Healthcare report reveals manpower shortage, inadequate infrastructure

(From Right) The representatives from Bade, Pimla and Sovima villages who received the awards alongwith Dr. Sukhato A Sema, Azheto Zhimomi  and department officials on Wednesday, March 30.  (Pradeep Pareek Photo)
 
DIMAPUR, MARCH 30 (MExN): Five medical sub-centres under Niuland sub-division is rendered inaccessible during the monsoons. The Chief Medical Officer of Dimapur district, Dr. Sukhato A. Sema disclosed this while presenting a report on the ‘District Scenario on Communitisation of Health Centres’ for Dimapur Tuesday, March 30.
The district’s health committee conducted a conference on communitisation at the Town Hall today. Advisor Sericulture & Cooperation, chairman district planning board Azheto Zhimomi was the chief guest.
Laying bare the present condition of the district’s health delivery sector, Dr. Sema made known that 21 sub-centres are functioning with only one ANM (Auxiliary Nurse Midwife). This figure is out of 47 sub-centres in the entire district. There is need for five additional Medical Officers in as many Primary Health Centres (PHC), nine additional GNMs (General Nursing and Midwifery), six ANMs and seven laboratory technicians for the PHCs spread over the district besides the requirement of specialists in the PHCs as well as the CHCs. Dimapur district at present has fifty-two government doctors, one hundred- ninety nurses, ninety-one pharmacists and nineteen laboratory technicians.  
In the infrastructure front, twenty sub-centres are functioning in privately owned buildings. Dr. Sema pointed out the need to construct buildings to house these centres.  It “needs to be given priority.” Another urgent need is construction of buildings for PHCs – Chumukedima and Kuhuboto. A proposal is on place to set up a further six sub-centres at Ao Kashiram, Signal Angami, Luhevi, Vihokhu, Kiyeto and Zani villages, he disclosed.  
The ‘financial report under communitisation’ for 2009-10 revealed that a total sum of Rs. 23, 92, 000 has been utilised for procurement of medicine, construction of Hukai village sub-centre, awards and recognition for the best performing sub-centres, emergency funds for 47 sub-centres, monitoring fund and other expenses incurred during meetings and health committee conferences.
He further appealed upon the public particularly, those working under the National Rural Health Mission to spread awareness on the various Central government sponsored welfare schemes such as - Accredited Social Health Activist (ASHA), National Tuberculosis Control Programme (NTCP), National Programme for Control of Blindness (NPCB), National Vector Borne Disease Control Programme (NVBDCP), Janani Suraksha Yojna (JSY), Universal Immunisation Programme (UIP), etc. Particularly stressing on the JSY he appealed rural health workers to encourage child birth at recognized health centres. JSY is a programme under NRHM to prevent maternal and neo-natal mortality by promoting institutional delivery among poor pregnant women with financial assistance.
Chief guest Azheto Zhimomi addressing the conference said that implementing the government policies by the department is appreciated. Describing ‘Communitisation’ as a “process of the government, he said it was started with the objective of letting the people work hand in hand with the government. “It has been entrusted to you; it is your duty to implement the programmes; in your village, your area, the health of the people is in your hands… be responsible.” He, thus, appealed the villages to appoint honest and trustworthy people, adding the funds are there, only that honest people are required to ultilise them. Further, he stated that it is the duty of the government officers to create awareness among the public. Health workers under the state service as well as the NRHM must work in cohesion to take forward the state’s health sector, he urged.
Zhimomi also gave away awards to the best performing sub-centres. Bade was recognized as the village with the best functioning sub-centre while Sovima and Pimla came second and third respectively.