TRIPURAINFO

Health and Family Welfare


Health finds predominant place in three of the eight goals, eight of the sixteen targets and eighteen of the forty-eight indicators of the "Millennium Development Goals of the UN". Health is the most important social service sector having direct correlation with the welfare of the human being.
Health is defined by the World Health Organization [WHO] as a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity. Health is one of the vital elements that determines human development and progress in a given time and space. Good health and long life are valued possessions. For most people, the realization of goals and ambitions depends on having a reasonable and healthy life span. This can in turn, provide an opportunity to develop abilities and use this innate potential in pursuit of personal goals, that will bring indirect benefits to individuals as also to the society as a whole. Good health is thus a key factor for an individual in leading an economically meaningful life. Good health is of paramount importance for a socially and economically productive life.  In fact, the well being of a State depends, to a great extent, on sound health of its people.  It is one of the primary functions of the Government to provide good healthcare facilities to all its citizens.
In the words of Nobel Laureate, Amartya Sen, "Bad health is constitutive of poverty, premature mortality, escapable morbidity, undernourishment are all manifestations of poverty. I believe that health deprivation is really the most central aspect of poverty."
Tripura, being located in south-west corner of the North-Eastern Region, has suffered due to infrastructure and other bottlenecks, which has adversely affected the economic development of the State. The high incidence of poverty and backwardness are also telling on the health condition of the State. The State is also suffering due to shortage of appropriate health manpower. However, due to concerted efforts made by the State Government, there has been a positive change in the health scenario in recent years.

Objectives:

The main focus under the health and family welfare sector is "health care for all" in the State with particular reference to the poor and backward people. The State has comparatively performed better in the field of health & medical facilities despite its economic backwardness and absence of modern health care facilities.

i)To provide adequate and qualitative preventive and curative healthcare to the people of the State.

ii)To improve maternal and child health and in particular to reduce maternal and infant mortality.

iii)To ensure equality in health care to all, particularly to disadvantaged groups like scheduled tribes, scheduled castes, backward classes and women.

iv)To provide affordable quality health care to the people of the State through allopathic, homeopathic and ayurvedic system of medicines etc.

v)To give training to doctors, nurses and other paramedical staff to meet the need of health care in the State.

vi)To ensure greater access to primary health care by providing medical institutions as close to the people as possible.

In 2013-14, following national health programmes have been implemented in the State in addition to the state sector health programmes.

i) Family Welfare, Reproductive & Child Health Programme,

ii)National Victor Borne Disease Control Programme,

iii)National Tuberculosis Control Programme,

iv)National AIDS Control Programme,

v)National Programme for Control of Blindness & Visual Impairment,

vi)National Leprosy Eradication Programme,

vii)National Cancer Control Programme,

viii)National Iodine Deficiency Disorder Control Programme,

ix)District Mental Health Programme,

x)Disability & Rehabilitation Programme,

xi)Integrated Disease Surveillance Project.

Besides, National Rural Health Mission (NHRM) is a major partner and in conjugation with the State Health Department, has done effective work, especially at the grassroots level covering hilly area, giving the entire health services in the State a major boost. As a result of concerted efforts made by the State Government there is a visible improvement in the health status of the people of as per latest release of data in 2014 is depicted in the following Table.

Items All India Tripura
Birth rate
21.4/100
13.7/1000
Death rate
7.0/1000
4.7/1000
Natural growth rate
14.4/1000
9.0/1000
Infant mortality rate
40/1000
26/1000
Total fertility rate
2.5
1.7
Sex ratio
943/1000
960/1000
Source: SRS-2013, ORGI & NFHS-3.

It is evident that State Government is fully committed to deliver best possible health care services to the people with the limited financial resources, especially the primary healthcare services. Side by side special attention is being paid to preventive and promotive aspects of healthcare, in addition to the curative measures. Benefits are also given under Tripura State Illness Assistance Fund to the BPL patients for treatment of diseases like heart, kidney, brain, neurological and eye diseases requiring surgical intervention outside the state.

Hospitals, Rural Hospitals and Community Health Centres

In 2013-14, there were 23-Hospitals, 18-Rural Hospitals and Community Health Centres, 84-Public Health Centres, 1101-Sub-Centres/Dispensaries including Homeo/Ayurvedic clinics, 8- Blood Banks and 7-Blood Storage centers in the State. The State Government has been providing basic facility to all section of the society. In addition to these facilities, the State government has been giving thrust to expand and strengthen the Homeopathic and Ayurvedic system of medical services as a complement to the modern medical facilities especially to the poor in the rural areas.

Major health

The following table shows the major health indicator of the State, 2013 vis-à-vis all India.

Health indicator

Sl. No. Category All India Tripura
1.
Birth rate, 2013 
21.6
13.7
2.
Death rate, 2013
7.0
4.0
3.
Natural growth rate, 2013
14.5
9.0
4.
Infant Mortality Rate (IMR), 2013
42
26
5.
Couple Protection Rate (CPR),NFHS-3
56.03
65.08
6.
TFR (Total Fertility Rate), NFHS-3
2.5
1.7
7.
Maternal Mortality Rate, SPP-2000
4.37
4
8.
Sex ratio, Census-2011
940:1000
961:1000

State Population Policy

The Government of Tripura announced the "State Population Policy-2000" in August-2001 with three following objectives:

1) Immediate objective: To address the unmet needs for contraception, health care infrastructure and health personnel and to provide integrated service delivery for basic reproductive and child health care.

2) Mid-term objective: To bring total fertility rate (TFR) to replacement levels through rigorous implementation of inter-sectoral operational strategies.

3) Long-term objective: To achieve a stable population by 2045 at a level consistent with the requirement of sustainable economic growth, social development and environment protection. Main endeavour will be on elimination of poverty and illiteracy and socio-economic upliftment of the people

2) Recommendation of health manpower in Tripura and shortages are also presented in the following Table.

Sl. No. Name of post Sanctioned Man in strength Shortage position
1.
Laboratory technician
175
123
52
2.
Radiographer
63
42
21
3.
Pharmacist (allopathic)
340
257
83
4.
MPS/(female)
159
158
1
5.
MPS/(male)
153
146
7
6.
MPW/(male)
901
680
221
7.
MPW/(female)
891
680
221
8.
Staff nurse
1942
1915
27
9.
Medical (allopathic)
1627
1048
579
10.
Dental surgeon
81
17
64
11.
Dental Surgeon (Ex Cadre)
24
20
4
12.
Medical officer (homeopathy)
89
50
39
13.
Medical officer (ayurvedic)
58
52
6
14.
Ophthalmic Assistant
29
22
7
15.
Blood Bank Tech.
15
9
6
Source: - Health Department, Tripura.

Health Infrastructure

The following table shows the major health indicator of the State, 2013 vis-à-vis all India.

Health indicator

Sl. No.  Category All India Tripura
1.
Birth rate, 2013
21.6
13.7
2.
Death rate, 2013
7.0
4.0
3.
Natural growth rate, 2013
14.5
9.0
4.
Infant Mortality Rate (IMR), 2013
42
26
5.
Couple Protection Rate (CPR),NFHS-3
56.03
65.08
6.
TFR (Total Fertility Rate), NFHS-3
2.5
1.7
7.
Maternal Mortality Rate, SPP-2000
4.37
4
8.
Sex ratio, Census-2011
940:1000
961:1000

Health Manpower

The status of technical manpower position under the State Health Department during the years 1998 and 2013 is presented in the following Table.

Sl. No.  Category 1998 2013
1.
Medical Officer (Allopathy)
541
1048
2.
Medical Officer (Ayurvedic)
37
51
3.
Medical Officer (Homeopathy)
47
50
4.
Medical Officer (Dental)
39
37
5.
Inspecting Officer (Drug)
7
10
6.
Multipurpose Worker (Male)
371
680
7.
Multipurpose Worker (Female)
603
631
8.
Staff Nurse
8
1915
9.
Field Worker
35
-
Source: - Health Department, Tripura.

Patients Treated

Total number of patients treated both indoor and outdoor in the State during 2013-14 is given in the table.

District   Indoor   Outdoor   Total
West
6,19,235
29,28,806
35,48,041
North
1,06,836
6,22,600
7,29,436
South
2,30,218
4,60,459
6,90,677
Dhalai
65,125
2,18,879
2,84,004
Total
10,21,414
42,30,744
52,52,158
Source: - Health Department, Tripura.

The number of indoor and outdoor patients by kinds of decease in all four districts of the State in 2013-14 is depicted below.

District
Tuberculosis
Syphilis
Fever
Small pox
   Indoor Outdoor Indoor Outdoor Indoor Outdoor Indoor Outdoor
   West 651 6041 0 09 4754 28790 0 0
Sepahijala 143 769 0 04 5802 20503 0 0
   Khowai 28 423 00 00 2204 11171 0 0
   South 2 221 00 07 16472 20059 0 0
    Gomati 0 28 00 12 11077 28588 o o
    North 05 337 03 20 11729 18432 0 0
   Unakoti 00 108 00 11 7903 4844 0 0
    Dhalai 43 156 0 04 10245 14215 0 0
   Total 872 8,083 03 67 70,186 1,46,602 0 0

District
Malaria
Leprosy
Cholera
Gastronsteritis
   Indoor Outdoor Indoor Outdoor Indoor Outdoor Indoor Outdoor
   West 374 35 01 04 0 0 7301 12785
Shipahihala 67 23 00 01 0 0 1383 3232
   Khowai 290 10 00 02 0 0 2108 10119
   South 647 1214 00 08 0 0 3502 7101
   Gomati 1132 5308 00 00 0 0 982 4244
   North 376 205 0 04 0 0 2885 7852
   Unakoti 853 279 0 01 0 0 5355 4550
   Dhalai 1147 927 0 01 0 0 3015 3960
   Total 4,886 8,001 01 21 0 0 26,531 53,843

District
Gonorrhea
Diphtheria
Poliomyeities
Tetanus
Indoor Outdoor Indoor Outdoor Indoor Outdoor Indoor Outdoor
West 0 24 01 0 0 0 14 00
Shipahihala 0 0 0 0 0 0 0 0
Khowai 0 0 0 0 0 0 0 0
South 0 0 0 0 0 0 0 0
Gomati 0 0 0 0 0 0 0 0
North 0 0 0 0 0 0 0 0
Unakoti 0 0 0 0 0 0 0 0
Dhalai 0 0 0 0 0 0 0 25
Total 0 24 01 0 0 0 14 25

District
Measles
Whoping cough
Typhoid
Total
Indoor Outdoor Indoor Outdoor Indoor Outdoor Indoor Outdoor
West 13 39 26 5 201 89 13344 47813
Shipahihala 7 0 0 0 523 331 7925 24863
Khowai 0 0 0 0 82 99 4712 21824
South 0 33 0 0 1684 1660 22307 30303
Gomati 0 0 0 0 45 90 13236 38270
North 5 3 0 0 297 705 15300 27558
Unakoti 132 33 0 0 307 62 14550 9888
Dhalai 3 24 0 0 187 150 14641 19462
Total 160 132 26 05 3326 3186 1,06,015 2,19,981

Blood storage and Blood banks

Blood Storage
Blood Bank
1. Belonia Sub-Divisional Hospital 1. Agartala Medical College and
2. Sabroom Sub-Divisional Hospital 2. GBP Hospital
3. BR Ambedkar Teaching Hospital(Non-Government) 3. Tripura Medical College and IGM Hospital
4. Amarpur Sub-Divisional Hospital 4. RGM Hospital, Kailashahar
5. Melaghar Sub-Divisional Hospital 5. Tripura Sudari Hospital, Udaipur
6. Khowai Sub-Divisional Hospital 6. Dharmanagar Sub-Divisional Hospital
7. Gandacherra Sub-Divisional Hospital 7. BSM Hospital, Kamalpur
8. Kanchanpur Sub-Divisional Hospital 8. ILS Hospital (Non-Government)
9. Kulai District Hospital (functioning from June-2013)

Achievement of Health Camp 2013-14

 Activity   Achievement     
No. of health camp
11585
Total patient treated
248024
No.of fever patients
23017
No.of diarrhea patients
233133

The State Health & Family Welfare Department is not only limited to catering health care and facilities to all sections but is also entrusted with the task of stabilisation and betterment of population by implementing various National Programmes. In this endeavor the State of Tripura has also formulated the State Population Policy in August 2001 for progressing towards the ideal and subsequently constitution the State Population Commission under the Chairmanship of Hon'ble Chief Minister.

The main objective of the State Family Welfare and Reproductive and Child Health (RCH) is to stabilize population at a consistent level with the needs of national development. The main highlights of the RCH programme and interventions which calls for are:-

  • Women are able to go through pregnancy and childbirth safety,

  • The outcome of pregnancies is successful in terms of maternal and infant survival and well being,

  • Couples are able to have sexual relations free and fear of pregnancy and contramiting diseases,

  • Infrastructure development for better service,

  • Manpower development,

  • Integrated training packages,

  • IEC activities and counseling on health, sex and gender,

  • Tribal areas RCH packages,

  • RTI / STI clinic at the district hospitals,

  • MTP and IUD services upto PHC level by providing equipment, medicine furniture etc.,

  • Enhanced community participation through panchyat level women groups and NGOs,

  • Civil works to provide facility for better RCH services,

  • Laboratory diagnosis,

  • Adolescent health.

  • Voluntary Blood Donation

    The achievement under voluntary blood donation by month during the year 2013-14 is presented in the following table.

    Month     Voluntary       Replacement  Total       Blood donation camp
    2012-13
    24,043
    1,885
    25,928
    586
    2013-14
    28,418
    328
    28,800
    737
    Source: - Health Department, Tripura.