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Health and Family Welfare

          

Infrastructure National Leprosy Control Programme
Health Management Revised National TB Control Programme
PHCs in Viluppuram Health Division National Blindness Control Programme
PHCs in Kallakurich Health Division Family Welfare Programme
Programme Activities & Ongoing Progarammes Health Education
National FILARIA Control Programme Support from other Agencies
National MALARIA Control Programme Success Story/Photo Gallery

  Infrastructure

Villupuram District is situated on the National Highway 45 and nearer to the Capital city of Chennai.  In Viluppuram District 21 Hospitals are functioning to look after the Health and Family welfare of the people.  Out of this 10 Hospitals come under allopathic, 9 under Siddha and 2 under Homeopathy, with staff strength of 140 Doctors, 149 Nurses and 279 Technical persons.  The Network also includes 2 Allopathic dispensaries at Melnilavur and Thoradipattu in Kallakurichi taluk, 1 Siddha dispensary at Viluppuram District HQ Hospital, 80 Primary health centers and 557 Health sub-centers.   One mobile medical team fulfils the medical need of the people of Kalvarayan Hills.

In Villupuram District there is one District Head Quarters Hospital at Villupuram(238 beds), 7 Taluk Hospital locating at Taluk Head Quarters i.e Tindivanam (136  beds), Kallakurichi (108  beds),Ulundurpet (92  beds), Gingee (70  beds), Tirukoilur(62  beds), Sankarapuram(32  beds) and Vanur (32  beds)-Non Taluk Hospital at Marakkanam(32  beds) and Valavanur (16   beds). The Siddha Hopitals are Viluppuram, Kallakurichi, Ulundurpet, Thirukoilur, Tindivanam, Gingee, Marakkanam and Sankarapuram.  The Homeopathy hospitals are  Viluppuram and Tindivanam. Apart from this  our district has one T.B. Hospital and one Eye Hospital at Viluppuram G.H.

The Health Department is having many on going programmes like MCH (Maternal & Child Health), FW(Family Welfare), Malaria, Leprosy, TB etc and special programmes like PPI (Pulse Polio Immunization), FILARIA - MDA (Mass DEC Drug Administration) etc.  These Programmes are carried out the staff and target is fixed either by the Govt. of Tamil Nadu or in some case by Govt. of India. 

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Health Management

Health care services rendered to the public under various programme- MCH, RCH, Malaria, Filaria, Leprosy, Tuberculosis and Blindness control. The Joint Director of Health services is the head for all health and medical programmes and the following Deputy Directors are assisting him in the various programme.

Name Programmes
Dy. Director of Medical services FW Monitoring, IEC
Dy. Director of Health Services All PHCs and HSCs administration and implementation of all health programmes including epidemic control
Dy. Director of TB TB Control Programme
Dy. Director of Leprosy Monitoring of Leprosy control programme
District Siddha Medical Officer In charge for Siddha wing in the District

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Name of PHCs in Viluppuram District

The name of the Primary Health Centers and their phone numbers are given below.  To see the Location map of PHCs please Click here.

   a) Viluppuram Health Division

Sl No. Name Primary Health Center Phone Number
1. Olakkur 04147-238231
2. Avanipur  
3. Saram  
4. Dhadhapuram  
5. Murukkeri 04147-236368
6. Anumanthai  
7. Brammadesam  
8. Omandur  
9. Kiliyanur 04147-235255
10. Pombur  
11. Uppuvellore  
12. Mailam 04147-241318
13. Muppli  
14. NediMozhiyanur  
15. Periyathachur  
16. Rettanai  
17. Mannampoondi  
18. Melsithamur 04145-235310
19. Melolakkur  
20. Thiruvampattu  
21. Valathi 04145-244292
22. Avalurpettai  
23. Sathyamangalam 04145-231331
24. Ananthapuram  
25. Ottampattu  
26. Gangavaram  
27. N.P.Petral  
28. Vikkaravandi 04146-233567
29. Thumbur  
30. Vembi  
31. Rathapuram  
32. Ennairam  
33. Kedar 04146-237214
34. Kanai  
35. Anniyur  
36. Karuvatchi  
37. Kandamanadi 04146-239399
38. Thogaipadi  
39. Arasamangalam  
40. Siruvanthadu 04146-236350
41. Kandamangalam 0413-2644943
42. P.S. Palam  
43. Kondur  
44. Rambakkam  

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    b) Kalakurichi Health Division

Sl No. Name Primary Health Center Phone Number
1. Ariyur  
2. Edaiyur  
3. T.Kunnathur  
4. Elavanasore Kottai 04149-225360
5. Iruvelpet  
6. Pavanthur  
7. Sirumadurai  
8. T. Edaiyur  
9. T.V. Nallur  
10. Kanchirapalayam 04151-234436
11. Chinnaselam  
12. Nainaorpalayam  
13. Kariyalur  
14. Killakadu  
15. Mottampetti  
16. Serrappet  
17. Melur  
18. Alathur  
19. E.V. Natham  
20. Malaikottalam  
21. Mugaiyur 04153-237593
22. Kandacheepuram  
23. Manalurpet  
24. Villanthai  
25. Veerapandi  
26. Pudupet 04151-246510
27. Chozhampet  
28. Vadaponparapi  
29. Rishivandiam  
30. Manimuthadam  
31. Vanapuram  
32. Thiagadurgam 04151-233572
33. Eyyanur  
34. Koothakudi  
35. Thirunavalur 04147-224338
36. Kalamarudur  

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Programme Activities & On Going Schemes

Medical and Health Care Services are provided to the People of Viluppuram District under the following programmes, besides general health care system.

1. Family Welfare Programme

     a) Maternal and Child Health

     b) Reproductive Child Health

2. Revised National TB Control Programme

3. National Leprosy Eradication Programme

4. National Blindness Control Programme

5. National Malaria Eradication Programme

6. Special Programme (On going schemes)

     a) Specialty Camps

     b) V.C.T.C(Voluntary counseling Testing Camp)

     c) P.P.T.C(Prevention of parent to Child Transmission of Aids)

     d) Pulse Polio Programme

     e) FILARIA - MDA (Mass DEC Drug Administration)

          National Programmes

The following Target oriented National Programme are successfully implemented and provided to the Medical and Health Care Services to the people at the district level.

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(I) National FILARIA Control Programme:

Filaria is one of the major public health problem in India and it is a chronic disease has got social, economic and physical hazards.  A person having chronic filariasis suffer from a social stigma and the affected person tend to be segregated from the society.

In Viluuppuram District 302 villages are found positive for disease manifestation villages. Among theses 508 hydrocael cases and 944 lymphoedema cases were identified.

Acute attacks of filariasis cause temporary disability.   Chronic manifestations are irreversible. Being a mosquito borne disease, the feasibility of the control of filarisis disease apparently is by attacking the vector mosquitoes and the parasites in the micro filarial carriers.

Strategy

The NFCP project was launched to control filariasis by conventional methods viz.

  1. Mass drug therapy with Diethylcarbamazine(DEC)

  2. Recurrent Anti larval measures is selected area

  3. Recurrent Adult measures.

Activities

  1. District level co-ordination meeting by the District Collector

  2. Pross meeting at District level

  3. Meeting at Sub-District/Block/PHC level

  4. Motivation of community through Hand Bills, Posters, Radio, Newspaper, Cine Slides and Cable TV etc.

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(II) National MALARIA Control Programme:

Malaria is one of the oldest disease in the world.   Malaria is protozoal disease caused by infection with parasite of genuse Plasmodium and transmitted to man by certain species of infected female Anopheline mosquito.   Among 4 species of Plasmodium genus the incidence of Pv are predominant.  In the district, the malaria positive cases recorded by HUDs are all imported margin.

Malaria control was originally organized under the National Malaria Control Programme and subsequently by the National Malaria Eradication Programme.  This has since been renamed as National Anti-Malaria Programme 1999.   Though a vertical programme, it is now implemented in the District according to the guidelines given in the Malaria Action Programme under the direction and guidelines of DPH & PM through the DDHS at the District level.

Strategy

  1. Improved surveillance, active and passive, to increase annual blood examination rate - number of blood slides examined per 100 population.

  2. Early detection and prompt treatment to reduce SPR

  3. Increased community awareness and community involvement in malaria control measures.

Activities

  1. Active surveillance in each HSC area by the HSC level HI

  2. Motivation of all field staff to screen every fever case in their respective areas of operation

  3. Establishment of FTDs in problem areas involving NGOs and volunteers.

  4. Awareness raising among the community on the disease and the need for blood screening whenever there is a fever attack.

  5. Reorientation of PHC personnel on malaria control measures

  6. Training of NCOs and volunteers in blood smear collection

  7. Cross-notification of all positive cases.

  8. Positioning of a Laboratory Assistant in all PHCs for passive surveillance and timely blood smear  examination

  9. Skill improvement of personnel in blood smear examination

  10. 100% treatment in all identified cases with appropriate follow-up

  11. Avoidance of time lags between blood smear collection and examination

  12. Motivation of private practitioners private laboratory person for blood smear collection

  13. preparation of appropriate Health communication materials (IEC)

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(III) National Leprosy Control Programme:

The Leprosy Programme is integrated into the primary health care system in Tamil Nadu since 1997, the first State in the country to have such an integration. The aim is to have early case detection and treatment with multi-drug therapy as also detection and treatment all single lesions with adequate follow-up and release from surveillance after two years.

Strategy

A multi pronged strategy will be initiated.  Its principal elements will be

  1. Active case detection campaign

  2. Cent percent case holding

  3. Removal of social stigma through appropriate health education voluntary reporting

  4. Weekly mass survey and facial survey using rapid survey method

  5. School survey

  6. Patient contact survey

  7. Specialized camps, like skin camps and VKT camps designed for pathent education, identification, treatment and follow-up

  8. Community involvement

Activities

  1. Categorization of blocks based on leprosy prevalence levels through a leprosy coverage survey.

  2. A step ladder approach aimed at i.e. elimination in low endemic areas and effective control measures in medium/high endemic Blocks.

  3. In low prevalence Blocks/PHCs, one HSC will be initially selected for elimination strategy.  In this HSC area, leprosy case data will be compiled village-wise and these data will be computerized for follow up and treatment

  4. All single lesions will be compulsorily treated and released from treatment but will be kept under surveillance for two years to prevent a relapse

  5. Pauci-bacillary(PB) cases will be treated continuously for six month and followed up for two years.  Such cases will be examined by a specialist at regular intervals to ensure that correct treatment is given to the patients

  6. Multi-bacillary cases will be treated for one year continuously without break and will be kept under surveillance for 5 years

  7. Concurrent on the job training will be organized for all health staff, over a period, on all aspects of leprosy control.

  8. PHC staff will be sensilized in patient care with special reference to ulcers in order to prevent deformity

  9. Adequate supply of medicines, slides, staining chemicals and laboratory chemicals will be ensured at the appropriate facilities

In our district, we made awareness about Leprosy with the help of Health field staffs, doctors and NGOs, and reduce figure from 7.73 for 10,000 of the year 2000-2001 to 0.68 (below 1 persons ) for 10,000 in 2005,  which is goal of the NLCP.

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(IV) Revised National TB Control Programme:

This programme started functioning during the year 1999 under the support of World Bank Aid and successfully implemented at district level.  Under the revised scheme TB patients will visit the treatment centers thrice a week for drug intake under direct supervision through  DOTS(Directly Observed Treatment Short course).   The Viluppuram Health District is one of the State selected for implementation of RNTCP and three TB units have been set up in the district, each covering a population of 5 lakhs.  Each unit is under the control of MO.

15 centres have been identified under RNTCP as microscopic centers each covering a population of 1 lakh, will upgraded by providing water facilities and other requirements to improve the quality of sputum examination.

 Strategy

  1. Case detection through special camps mainly sputum examination and the quality of such examination will be cross-checked by senior TB Laboratory Supervisors of the TB units.

  2. Case holding through TB treatment cards

  3. Upgradation of microscopic facility at microscopic centers created under RNTCP

  4. Orientation to field staff and CNWs

  5. Motivation of village level leaders involvement of private practitioners

  6. Uninterrupted drug supply

  7. Intensive health education

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(V) National Blindness Control Programme:

Blindness resulting from cataract and impaired Vit. A metabolism is a major problem in eye cars which can be prevented or cured with timely assistance. Refractory error is not uncommon among school children.

The National Blindness Control Programme concentrates on cataract care, organized in the District by the District Blindness Control Society.   Malnutrition due to Vit. A deficiency, particularly in children aged 6 months to 5 years is attended through primary Health care service.  School children are covered under Vazhvili thittam.  The Vit. A deficiency is identified and corrected by administering Vit. A solution by the Medical Officers during their school visit.   Similarly the refractory errors are identified and advised to wear corrected spectacles.  The poor students are also provided with spectacles through District Blindness Control Society under Chairmanship of District Collector.

Strategy

  1. Identification of all suspected cataract cases by field public health staff

  2. Confirming all cataract cases by Ophthalmic Assistant at block level and also and periodical visits to schools, villages.

  3. Identification of Vit. A deficiency cases among children and administering Vit. A solution

  4. Identification of refractive error cases among children and advising them for corrective spectacles

  5. Approprisal care in all such identified cases with adequate follow up support

  6. Proper coverage of eye care needs in the school health programme

Achievements

Year 2002 - 2003

Target fixed for Viluppuram District 18,500 cases. The cataract surgeries done at Govt. side 599 cases and cataract surgeries done at NGOs side 14,287 of total 14,886 of this period.

In the year 2002-2003 Viluppuram District achieved the target 80% percentage, Govt side eye camp conducted at Kariyalur Hills and cataract surgeries done 33 cases and free spectacles issued to 479 school children's.

Year 2003-2004

Target fixed for Viluppuram district 18000 cases, surgeries done at Govt. side 1239 cases and the NGOs side it is 15,784 of total 17,023.

In this period Viluppuram District achieved the target 94%, Govt side eye camp conducted at Kariyalur Hills and cataract surgeries done 76 cases and free spectacles issued to 672 adults and school children's.

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(V) Family Welfare Programme:

 

Items

Annual Target

Achievement upto March2005

% of Achievement

Sterilization

20000

16160

80.8

IUD

22000

19725

89.6

C C Users

20000

12840

64.0

O P Users

16800

9280

56.0

MTP 4000 1578 39.0

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Health Education

 

Sensitization, motivation and counseling are three key areas that will be addressed in health education.

The sensitization efforts will focus on not only the health personnel but also the staff in health related Departments.  The concentration will be on lack of voluntary initiative for leprosy treatment.  In addition to the Government staff, functionaries of the local self-government, Community Volunteers and NGOs will also be covered in the sensitization exercises.

Motivational campaigns and orientation sessions will be organized to provide sufficient awareness on family welfare measures, malaria control, leprosy   management and new TB control regimen.  These will be addressed to the health personnel at all levels in addition to the private practitioners operating in the District, NGOs, Community leaders and volunteers besides teachers and student in local schools and colleges.

Exposure to skills in inter-personnel counseling  will be given to health personnel at the field level in order to equip them for target group specific health communication.

In this period Viluppuram District achieved the target 94%, Govt side eye camp conducted at Kariyalur Hills and cataract surgeries done 76 cases and free spectacles issued to 672 adults and school children's.

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Support from other Agencies

Mobilization of public opinion and public co-operation is intended to be organized through the functionaries of the local self-Government, NGOs and women's groups.

The functionaries of the local self-government, like Panchayat Union Presidents, members of local Panchayats and Ward Members, in mobilizing support in support in speeding up construction of health facilities in their areas.   They will be actively involved in motivating the public in all motivation and health education campaign.  They will be properly oriented on various issues, like family welfare measures, environmental sanitation leprosy and TB control before organizing such motivation campaigns.  The services of locally available NGOs will also be availed in educating the public on health related issues.

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