoveries made in research
    scheme should submit 10 copies of the research project in the
                                                                                   schemes financed by the Ministry of Health and Family Welfare;
    prescribed proforma to this Ministry;
l   The research projects so received in this Ministry will be scrutinised     l   The investigator or the staff employed on the research schemes shall
    by Project Evaluation Committees;                                              not apply or obtain patents for any invention/discovery made by
                                                                                   them without prior approval of the Ministry of Health and Family
l   The recommendations of the respective Project Evaluation                       Welfare.
    Committees will be submitted to the Screening Committee headed
    by Secretary (ISM&H);                                                      l   Maintenance of Accounts:
l   Keeping in view the recommendations of the Project Evaluation              l   The grant will be released to the Head of the Institution in
    Committees and the availability of funds for the scheme, the                   instalments;
    Screening Committee will finalise the research projects to be taken        l   A separate account for the grant received and expenditure incurred
    for execution.                                                                 shall be maintained. The account will be subject to audit by the
l   Date of implementation: The date of implementation of the research             authorized auditors of the Institution;
    project shall be any date between the approval of the project by the
                                                                               l   Latest by the end of December following the financial year for which
    Ministry of Health and Family Welfare and the receipt of first
                                                                                   the grant is paid, an audit certificate from the auditors to the effect
    instalment of grant by the institution.
                                                                                   that the accounts have been audited and the money was actually
                                  220                                                                            221
    spent on the objects for which it was sanctioned shall be submitted        APPLICATION FOR GRANT-IN-AID OF
    to the Ministry of Health and Family Welfare;                         EXTRAMURAL RESEARCH PROJECT ON ISM & H
l   Expenditure should be on no account exceed the allotment sanctioned                             (Please furnish 10 copies)
    for the research project;
                                                                                                                 Section A
l   The grant paid by the Ministry of Health and Family Welfare shall                                           GENERAL
    be refunded in full by the institution as and when the Investigator
    discontinues a project midway or does not follow the detailed         1.      Title of the Research Project       :
    technical programs laid down and approved;                            2.      Name and Designation of             :
l   The grant may be revoked in whole or in part at any time by the               i)   Principal Investigator         :
    Ministry of Health and Family Welfare without assigning any reason.
                                                                                  ii) Co- Investigation (s)           :
Staff :
Total :
Name :
Postal address :
Telephone :
Telegraphic address :
     Degree                 Institute                 Fields(s)            Year   l   Government /semi-Government /autonomous R&D Institutions under
                                                                                      the Government of India /state Governments/union Territories;
8.   Recent publications (last 5 years with titles                                l   A copy of certificate issued to them under the relevant Act wherein
     and references), also papers in press.                                           it has been registered;
9.   Financial support received                                                   l   The area of research in which the organisation is engaged (in key
     a) From the Ministry                    b)           From other sources          words);
          Past                                            Past
                                                                                  l   Annual Report along with audited statement of accounts for the last
          Present                                         Present
                                                                                      year.
          Pending                                         Pending
                                    226                                                                             227
u   Terms and conditions for accreditation:                                 Application for accreditation with the Ministry of Health and
                                                                            Family Welfare for Research and Development in the fields of
l   Separate accounts shall be maintained for research and development
                                                                            ISM&H
    activities and the same will be reflected in the Annual Report and
    Audited Statement of Accounts of the oraganisation ;                                                  (Please send 5 copies)
l   The organisation will also conform to such other conditions for              (iii) Fax Number
    accreditation stipulated in the guidelines or as may be specifically
                                                                            2.   Nature of the Organization:
    provided in the accreditation letter;
                                                                                 (Whether Government, semi-Government, autonomous, NGO etc.)
l   The accreditation would be valid for a period of 3 years only;
                                                                            3.   Financial status of the Organization:
l   Application shall be submitted in the prescribed proforma;
                                                                                 (i)    whether the Organization has its own building?
l   Request for renewal of accreditation shall be made on prescribed
                                                                                 (ii)   total income during the last three years (year-wise)
    proforma three months before the expiry of the valid accreditation.
    Late receipt of application will not be entertained;                         (iii) total expenditure during the last three years (year-wise)
l   This Ministry reserves the right to accord accreditation or to revoke   4.   Experience in the field of Indian Systems of Medicine (viz. Ayurveda,
    such accreditation without assigning any reason;                             Siddha, Unani), Homoeopathy, Yoga and Naturopathy.
l   Soon after receipt of accreditation letter, the organization should     5.   Fields of interest:
    acknowledge by stating that they abide by the above terms and                (Indicate whether Basic Research/Drug Proving/Quality Control/
    conditions.                                                                  Clinical/Medicinal Plants/Literary/Survey/Standardization)
                                 228                                                                            229
8.   Details of equipment available:                                                Recommendation of the Senior-most technical Officer of concerned
     (Mention only the major equipment)
                                                                              system of medicine in the State Government.
9.   Details of publication, if any, in the field of research/subject
     concerned:
                                                                                   I, ___________________________________ have examined the
10. Details of award, if any, in the field:                                   application of _______________________________(Name and address of
11. Details of past research work:                                            the applicant) and recommended/not recommended for accreditation with
12. Details of Project Coordinator:                                           the Ministry of Health and Family Welfare.
     (i)    Academic qualification
     (ii)   Experience in the field of research
                                                                              Station:
     (iii) Papers published
     (iv) Award received for any Research work                                Dated:
     (v) Persons working under the Project Coordinator
13. Other documents required to be submitted:                                 Signature with official seal of the Officer
     (i)    Memorandum of Association, Rules and Regulations of the
            Organisations along with a copy of registration certificate, if
            any;
     (ii) Annual Report along with audited statement of accounts for the
          last year
14. The reasons for applying for accreditation with the Ministry of Health
    and Family Welfare (not more than 200 words)
Station:
Dated: Signature
                                     230                                                                        231
          SCHEME FOR STANDARDISAITON OF                                      Components of Financial Assistance admissible under APC Scheme:
                   ASU DRUGS                                                 S.No.                    Items                  Amount of Assistance
                                                                                                                             (Rs. in Lakhs)
      With widespread production and practice of Indian systems of Drugs
                                                                             1       Two Researchers                         2.11 per year (Based on
in the country, the need for standardisation of drugs to maintain quality,
                                                                                     (M.Sc. or Ph.D. Scholars or Ph.D.       average salary)
safety and efficacy has been strongly felt. Pharmacopoeial standards for
                                                                                     Degree holders in relevant subject)
Indian systems of Medicine drugs have not been evolved and prescribed
                                                                                     (Consolidated)
in majority of the drugs. The Pharmacopoeial Laboratory for Indian
medicine had been established with the sale objective of standardisation             Ph.D./M.D. (Ay./S./U.)
of Ayurved, Siddha and Unani drugs. Three pharmacopoeial committees                         1st year - Rs. 8,000/-
(Ayurvedic Pharmacopoeia Committee, Siddha Pharmacopoeial Committee                         2nd year - Rs. 8,800/-
and Unani Pharmacopoeia Committee) have been constituted by the Govt.                       3rd year - Rs. 10,500/-
for developing pharmacopoeial standards for the drugs of the respective                     M.Sc.        Rs. 5,600/-
systems. Eventhough these committees were constituted long back, the
                                                                             2       Two Technical Assistants
pace of developing pharmacopoeial standards was remained very
                                                                                     i) SRF-MSc./BAMS/BUMS/BSMS -Rs. 5600/-
slow. Keeping in view the importance of the standardisation of
                                                                                     ii) JRF-B.Sc./Botany/Chemistry -Rs. 5000/-
single and compound drugs of Ayurveda, Unani and Siddha systems, the
                                                                                         1.32 per year (Based on
Department had formulated a Grant-in-aid scheme and has been in
                                                                                         average salary)
implementation since 1997 to engage various laboratories for
pharmacopoeial work. The objective of the scheme is to make available        3       Minor equipments and working            1.50 per year
the standards at the earliest.                                                       expenditure
     Under this scheme proposals submitted by reputed institutions/          4       Charges for host institutions or        1.00 per year
universities are screened and approved by the Screening Committee headed             extending infrastructure support to
by Secretary ISM&H. The Screening Committee consists of Financial                    the project
Adviser, Planning Commission representative, Joint Secretary (ISM&H)
Adviser of Ay., Siddha and Unani are members besides two scientists to       5       Cost of samples/preparation of          0.50 per year
be nominated by the Chairman.                                                        monographs
    The financial assistance provided under this scheme is for a                                            Total            Rs. 6.43 per year.
maximum of Rs. 19.30 lakhs per institution for a period of 3 years.
                                                                                  Total assistance for 3 year Rs. 19.30 lakhs (Minor variations will
                                                                             be there on actual payment of salay).
                                  232                                                                           233
      This is estimated assistance. Actual assistance will be calculated as          CENTRAL SCHEME FOR FUNCTIONING OF
per actual salary admissible as per qualifications.                                AYURVEDA/SIDDHA/UNANI PHARMACOPOEIA
                                                                                   COMMITTEE TO DEVELOP PHARMACOPOEIAL
     A total number of 387 single drugs and 340 compound formulations
                                                                                         STANDARDS FOR I.S.M. DRUGS.
have been allocated to the 32 Laboratories/ Institutions/Universities. About
250 draft monographs have been received from the Institution which are
under scrutiny by the experts.                                                               PROFORMA OF APPLICATION
  S. No.        Year                B.E.         Expenditure incurred               b) Name and designation of the Project
                                                                                       Officer/In-charge of the scheme.
  1            1996-97                                 60.00 lakhs
7 Financial resources.
                                   234                                                                              235
8    Total income during the last financial      13   Any other relevant information
     year.                                            justifying the request for Govt. grant.
     a)   Total expenditure during the last
                                                 14   Recommendation and comments of head
          financial year.
                                                      of the institute/Registrar/ Sate Govt.
     b) Detail of prior experience regarding
        Ayurveda, Siddha, Unani drugs
        (Herbal, Mineral, Metal, Marine/
        Animal drugs.
     c)   Experience regarding analysis/
          testing/research   relating    to                                     1. Signature and designation of the
          Ayurveda, Siddha, Unani drugs.                                           Project Officer responsible to
                                                                                   implement the scheme alongwith seal
9    Details of item/component for which
     assistance is sought and estimated value
     of each. (As per the provision of the
     scheme).
                                                                                2. Signature and designation & seal
10   Whether any grant has been sanctioned                                         of the Director/Head of the Deptt.
     by other Deptt. of Central Govt. of State
     or UT or international agency for the
     same purpose for which the financial
     assistance is now sought.
                                   236                                             237
 SCHEME FOR PROVIDING CENTRAL ASSISTANCE                                       iii)   Regisitered Institutions under central/state/Ut govts.
   FOR DEVELOPMENT AND CULTIVATION OF
  MEDICINAL PLANTS USED IN THE AYURVEDA,                                       Commencement of the Scheme and its Implementation :
      SIDDHA, UNANI & HOMOEOPATHY.                                                   Under the scheme, the eligible institutions which have the basic
                                                                               infrastructure i.e., minimum 5 acres of cultivable land, technical know-
    The scheme viz “Central Scheme for Development and Cultivation             how and preferably some experience in cultivation of medicinal plants
of Medicinal Plants” is being implemented since the year 1990-91.              and who are prepared to meet the entire recurring expenditure themselves
                                                                               will be eligible for financial assistance to meet the non-recurring
       The objective of the scheme is to augment the production of crude
                                                                               expenditure on selected items for cultivation of identified medicinal plants/
drugs of plant origin which are in greater demand and mainly used in
                                                                               trees as per pattern. The list for cultivation of identified medicinal plants/
preparation of drugs of ISM & Homoeopathy by providing central
                                                                               trees which is subject to amendments from time-to-time is also enclosed
assistance for cultivation and development of medicinal plants for this
                                                                               herewith. Sites for plantation under this scheme will have to be chosen
purpose. Central assistance is provided to the organisations under central/
                                                                               carefully, taking into account the agro-climatic requirements of each
.state/UT governments, autonomous bodies and statutory organisations etc.,
                                                                               individual species and the available package of agro-technology for each
which are directly controlled by the government, for establishment of
                                                                               plant/tree. It will also have to be ensured that this planting effort would
herbal farms for cultivation of scarce and identified medicinal plants/trees
                                                                               be complementary to and not harmful to the natural indigenous growth.
required by the drug industry of ISM & Homoeopahty which are in a
great demand but are short in supply. It will also augment the efforts of             Central assistance shall be released on the recommendation of a
growing those medicinal plants which are at present imported but have          Committee consisting of Joint Secretary, Incharge of ISM ; Dy. Secretary
the potential for cultivating indigenously.                                    (Internal Finance ) and Advisor (Ayurveda)/ Advisor (Homoeopahty).
                                                                               Applicant institutions will be required to furnish the requisite information
      These herbal farms would also serve as demonstration farms to
                                                                               in the prescribed proforma.
motivate other private formers for taking up cultivation of such medicinal
plants and also to create general awareness amongst the people about                Central assistance under this scheme would be provided for the
their therapeutic value and importance for conservation and propagation.       following purposes :
                                                                               (a)    fencing and land shaping ;
Institution/Bodies Eligible for Assistance :
                                                                               (b)    purchase of essential machinery/equipments/implements etc ;
i)    Government/semi-government organisations in states/UTs such as           (c)    to create/improve irrigation facilities, e.g. for construction of well,
      government pharmacies and colleges of ISM & Homoeopathy and                     tubewells, tanks etc.
      public sector undertakings (PSUs) etc.                                   (d)    construction of ordinary sheds for procurement, storage, drying etc.
ii)   Registered autonomous bodies, statutory organisations (directly                 and
      controlled by government) like research councils, agriculture/           (e)    miscellaneous expenditure on items like obtaining technological
      ayurveda/medical universities etc.                                              know-how and literature etc.
                                   238                                                                              239
     Quantum of Assistance : One time central assistance for cultivation          CENTRAL SCHEME FOR DEVELOPMENT AND
of identified annual/biennial/perennial medicinal plants/trees upto a               CULTIVATION OF MEDICINAL PLANTS
maximum of Rs. 30,000/- per acre for fencing/land shaping ; Rs. 30,000/
                                                                           PROFORMA OF APPLICATION
- per acre for irrigation and Rs. 5.00 lakh for equipment /shed and Rs.
30,000/- for miscellaneous items.
6. Financial resources:
                                 240                                                                            241
     (c) Assets at the end of the last            15. Source of income (donations, fee, bank
         financial year.                              interest and grant etc. received during
                                                      the last financial year should be
7.   Details of prior experience in cultivation
                                                      indicated here, source-wise.
     of medicinal plants.
                                                  16. Whether accounts of the institution are
8.   Total land available with the institution
                                                      audited by a Chartered Accountant or a
     area-wise and where located. Details of
                                                      Govt. Auditor? If so, statement in
     agro- products on the land during the
                                                      original of its annual audited accounts
     last three years.
                                                      viz., Income & Expenditure Accounts,
9.   Details of medicinal plants proposed to          Receipts & Payment Account and
     be cultivated under the scheme                   balance sheets for the last three year
                                                      duly certified by the said auditors to be
10. Details of items/components for which
                                                      enclosed
    assistance is sought and the estimated
    value of each                                 17. Recurring or non-recurring grants
                                                      received, if any, from the Central or
11. Number of supplying proposed to be
                                                      State govts. During the last five years
    planted (per acre) as per the prescribed
                                                      for the purpose other than that which
    agro-techniques and the quantity of
                                                      has been indicated at 14 above. In case
    estimated yield
                                                      such grants were received, a certificate
12. Details of the source for seed/supplying          to the effect that all the grants have been
    availability of agro-techniques for               utilised for the purpose for which they
    cultivation of proposed medicinal plants          were sanctioned to be attached duly
13. Area of land proposed to be utilised              certified by auditors.
    and its status (whether cultivable or not)    18. Name of the scheduled bank where
    and location                                      accounts of the institution are
14. Whether any grant has been sanctioned             maintained and operated jointly by its
    by any other Deptt. of Central of State/          two authorised office bearers.
    UT Govt. for the same purpose for             19. Any other relevant information
    which the financial assistance is no              justifying the request for government
    sought ? If yes, details thereof? It not,         grants.
    furnish a certificate duly attested by the
    auditors
                                    242                                               243
20. Recommendation and comments,   Signature of the               SCHEME FOR PROVIDING CENTRAL ASSISTANCE FOR
    if any, of State/UT Health     authorised Office                  DEVELOPMENT OF AGRO TECHNIQUES OF
    Department.                    bearers of the Institution      MEIDCINAL PLANTS USED IN AYURVEDA, SIDDHA,
                                                                           UNANI AND HOMOEOPATHY.
                                   Designation and name of the
                                   Institution (SEAL)
                                                                      The herbs and medicinal plants have since been traditionally obtained
                                   Signature and Designation     from forests, therefore, no systematic effort has been made in the past for
                                   Signature of the authorised   developing the package of practices for cultivation of medicinal plants
                                   Office bearers of the         and herbs. However, because of shortage of medicinal plants in forests
                                   Institution                   and availability of vast tracts of waste-land coupled with increasing practice
                                                                 of commercial cultivation on private land due to attractive price for many
                                                                 medicinal plants, large scale plantations are expected to develop in coming
                                                                 years in the 9th plan. Investment is such plantations would be largely
                                                                 wasted unless the package of practices for plantations and cultivation are
                                                                 evolved and standardized.
                             244                                                                      245
SUBMISSION OF PROJECTS:                                                         designations viz., Research Associates, Sr. Research Fellows and Jr.
                                                                                Research Fellows. The Associates and Research Fellows shall be paid
      Eligible Institutions will apply for assistance on the basis of project
                                                                                remuneration as per the norms of ICAR Scheme, adopted for this Scheme,
proposals. The project proposal will specify the plants for which package
                                                                                and as revised from time to time.
of practices will be developed. It will also specify the time period of
the project, milestones to be monitored, the recurring and non-recurring               Norms for payment of emoluments of Project staff shall be as under:
inputs required year-wise and management system. Each project will
                                                                                1. (a) Research Associates (with Ph.D) - Rs.10,500/- p.m.(consolidated)
cover at least 4 medicinal plants. The objectives of the Project shall be
to develop complete package of practices of Agro-technology for                 1. (b) Research Associates (non Ph.D)      - Rs.8,800/-p.m. (consolidated)
cultivation of these plants. It should provide information on the following            (Total 2 Nos. of either category)
aspects in addition to those felt essential by the Project Organization:
                                                                                2. Sr. Research Fellow (1 No.)             - Rs.5,000/-pm in 1st &
a)    Best method of raising the plants.                                                                                     2nd year and Rs.5,600/-p.m. in
b)    Best soil for the plants.                                                                                              3rd year
                                                                                                                             (consolidated)
c)    Seasonal practices including time of sowing the seeds, determination
      of growth behavior, harvesting period.                                    3. Jr. Research Fellow (2 Nos.)            - Rs.3,600/-p.m.(consolidated)
d)    Number of plants appropriate for plantation per acre; cropping/inter      II. RECURRING/NON-RECURRING CONTINGENCFIES:
      cropping system.
                                                                                      For the convenience of Project Coordinators, the following norms
e)    Nutrient requirement.
                                                                                are being prescribed for incurring expenditure allocated under working
f)    Water management and weed control.
                                                                                expenses, secretarial assistance, stationary/contingencies, basic facilities
g)    Maturity and best harvesting period.                                      etc.,
h)    Best harvest techniques and storage/packing methods.
                                                                                RECURRING CONTINGENCIES:
i)    Best period of harvesting, keeping in view the active chemical
      ingredients.                                                              I)     Rs.0.50 Lakh per year for engaging 2 (two) labourers for working
j)    Commercial viability keeping in view the per-acre outputs.                       in the field.
COMPONENTS OF ASSISTANCE:                                                       II)    Rs.0.25 Lakh per year to meet the travelling expenditure in
                                                                                       connection with the review meeting/workshops/journeys for
     Central Assistance shall be provided for the following:                           procurements of seed material (Medicinal Plants) and information
I)    PROJECT STAFF:                                                                   related to the project.
     Assistance will be provided for appointment of Project Staff having        III)   Rs.0.25 Lakh per year for stationery, chemicals, glass wares, minor
the qualifications in the field of Botany/ Pharmacogonocy/ Plant                       furniture and plantation material.
Chemistry/ Pharmocology/ Agriculture/ Horticulture/ Forestry in the
                                    246                                                                             247
NON-RECURRING CONTINGENCIES:                                                                 PROFORMA OF APPLICATION
                                                                                        CENTRAL SCHEME FOR DEVELOPMENT OF
                                                                                        AGRO-TECHNIQIUES AND CULTIVATION OF
I)    Rs.1.40 Lakhs per year for purchase of selected/essential and                              MEDICINAL PLANTS
      specialized items of laboratory/field equipment and other implements
      as required for the Project.                                               1.   Name and Address of the Organisation
      The total expenditure on above contingencies should not exceed to               (Along with Tel./Fax Nos.)
      Rs.2.40 Lakh per year or Rs.7.20 Lakh for three years.                     2.   Status of Organization
II)   Rs.0.50 Lakhs per Hect. (for entire project period) for creation of             (Govt./Semi-Govt./Autonomous/Statutory
      basic facilities like fencing of the Project area/creation of irrigation        body)
      facilities/ construction of sheds for the procurement, storage of               Particulars of Project-Coordinator/
      material etc.                                                                   Associates
                                    248                                                                              249
     for development of Agro-techniques under       17. How Organisation propose to propagate and
     the project                                        utilise the project-findings(Agro-techniques)
10. Area of land(in acres) to be utilized for the   18. How the Organisation propose to utilise the
    project and its location (whether in or             produce of cultivation-site
    outside of Campus)
                                                    19. How are the accounts of Organisation being
11. Information available or procured on each           audited
    species of medicinal plants proposed to be
                                                    20. Name of the Scheduled Bank where
    taken up, regarding utility, availability
                                                        accounts of Organisation are maintained
    status, distribution, Research etc.
                                                    21. Name of two office-bearers responsible for
12. Source for procurement of Seed/Saplings
                                                        jointly monitoring the accounts
    etc.
                                                    22. Any other relevant information justifying
13. Details of items/Components for which the
                                                        the request for grant of project
    assistance is sought under the scheme
                                                        (Signature, Names & Designation of
    (Details regarding each items of
                                                        Project Officer of Organisation)
    infrastructure equipment, Project/staff,
    Chemicals, etc., including the Project-plan
    as per para-10 of scheme should be
    furnished)
                                                                                             (Signature, Name & Designation
14. Total cost of assistance sought (As per
                                                                                             of the Head of the Organisation
    provisions of the scheme)
                                                                                             with office Seal)
15. Whether received funds earlier under the
    scheme “”Central Scheme for Development
    and Cultivation of Medicinal Plants” from
    the Department of ISM & H., GOI. If so          23. Recommendation and comments, if any of
    please specify how the infrastructure                ISM & H Department of State/UT or the
    created shall be used for the present project        Controlling Office for the Organisation.
                                   250                                                 251
         REPRODUCTIVE AND CHILD HEALTH                                       assistance for imparting these training courses.
                 PROGRAMME                                                   Improving awareness and availability of ISM remedies
Scheme relating to Indian Systems of Medicine & Homoeopathy
                                                                             l     The Indian Systems have relied over generations on medicinal plants
                                                                                   available in the neighbourhood and knowledge about use passed on
                                                                                   from generation to generation. Because of pressure of population
INDIAN SYSTEMS OF MEDICINE & HOMOEOPATHY
                                                                                   the cultivation of food grains and commercial crops have
       Considering that about half of the population according to some             progressively practically eliminated locally growing medicinal plants
estimatesdepends on the Indian Systems of Medicine for health care, the            and because of the vast changes in the social system, the family
Reproductive and Child Health for the whole population of the country              traditions have also become weak.
cannot be assured without involving the Indian Systems in a large and
                                                                             Inputs
meaningful manner. The Ayurveda and Unani Systems in this regard are
particularly important. About 5 lakhs practitioners of these disciplines     i.    The NGOs will be assisted for raising nurseries of medicinal plants
mostly in the non-governmental sector are spread out in different parts of         which are known to grow in that particular area. They will distribute
the country. These systems have the advantage that a large proportion of           the medicinal plants free of charge to desirous families and village
their practitioners are located in the rural areas. The Indian systems are         level ISM practitioners.
known to have many efficacious practices and remedies for a number of        ii.   These practitioners will be encouraged to grow these plants about 1-
conditions of women and children. These systems generally do not have              2 acres.
side-effects also.
                                                                             iii. The NGOs will be assisted to educate local population about the
     There are three specific programmes on ISM           which will be           uses of locally available plants for preventive and curative purposes.
implemented under the RCH Programme.
                                                                             iv.   NGOs will be asked to take up this work on a project basis for a
Training of ISM Practitioners                                                      district only. Few of the NGOs with proven larger capability will be
l    The RCH Programme does not seek any posts or construction of                  assigned more than one district.
     building. The RCH Programme will confine itself to tapping large        Procedure for sanction/conditions regulating assistance
     resources of ISM practitioners in the non-governmental sector. These
                                                                             i.    It is not possible to lay down norms for assistance for each district
     persons need to be oriented in RCH concept and framework. Their
                                                                                   will be different . The NGO may also differ from project to project.
     skills also need to be revised through training relevant to RCH.
                                                                             ii.   Value of a district project of one year will not be more than Rs.15
Inputs
                                                                                   lakh.
      Short-term training of 2-4 weeks will be provided to ISM
                                                                             iii. These projects will be sanctioned by an Expert Committee.
practitioners, both in the Government and non-government sector through
ISM Medical Colleges. These Colleges will be provided financial
                                  252                                                                            253
iv.   NGOs. effectiveness will be adjudged on their motivation among                     System, the requirement for medicinal plants is growing fast. More
      the people for maintaining these plants.                                           than 150 out of about 1200 medicinal plants are already on the
                                                                                         endangered list.
Research in ISM
                                                                                   Inputs
l     Deficiency of the ISM is that objective data has not been generated
      to prove the extent of efficacy of individual prescriptions. As a                 It is necessary to augment availability of medicinal plants in a
      result a large variety of cures are prescribed leading to varying results.   meaningful manner. It is proposed to do this on a limited scale by
      It will be beneficial if the cures mentioned in the texts are                taking up one or more plantations of medicinal plants in the form of the
      systematically taken up so that their efficacy is established. This          ‘Vanaspati Van’ over wastelands or denuded forest land of 3000-5000
      will allow the most effective cures to be identified.                        hectares of contiguous area which is available in large measure in most
                                                                                   States.
Inputs
                                                                                   Procedure for sanction/conditions regulating assistance
i.    Research projects through ISM research institutions will be supported
      financially.                                                                 i.    Since the forest land cannot be transferred or sold, it is proposed
                                                                                         that the State which agrees to take such development of Vanaspati
Procedure for sanction/conditions regulating assistance
                                                                                         Van will constitute a state level autonomous body in the form of a
i.    To consider the project proposal of the research projects, an expert               society registered under the Societies Registration Act.
      committee will be constituted.
                                                                                   II. The society:
ii.   Each project will be required to associate a researcher familiar with
                                                                                   l     will be headed by a Forest Officer to ensure cooperation from the
      modern research to ensure objectivity.
                                                                                         State Forest Department. The Society will have one nominee of the
iii. Each project will be required to volunteer milestones at the end of                 Department of Family Welfare and one nominee of the Department
     each year the Expert Committee will monitor progress and release                    of Indian Systems of Medicine and Homoeopathy on its Executive
     of grants.                                                                          Committee.
iv.   A project will envisage assistance for immediate technical project           l     It will have a small compliment of staff consisting of Forest,
      staff but no sanction will be considered for regular posts or buildings.           Agriculture, Botany, Ayurveda and Unani professionals. This will
      Assistance will also be provided for equipment, consumable,                        generally not be more than 15.
      contingencies and expenses on patients in case of clinical trials.
                                                                                   iii   The State will have to identify almost a continuous patch of
Vanaspati Van                                                                            land over 3000-5000 hectares of denuded or degraded forest land
                                                                                         including wastelands. The project will envisage identification of
l     The forests have been the traditional source of medicinal plants but
                                                                                         100 or more medicinal plants which grow naturally in that agro-
      there has been over-exploitation of this resource and the forests
                                                                                         climatic condition.
      themselves are shrinking. Therefore, increasing demand of Indian
                                     254                                                                              255
vi    Each Vanaspati Van:                                                             SCHEME FOR CENTRAL ASSISTANCE FOR
                                                                                    STRENGTHENING OF STATE PHARMACIES AND
l     will be assisted by an Advisory Committee of 1 expert of Ayurveda,
                                                                                                LABORATORIES
      1 of Botany and 1 of Agriculture/Forestry who will visit the Vanaspati
      Van at least every quarter and provide guidance and supervision.
l     Each Vanaspati Van will also require a small compliment of staff                A Central scheme for assistance for strengthening of State
      headed by a Manager of the rank of a District Officer assisted by        pharmacies and laboratories has been approved. The projected assistance
      about 6 persons of agriculture, management, marketing, accounts and      is of the order of Rs. 1 crore each for pharmacy and laboratory. Details
      stores.                                                                  of components of assistance etc. are being finalised and would be circulated
                                                                               soon.
l     In addition, it will have to engage some workers for raising plants
      and looking after the plantations.
l     The Vanaspati van may require protection by way of fencing along                                             For more detailed information contact:
      its parameters.                                                                                                           Director (RMG)
                                                                                                                               Deptt. of ISM&H
vi.   All these inputs will be worked out in the form of a project report
                                                                                                                              Red Cross Building
      which may be prepared by the State Government. It is envisaged
                                                                                                                                   New Delhi
      that one Vanaspati Van may require upto Rs.1 crore per year by
                                                                                                                                  Tel: 3731755
      way of assistance through its 5 year period. Each project proposal
      will be considered by the Expert Committee constituted for research
      projects in ISM.
                                    256                                                                            257
                  MEDICINAL PLANTS BOARD                                        remain under the administrative control of the Department of ISM & H,
                                                                                Ministry of Health & Family Welfare.
      The medicinal Plants are the basic raw materials for preparation of
                                                                                      The Board will be headed by the Minister (HFW) with MOS (HFW)
medicines of Indian System of Medicines & Homoeopathy. The
                                                                                as Vice-Chairperson and will have members representing various
effectiveness of these systems thus mainly depend upon the use and
                                                                                Departments/Organizations and functionaries. The non-statutory Board
sustained availability of genuine raw materials.
                                                                                will subsequently take up the issue of setting up a statutory body under
       At present various activities and programmes related to diverse issues   an Act of Parliament.
concerning medicinal plants are being pursued independently by numerous
                                                                                     The functions of Medicinal Plants Board will include co-ordination
departments and organizations. The Ministry of Environment and Forests,
                                                                                with the Ministries/Departments/Organizations and State/UT Governments
Ministry of Agriculture, Department of Commerce, Department of Bio-
                                                                                for development of medicinal plants in general and specifically in the
Technology, CSIR, ICAR, TRIFED, Department of Industrial Policy and
                                                                                following fields:-
Promotion, Department of Family Welfare, Department of ISM & H
are dealing with various issues such as conservation, cultivation,              1.    Assessment of the demand/supply position relating to medicinal
harvesting, marketing, research, standardisation, exports etc. but there is           plants both within the country and abroad.
inadequate coordination and an absence of a focussed approach. There            2.    Identification, inventorisation and quantification of medicinal plants
is little or no investment being made to support a better understanding               according to the broad eco-systems of the country.
and improved use of medicinal plants. Policy intervention is urgently           3.    Promotion of ex-situ/in-situ conservation and         cultivation of
needed to encourage conservation of certain species being extracted from              medicinal plants.
the forests and for supporting the commercial exploitation of medicinal
                                                                                      Promotion of co-operative efforts among collectors and growers
plants which can grow in abundance through cultivation, and adoption of
                                                                                      and assisting them to store, transport and market their produce
good agricultural practices. There is also a need for formulating a clearly
                                                                                      effectively.
defined policy for medicinal plants. It is felt that this would be possible
only if a National Level nodal body is established to advance the cause         4.    Improving availability of raw material of genuine quality in required
of medicinal plants.                                                                  quantity for the users of medicinal plants.
                                                                                5.    Setting up of data-base system for inventorisation, dissemination
      The objective of establishing a Medicinal Plant Board is to have
                                                                                      of information and facilitating the prevention of patents being
an agency which would be responsible to co-ordinate all matters
                                                                                      obtained for medicinal use of plants which is in the public domain.
related to medicinal plants, including drawing up policies and
strategies for conservation, proper harvesting, cost-effective cultivation,     6.    Matters relating to import/export of raw material, as well as value
research and development, processing, marketing of raw material in                    added products either as medicine, food supplements or as herbal
order to protect, sustain and develop this sector.                                    cosmetics including adoption of better techniques for marketing of
                                                                                      products to increase their reputation for quality and reliability in
     Board is being set up as a non-statutory body with a Resolution of
                                                                                      the country and abroad.
the Government. The Board will have its headquarters at New Delhi and
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7.    Undertaking and awarding scientific, technological research and cost
      effectiveness studies.
8.    Development of protocols for cultivation and quality control.
9.    Encouraging the protection of Patent Rights and IPR.
      The Board shall have the following powers:-
(a)   The Board will advise the concerned Ministries/Departments/
      Organizations/State/UT Governments on policy matters relating to
      schemes and programmes for development of medicinal plants.
(b)   The Board will provide guidance in the formulation of proposals,
      schemes and programmes etc. to be taken up by agencies and
      corporate bodies having access to land for cultivation and
      infrastructure for collection, storage, transportation of medicinal
      plants.
(c)   Chairman of the Board will have the authority to invite
      representatives from organizations engaged in R&D, quality control
      etc., and of State Governments as special invitees.
(d)   The Board will draw upon the expertise of organizations such as
      CSIR, Department of Science and Technology, Deptt. of Bio-
      Technology, Research Councils and ICAR etc. in meeting its
      objectives.
(e)   The Board will be assisted in Administrative/Technical matters
      by Consultants to be appointed by a Resolution of the Board. The
      Board may appoint such number of officers and staff as may be
      necessary subject to approval of Central Government and
      Government instructions on the subject.
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