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MANIPUR STATE HEALTH CARE

HEALTH CARE IN THE STATE :

                The State Health Department is fully committed in the total health care of its people in the spirit of Health for all. The priority attention of the Department is to provide the optimum health needs of the people in general and particularly to those living in rural and tribal areas of the State.

                The health system in the state of Manipur is based upon the primary health Care approach as envisaged in the National health Policy of 1983 with the objective for attainment of "Health for All' and All for Health'.

A. The administrative set up of the health Services in the State is organised at three levels :

  1. The Administrative Department / Ministry located at the Secretariat is the highest level in the organisation. A Cabinet Minister supported by Secretary / Commissioner, Joint Secretary, Deputy Secretary and Under Secretary heads it Major decisions concerning policies, programmes and proposals are taken at this level.

  2. The next level organisation is the Directorate of Health Services, which is the executive authority in regards to the health administration of the State. The Director of health Services who in turn is supported by Additional Director, Joint and Deputy Directors heads it. The Medical and Health Directorate gives direction and undertake planning, organisation, supervision, evaluation and monitoring of various health programmes.

  3. The District Health Administration is the third administrative unit and headed by a Chief Medical Officer supported by a team of District Level Programme Officers. The main activity of the district health administration is implementation, supervision, evaluation and monitoring of health programmes and delivery of health care services at the grass root through a network of PHSC, PHC, CHC etc. Referral services needing specialised treatment are provided by the CHCs and District Hospitals. The Department is actively considering to strengthen the health administration by developing sub-divisional level health administrative units.

        Likewise the health care delivery system in the State is organised at three(3) levels, each level supported by a referral centre. The levels are :

  1. Primary Care Level comprising of Primary Health Sub-centres (PHSCs), Primary Health Centres (PHCs). Essential basic health care is provided at this level.   

  2. Secondary Care Level comprising of CHCs District Hospitals as referral centres where comparatively complex curative services are provided with basic specialist facilities.

  3. Tertiary Care level Where specialist and super specialist care are provided. It includes the State Level Hospital (J.N. Hospital) and RIMS.  

        Although the department has been able to establish the require number of health institutions, wide infrastructural gaps still exist in the area of building, equipment and manpower.

        The emphasis now is to give optimal functioning of the already established functionaries by providing the necessary infrastructures

The health status of the state ma gauged b the health indicators tabled below :

Sl.No. Demographic Indicator per thousand population Manipur State All India Average
1. Crude birth rate 18.3(SRS 2001) 25.8(SRS 2001)
2. Crude death rate 5.4   -do- 8.5   -do-
3. Infant mortality death rate 23   -do- 68  -do-
4. Leprosy prevalence 0.59  
5. Malaria prevalence 0.39  

HEALTH INSTITUTIONS :   

The State has 539 Primary Health Care Institutions as indicated below :

 Manipur State

Total

District

 District wise Distribution
PHSC PHC CHC UHC
IMP 105 19 4 1
CHC 16 TBL 57 12 4 -
UHC 2 BPR 36 5 2 -
PHC 72 SPT 66 12 2 -
Sub-Centre 420 CCP 61 9 1 -
Dispensary 20 UKL 40 6 1 -
Homeo-Disp. 8 TML 29 6 1 -
N-Cure Clinic 1 CDL 26 3 1 1
Total 539 420 72 16 2

    With this, the state has achieved almost the National Norm for establishment of health Institutions in the rural and hill areas 1-PHSC for every3,000-5,000 population,1 PHSC for every 20,000-30,000 population and 1 CHC for every 80.000-1,20.000 population.

        The population coverage by the primary health Care Units as on 2001 based upon the 2001 census is given below:

        The calculation is made upon is made upon the population of Hill District of 9,83,074 (according to 2001 census) and Rural Valley population of 11,48,224(derived by subtracting the projected  Urban population of Imphal Town of 2,57,336 as on 1-3-2001 from the total Valley population of 14.05,560 (according to 2001 census).

Sl.No. Item Hill Valley
1. PHSC 4,428 5,799
2. PHC 27,308 31,896
3. CHC 1,63,845 1,14,822

The State has also13 Hospitals including 7 District Hospitals and 1-State Level Hospital (J.N. Hospital) as referral

Additional requirement of the Health Institutions as on 2001 based upon the 2001 census.

Sl.No. Item Reg No. Existing No. Additional Requirement
1 PHSC:
a) Hill 328 222 106
b) Valley 230 198 32
Sub-total 558 420 138
2 PHC
a) Hill 49 36 13
b) valley 38 36 2
Sub-Total: 87 72 15
3 CHC
a) Hill 12 6 6
b) valley 10 10 Nil
Sub-Total: 22 16 6

The list of Medical Institutions under State Health Department with bed strength is tabled below:

Item Medical Institutions Beds Remarks
Total Hill Valley Total Hill Valley
1. State Hospital 1 - 1 200 - 200 J.N. Hospital
2.Dist.Hospital 7 5 2 355 255 100  
3.T.B.Hospital 1 - 1 100 - 100  
4. Leprosy Hospital 3 - 3 70 - 70 Including temporary hospitalisation ward
5. Maternity & Children Hospital 1 - 1 40 - 40  
6.CHC 16 6 10 314 150 160  
7. PHC 72 36 36 370 233 132  
8. PHSC 420 222 198 - - -  
9. Medical Disp. 20 13 7 - - -  
10. Homeo Disp. 8 5 4 - - -  
11.N.Cure Clinic 1 - 1 - - -  
12. Drug De-addiction Centre 7+2 4+2 3       Not accounted only seven functioning
13.Dist.TB.Centre 6 5 1 - - -  
14. Mini Dist. TB Centre 2 - 2 - - -  
15. STD Clinic 6 5 1 - - -  
16.Leprosy Control Unit 4 3 1 - - -  
Total 575 304 271 1449 643 802  


BEDS:

        Total available Civil Hospital beds in the State under public sect. is 2330.Another 282 beds are available under private hospitals/ nursing homes as indicated below :

No. of Hospital Beds:

1. Under State Health Department     1449
2. Under RIMS       881
3. Private Hospitals / Nursing Homes       282
  Total     2612

The bed population ratio is over 1 bed per 1,000 population.

Table showing performance of hospital Services during 2001-02

Sl.No. Item J.N.Hosp. Dist.  Hosp.CCP Other Instn Total State
1. No. of OPD Cases 129904 73765 834738 1038407
2. No. of Inpatient 10418 4235 16571 31224
3. No.of Deliveries 3517 1261 3703 8481
4. No. of Major Operation Conducted 1908 942 79 2929
5. No. of Major Operation 1931 615 11193 13739