Open hospitals in State: CM to investors


Riding on the recent health indicators portraying growth and betterment in the health services in the State, Chief Minister Raghubar Das today appealed to investors to help improve health facilities in Jharkhand by means of opening hospitals, especially in rural areas. The CM said that the government will provide subsidy and all facilities to the investors for the purpose.

Addressing people during the inaugural ceremony of Healthcare Summit Jharkhand-2019 here on Thursday the CM said that if any investor builds a hospital in a rural area, the government will give them 75 per cent subsidy on land value for the purchase, 50 per cent in the block headquarters and 25 per cent in the urban area. The investment (single door) will be through a single channel, he said.

“Jharkhand was ranked third in the NITI Aayog’s State index for incremental growth. It is the result of continuous growth of State in the field of health since 2014. In the year 2000, the maternal mortality rate in Jharkhand was 400 per lakh, which decreased to 165 per lakh, infant mortality rate was 72 per thousand, which decreased to 29 per thousand, institutional deliveries which were only 13.50 per cent which increased to 80 per cent and complete vaccination was 9 per cent which increased to 87 per cent. Jharkhand ranks third in providing OPD service in hospitals across the country. These facts indicate that the State is on the path of reform in the field of health,” said the CM.

Das said that till September 25, 2 crore 85 lakh people of the State will be covered by Golden Card under Ayushman Bharat Yojna. As many as 57 lakh families of Jharkhand will have benefit of this scheme. Golden cards have been made available to 39,13,000 families. A total of 2,26,000 beneficiaries have been taken advantage of the scheme. An amount of Rs 206 crores has been spent for this. To provide maximum benefit of the scheme to the poor, a 300-bed hospital has been arranged in Jamshedpur, where only patients coming under the Ayushman Bharat scheme will be treated. The State has 429 private and 219 government hospitals listed under the scheme. The government will also waive the fee being taken for the golden card in the Pragya Kendras from August 16, 2019, for the poor,” added he.

The CM said on death anniversary of Atal Bihari Vajpayee, Atal Clinic will be opened in every ward.

Das said that the people of the state are getting 108 ambulance facilities. About 5,000 calls are being received every day. The treatment of 8,000 patients is being ensured by 108 ambulances. This service is more effective in tribal areas. Through CSR also, the government is providing the facility of bike ambulance to the poor in remote areas.

Health Minister Ramchandra Chandravanshi said that the government is working towards providing better health facilities. “We are committed to ensure that people get health care up to their doorstep. On September 25, 57 lakh families will be given a Golden Card. The government has added 32 lakh additional families in Ayushman Bharat Yojna. In the last 10 months, 2 crore 19 lakh patients have been treated under the scheme. The present government has established a medical college to provide healthcare,” he said.

Jharkhand’s new hospital for PM-JAY beneficiaries


Chief minister Raghubar Das inaugurated a new hospital exclusively for beneficiaries of the Centre’s flagship health insurance scheme for the poor on Tuesday, courtesy Tata Steel.

Essentially an extension of Tata Main Hospital in Bistupur, the new premises is in Golmuri within Tinplate township, behind the existing Tinplate Hospital.

“It is a day of happiness with the city getting the country’s first hospital dedicated for the beneficiaries of Ayushman Bharat Prasham Mantri Jan Arogya Yojana (PM-JAY),” said Das after inaugurating the 30-bed Tata Steel managed hospital offering 24×7 orthopaedic, general surgery, paediatric and critical care facilities.

“We plan to cover 85 per cent of the state’s population under the ambitious health insurance scheme, benefiting 57 lakh families. As of now, we have issued 25 lakh golden cards which enables one to avail benefits under the scheme,” the chief minister said, adding that the state government would henceforth issue free golden cards and not charge Rs 30 as was the norm.

Das said the state government would launch a special drive across the state to issue free golden cards from August 16 to September 23 to mark the death anniversary of former Prime Minister Atal Bihari Vajpayee.

So far, he added, 219 government hospitals and 429 private hospitals had been empanelled under the health insurance scheme. “More than 2 lakh patients have benefited from the scheme in Jharkhand,” the chief minister said.

Das said talks were on with Tata Motors to empanel Tata Motors Hospital under the Ayushman Bharat scheme.

“I have had several meetings with the Tata Steel management. I am thankful they have decided to dedicate a hospital entirely for the scheme. Soon Tata Motors Hospital in Telco township will also be empanelled under the scheme,” he said.

The chief minister went on to highlight some of the initiatives of the state government in health. “We have already launched 329 ambulances that can be called for by dialling 108. We have also started bike ambulances for inaccessible areas in hilly terrains where conventional ambulances cannot reach,” he said.

Das also announced mohalla clinics for those residing in urban slums. “Free primary health care will be provided at mohalla clinics. A special drive will be undertaken between August 16 and September 23 when doctors will be available for two hours each in the morning and evening at all civic bodies,” he said.

Community halls in Jamshedpur Notified Area Committee, Mango Notified Area Committee and Jugsalai municipality would be used to run mohalla clinics.

The chief minister said that efforts were on to revive the Baharagora trauma centre that could be of immense help to commuters using NH-33 and NH-6 in case of accidents.

“Doctors will be recruited soon for the Baharagora trauma centre. Recruitments will also be done at the district level,” he said.

Earlier, the chief minister presented a cheque of Rs 1 crore to Kamal Club representatives of districts to organise sports events at the panchayat level. He also distributed golden cards to patients who were admitted to TMH-Golmuri on Tuesday. Two doctors who joined the district were also given appointment letters.

Among the others who were present at the function were MLAs Kunal Sarangi (Baharagora), Meneka Sardar (Potka), Lakshman Tuddu (Ghatshila) and Tata Steel vice-president corporate services Chanakya Choudhary.

The chief minister left for Ranchi at around 12.50 pm.

Jharkhand district hospitals to get special wards for seniors


Health secretary Nitin Madan Kulkarni has directed 22 districts to set up 10-bed geriatric ward in sadar hospitals under National Programme for Health Care of Elderly (NPHCE) as soon as possible for providing acute care to older persons.

So far, geriatric ward functions only at Patliputra Medical College Hospital (PMCH) in Dhanbad and second in at Bokaro sadar hospital which was inaugurated earlier this month.

“If all goes as per the plan of health department, geriatric ward would begin functioning at sadar hospitals of all 22 districts within 4 months before the assembly election,” said Dr Lalit Ranjan Pathak, state’s nodal officer of national programme.

Health secretary has also directed to set up separate OPDs for geriatric ward, patients and separate registration counter, along with railing ramp, would be made available. In a 10-bed geriatric ward, eight beds would be for general and two beds would be equipped with advance equipment of life support system for critical patients.

At present, due to the lack of geriatric ward at sadar hospitals, elderly patients across state have to rub the shoulders with general patients in getting registration and checking up at OPDs. However, elderly patients would now get separate registration counter and OPD in geriatric wards.

Health department has also started a process of setting up cardiac care unit (CCU) in Ranchi and Bokaro.

Central government has selected three districts of Jharkhand- Ranchi, Dhanbad and Bokaro- for setting up the CCU under national programme for prevention of cancer, diabetes and stroke (NPCDCS).

Health department has already opened the unit in Patliputra medical college hospital. A senior official of the state headquarter, Dr Pradeep Kumar, on Friday visited PMCH to assess how the Cardiac care Unit (CCU) functions there so that the Ranchi and Bokaro Units could be run on the same pattern.

“Crisis of cardiologist is the main hurdle in setting up the CCU in Ranchi and Bokaro. Since PMCH had facility of specialist teachers (doctors), CCU could be set up easily. However, for time being health department has decided to run at Ranchi and Bokaro with general physicians latest by October,” said Dr Pathak, nodal officer, NPCDCS Jharkhand.

Jharkhand’s anti-pollution board offers 50% off on hospital registration fees


In a bid to deal with biomedical waste hazard in Jharkhand, the state pollution board on Tuesday held a meeting with the government authorities as well as private health service providers in Ranchi.

Jharkhand State Pollution Control Board (JSPCB) has come up with several offers to woo the hospitals, nursing homes and clinics to get their institutions registered with the board at the earliest.

The board has slashed fees for consent to establish (CTE), consent to operate (CTO) and authorisation by 50%, said JSPCB chairman AK Rastogi. “The offer is applicable for only two months. After August 31, the relaxation will be withdrawn,” he said.

For example, authorisation fee for the hospital having up to four beds is ?1,000 annually. If hospital takes authorisation by August 31, it will have to pay ?500.

Similarly, hospitals having bed capacity of more than 200 have to pay ?6,000 annually, while the actual fee is ?9,000 to ?11,000. JSPCB member secretary Rajiv Lochan Bakshi said that the board would prohibit the operation of individual or private incinerators and the wastes of hospitals in periphery of 70-km radius would be treated at a common bio-medication waste treatment facility (CBWTF).

Bakshi said that two CBWTFs, one at Ramgarh and another at Lohardaga, were functioning. The CBWTF of Saraikela-Kharswan would start functioning very soon, while three more CBWTs are proposed and will be coming up in Dhanbad (Sindri), Ramgarh and Santhal Paragana.

The hospitals have also been asked to establish sewage treatment plants and effluent treatment plants by December 2019.

The pollution board officials said if hospitals failed to get them registered with the board, they might have to face legal action. As per the provisions under Section 15 and Sub-section-1 and Sub-section-2b of the Environment Protection Act, 1986, the defaulter could face five-year jail term or ?1 lakh fine.

Jharkhand’s most hospitals, nursing homes and clinics are not registered with the board so the latter doesn’t have actual figure of bio-medical waste generation. As per the Bio-Medical Waste (Management and Handling) Rules, 2016, every health care centres, be it government or private, should be registered with the board.

Notably, the meeting was called a day after the report, highlighting the problems of bio-medical waste in Jharkhand, was published in HT on Monday.

As per a survey conducted by Delhi-based environmental group Toxics Link and Ranchibased NGO Lok Swar in 31 government and private hospitals of Ranchi, Jamshedpur, Dhanbad, Bokaro and Deoghar, found that these hospitals produce around 4,700 tonnes of bio-medical waste annually but 59%, around 2,700 tonnes, are left untreated and turns out to be harmful.

Burdwan medical student suffers eye injury


Three junior doctors and a fourth-year student of Burdwan Medical College and Hospital were injured on Wednesday when relatives of patients and outsiders lobbed bricks at them.

The attack occurred around 11.30am when junior doctors were demonstrating at the hospital’s emergency gate as part of a statewide ceasework at OPDs to protest the assault on two NRS doctors.

Mayank Agarwal, a fourth-year student, suffered serious injuries and had to be admitted to the hospital, according to hospital authorities.

A brick hit him in the left eye and he was kicked and punched in the face. The three junior doctors sustained minor injuries.

“Mayank has got three stitches in the eye. He has undergone a CT scan,” Amitabha Saha, deputy superintendent of the medical college and hospital said.

“Some internal injury in the eye has been detected. He is being treated in the eye department,” he said.

A large group of relatives of patients were stopped by the protesting doctors and forced to return.

“Initially, a scuffle broke out between the junior doctors and the relatives of patients. It soon snowballed into a clash,” a hospital official said.

The hospital authorities on Wednesday made frequent announcements over the public address system alerting patients that the OPD was shut because of a ceasework by junior doctors.

The 1,236-bed hospital sees patients from neighbouring Birbhum, East Burdwan, Bankura, parts of Hooghly and Jharkhand.

The OPD sees about 5,000 patients every day on average. At least 1,300 patients are admitted to various wards currently. Their treatment was not affected.

At least 1,380 junior doctors and medical students began a sit-in at various places on the complex, including at the emergency gate, since morning.

“We were on a peaceful dharna when some people started hurling bricks at us. They threatened to hurl acid bombs at us. We were feeling insecure,” Niladri Kayal, an agitating junior doctor, said.

Policemen present on the camp inside the hospital intervened and tried to disperse the mob but were outnumbered. Some media photographers were roughed up by the mob and some of the agitating junior doctors.

The junior doctors apparently chased the mob, lobbed bricks and thrashed them with bamboo sticks.

“We were attending an emergency meeting of the college council when we learnt that some outsiders had attacked the agitating students and junior doctors at the emergency,” said Saha.

Saha, along with medical superintendent and vice-principal Utpal Dawn, reached the spot and alerted the police. Dawn was caught between the warring groups of junior doctors and was apparently manhandled.

A large police contingent, led by additional superintendent of police Priyabrata Roy, reached the spot and chased the mob away.

The relatives of patients alleged that junior doctors had misbehaved with them and drove them out.

“I had a surgery last week. I came here today to have the stitches removed at the OPD. The junior doctors forced us to leave. They asked us why we came when they had announced a ceasework,” Suktor Sheikh, who came from Murshidabad, said.

The junior doctors, however, denied the charge. “Our agitation was peaceful and we did not harass anyone. The hospital authorities announced that the OPD is closed today (Wednesday),” said a junior doctor.

In West Midnapore, families of patients blocked the main road in front of Midnapore Medical College for an hour on Wednesday morning to protest the doctors’ ceasework.

In Nadia, OPD and emergency services were completely suspended at the Jawaharlal Nehru Hospital and Kalyani College of Medicine as well as at Gandhi Memorial Hospital in Kalyani as senior doctors supported the ceasework by junior doctors.

Surgeries were not carried out at the hospital.

Avijit Mujherjee , medical superintendent of Jawaharlal Nehru Memorial Hospital and Kalyani College of Medicine, said: “Services were largely hampered at the hospital. But, the treatment of those admitted to the hospital was normal.”

In the evening, 400 students, interns and doctors walked in a silent procession in Kalyani town condemning the attack on their colleagues at NRS.

In Krishnagar, doctors stayed away from the OPDs at the district hospital and at Sadar hospital but attended emergency without disrupting services.

Doctors stayed away from the OPD of Murshidabad Medical College and Hospital but provided services at the emergency department.