23rd DECEMBER 2008
• The Health Department is one of the biggest
Departments in the State with the following break up
SN Group Sanctioned Filled Vacancies
1 A 5251 4055 1196
2 B 971 925 46
3 C 20853 16336 4517
4 D 13255 11025 2230
TOTAL 40330 32341 7989
•Non Plan provision - Rs.528 cr.
•State Plan provision - Rs.48 cr.
•GoI provision - Rs.198 cr.
•Total Budget – Rs. 774 cr.
BUDGET- OTHER SOURCES
PHSC Rs.20.00 crore
AIDS Rs.13.41 crore
ESI Rs.46.52 crore
AYUSH (Ayurveda+Homeopathy) Rs.41.15 + Rs.8.45 crore
= Rs.49.60 crore
Total Rs. 129.53 crore
Total budget provision in Punjab on health is Rs. 904.02
crore (excluding Medical Education), which is 0.65% of
GSDP (1.40 lac crore).
As per norms the Health Budget should be 3% of GSDP,
thus we have to substantially increase the budget on
health (i.e. approx. Rs. 3296 crore more).
Per capita expenditure on Health by Govt. – Rs. 367.40
per person per year.
Health & Family Welfare Minister
Professor Laxmi Kanta Chawla, Minister of Health &
Family Welfare, Punjab (since 7/3/2007)
Principal Secretary, Health
Sh. A.R. Talwar, Principal Secretary, Health & Family
Welfare, Punjab (since 1/12/2008)
Secretaries/ Additional Secretaries
• Sh. M.S. Sandhu, Managing Director, Punjab Health Systems
Corporation (since 16/9/2008)
• Sh. Satish Chandra, Secretary, Health & Family Welfare-cum-
Mission Director, NRHM, Punjab (since 15/4/2008)
• Sh. K.B.S. Sidhu, Secretary Health & Family Welfare-cum-
Commissioner AYUSH (since 21/11/2007)
• Sh. C.S. Talwar, Additional Secretary (since 12/09/2008)
• Sh. R.P. Pruthi, Deputy Secretary (since 02/04/2008)
State Head Quarter
Director Health Services (DHS) – Dr. S.P.S. Sohal
DHS is supported by different Programme Officers, which include
Additional Director, Joint Directors, Deputy Directors and Assistant
Directors in implementation of National & State Level Health
DHS is also Ex-officio Chief Registrar of Births & Deaths and Local
Health Authority for implementation of Registration of Births &
Deaths and Prevention of Food Adulteration Act.
Director Family Welfare (DFW) - Dr. S.P.S. Sohal
DFW is supported by different Programme Officers, which include
Deputy Director, Assistant Directors, Administrative Officer, and
State Mass Media Officer in enforcement of PC& PNDT Act as
State Appropriate Authority and implementation of MTP Act.
DFW also Implements and coordinates at district level different
schemes in the State under National Family Welfare Programme.
Directorate of Employee State Insurance (ESI): Dr. YC
The Department headed by Director (Social Insurance) and divided into
four zones i.e. Amritsar, Jalandhar, Ludhiana and Chandigarh headed by
Medical Superintendent / Senior Medical Officers I/c of ESI Hospitals
7 Hospitals and 70 ESI Dispensaries are providing medical facilities of
all kinds to the workers registered under ESI Act.
589639 registered ESI workers and their families are being provided
All expenditure is done in the ratio of 1:7 between State and ESI
Director of Ayurveda – Dr. R.K. Sharma
The Directorate of Ayurveda is headed by Director Ayurveda (DAY)
who is assisted by two officers of District Ayurvedic & Unani Officer
(D.A.U.O.) rank for providing Specialized Medical Services through
Ayurveda, Yoga and Unani System of Medicines.
5 Hospitals, 17 Swastha Kendras, 472 Ayurvedic and 35 Unanai
Dispensaries functioning in the State.
To encourage cultivation of quality raw drugs, their conservation and
optimum utilization by drug industries and to encourage the farming
community to adopt diversification of crops, the State Medicinal Plant
Board constituted in the state.
Director of Homeopathy – Sh. K.B.S Sidhu, IAS
The State Govt. established a separate Homeopathic Department in
the year 1980 (May 1980).
Secretary Health-cum Commissioner AYUSH working as Head of
Homeopathic Department, Punjab and assisted by Assistant Director
Homeopathy at state Head Quarter . There are 14 In-charge district
level dispensaries which coordinate the working of the department at
107 Homeopathy dispensaries are functioning in the state for
providing Homeopathy treatment in the rural and urban areas.
Punjab Health Systems Corporation (PHSC) – Sh.
M.S. Sandhu, IAS (MD)
The Punjab Health Systems Corporation was incorporated in the year
1995 for establishing, expanding, improving and administering medical
care in the State of Punjab. Since 1995-96, the corporation was
implementing a World Bank supported "Second State Health System
Development Project" under which 157 secondary level healthcare
institutions, which include District Hospitals, Sub Divisional Hospitals
and Community Health Centres have been upgraded.
The PHSC consist of the chairman, a Board of Directors and the
Managing Director who is an executive officer of the corporation to
implement the decision of the Board of Directors
National Rural Health Mission (NRHM) – Sh. Satish
Chandra, IAS (MD)
NRHM launched in April 2005 to ensure quality health services
to the masses especially rural poor, women and children is
headed by Mission Director, NRHM in the State. Program
Management Support Units have been set up at State, District and
Block Levels for additional support for implementing various
program/ projects. The State unit also provides the required
technical and management support to the Directorate.
Punjab AIDS Control Society – Sh. Satish Chandra, IAS (PD)
The Punjab State AIDS Control Society (PSACS) registered in 1998 under Societies
Registration Act as per government of India and National AIDS Control Organization
The 1st phase of the National AIDS Control Programme implemented from 1993-1999 in
the State by establishing State AIDS Cell.
The 2nd phase of the programme was implemented in the State through Punjab State AIDS
Control Society from 1999 till 31st March 2007.
The 3rd phase of National AIDS Control Programme (NACP) started w.e.f 1st July,
2007 throughout the country. This is 100 % centrally sponsored scheme of Govt. of
India. Principal Secretary, Health, is the Chairman and Secretary, Health, is the Project
Director of the Society.
They are assisted by Additional Project Director, other Officers and supporting staff. Total
57 posts have been sanctioned for Punjab State AIDS Control Society (PSACS), out of
which 45 posts are filled and 12 posts are vacant, which are in process of being filled up.
District Head Quarter:
Civil Surgeon (CS) at District Level take care of implementation of
various National and State Level Health Programmes, Implementation
of Registration of Births & Death Act and Prevention of Food
Adulteration Act. District Health Officer, District Family Planning
officer, Assistant Civil Surgeon and other programme officer assists the
Civil Surgeon in the implementation of the Programmes.
Under NRHM, District Programme Management Unit is established
with the staff of District Programme Coordinator, District Procurement
Officer, District Account Officer, Monitoring & Evaluation Officer,
Maintenance Engineer, District Accountant/Cashier, District Statistical
Assistant, District Procurement Assistant
Senior Medical Officer I/c of PHCs/CHCs assisted by Medical
Officers implements various National and State Health
Programmes at grassroots level through Multi purpose Health
Worker (Male & Female) working at Sub Centre Level.
Under NRHM, Block Programme Management Unit has been
established with the staff of Block Statistical Assistants and
Block Accountant cum Cashier.
MEDICAL COLLEGES 3 5
DISTRICT HOPITALS 20
SUB DIVSIONAL HOSPITALS (Total no. of Sub
COMMUNITY HEALTH CENTRES 127
(112 PHSC, 15 DHS)
BLOCK PHCs 118
BLOCK PHCs AND SDH 6
BLOCK PHCs AND CHCs 70
ONLY (EXCLUSIVE) BLOCK PHCs 42
PHCs (MINI PHCs) – EXCLUSIVE 352
PHCs BLOCK – EXCLUSIVE 42
TOTAL PHCs – EXCLUSIVE 394
TOTAL PHCs – EXCLUSIVE + AT CHC/SDH 394 + 76 = 470
SUBSIDIARY HEALTH CENTERS 1187
SUB-CENTRES AT VILLAGE LEVEL 2858
CLINICS /DISPENSARIES 3046
Sex Ratio in the age group 0-6 was 798 as per 2001 census. As per
latest SRS data it has increased from 796 in 2002 to 821 (0-4 age
group) in 2006.
A campaign has been launched to strictly enforce the provisions of
PNDT Act of 1994. There are 1356 Ultrasound Centres in the State.
Action taken so far:
The licenses of 305 Centres were suspended or cancelled. 99 court
cases/FIRs launched in the State for violation of the act.
10 persons have been convicted for violation of PNDT Act and have
been awarded fine/imprisonment varying from 3 months to 3 years.
11 panchayats awarded Rs. 3 lac each during year 2006-07
• Rs 2 crore- 202 beneficiaries registered under State
specific scheme – Balri Rakshak Yojna. Rs 500 pm for 1
girl child, Rs 700 per month for 2 girl child. Terminal
method of FP and not on IT assessee.
• Contract for survey of sex ratio for 25% population
awarded to an agency, report expected by first week of
Other measures by Woman and Child Development Department
• Kanya Jagriti Joti Scheme: Rs. 2 crore- Girl Child – Rs.5000 with LIC. She will
get Rs.100- 200 pm scholarship wef 6th year (Class I). BPL families – two
• Balika Samridhi Yojna: Scholarship Rs.300 – 1,000 per annum for checking
school dropout rate (Rs. 40 lac).
• Dhanlakshmi: District Fatehgarh – Experimental basis – cash transfer at various
Birth – Rs. 5000
Unmarried at the age of 18 years- Rs.1 lac
• Lohri Celebrations for girl child at Anganwadi Centres
PREVENTION OF FOOD ADULTERATION ACT
The Health Department launched a campaign to check
adulteration in the food items. During 2007, 2377 food samples
taken, out of which 413 samples found failed.
During 2008 (upto November) 254 samples out of 3232 samples
found adulterated. A special campaign launched during the
festival season 2007 and 138 samples out of 471 samples found
to be sub-standard.
900 quintals of Gur seized in Patiala and destroyed. Large
quantity of Khoa was also seized from various districts and action
taken against the concerned persons. 300 tins of honey, 650
quintals of Achar and Morabba, 300 quintals of Garam Masala
also seized and destroyed.
PREVENTION OF FOOD ADULTERATION ACT
As many as 35 cases of production and sale of synthetic milk were
discovered and action taken against them. Some of the important
cases relate to Patiala where 25,000 and 8,000 litres of synthetic
milk was seized. Similarly action was taken for sale of spurious
The State Government is strengthening the Department. The food
laboratory at Chandigarh has been strengthened by providing
latest equipments. There are filled 9 posts of Analysts and 21
more are being filled up. Out of 23 posts of Food Inspectors, 12
posts are filled and 11 posts are being filled up.
The Chemical Laboratory earlier situated at Patiala has now been shifted
to Kharar in a new building. It is being strengthened in terms of
equipments and manpower. A new machine for testing the drugs/poisons
has been purchased at a cost of Rs. 22 lac.
During a campaign launched to check the menace of drug abuse, drugs
worth Rs. 3,10,19,212 seized (from January 08 to November 08) and
action taken against the defaulters. Licenses of 33 shops were cancelled
and licenses of 245 chemists were suspended. Prosecution launched
against 47 chemists. 17 cases have been decided by the various courts
and ordered conviction in 7 cases.
Total 4448 licensed and unlicensed chemists shops were inspected.
During inspection 1878 samples of drugs have been taken and 833
samples tested, out of which 2 samples declared spurious, 67 samples
declared not of standard quality and 16 samples declared as misbranded.
Monthly targets of inspections and sampling of medicines fixed for Drug
Inspector in the State since August 2008 in which every Drug Inspector
has to inspect 30 chemist shop every month and to take 10 samples of
medicines for test and analysis from small districts (Kapurthala,
Hoshiarpur, Nawanshahar, Taran Taran, Moga, Muktsar, Mohali, Mansa,
Ropar, Faridkot, Fatehgarh Sahib, Sangrur, Barnala), 12 samples in
medium districts (Ferozepur, Gurdaspur, Bathinda) and 15 samples in
big districts (Amritsar, Jaandhar, Ludhiana & Patiala).
The State Government is setting up Drug De-adiction Treatment Centres
(DDTCs) in all the district hospitals where 10 to 20 beds will be
earmarked for the addicts. A sum of Rs. 1.65 crore has been earmarked
for this purpose. Besides a State Level Centre at Amritsar will be set up
at an estimated cost of Rs. 2 crore. There is a proposal to set up 20
bedded Centre at Talwandi Saboo as part of Guruta Gadi Celebration
Project at an estimated cost of Rs. 2.00
RASHTRIYA SWASTHYA BIMA YOJANA
The Ministry of Labour has started a scheme to provide health
insurance cover upto Rs. 30000/- to around 4.44 lakh BPL families.
Under Phase- I, five districts i.e. Ferozepur, Patiala, Gurdaspur,
Amritsar and Sangrur has been covered and three more district i.e.
Jalandhar, Hoshiarpur and Muktsar will be covered very soon.
Approximately, 39000 smart cards have been issued in three districts
i.e. Ferozepur, Patiala, and Gurdaspur.
Indoor cover to BPL families will be provided through Govt. and
Private empanelled hospitals.
In the coming year, more districts are expected to be covered.
STATE ILLNESS FUND ( Punjab Nirogi Yojana)
The State has established a Corpus to provide financial assistance to
the poor people (BPL families) for life threatening diseases up to Rs.
In the Corpus Centre and the State provide fund in the ratio 1:2.
The assistance can be provided up to Rs. 3.00 lakh i.e. Rs. 1.50 lakh
more from Rashtriya Arogya Nidhi (National Illness Fund).
So far financial assistance amounting to Rs. 2.75 lakh has been
provided to four beneficiaries in the state.
The State has requested the GoI to allow economically poor people
apart from BPL families to avail financial assistance under the
In the year 2005-06, PHSC initiated the process for providing
healthcare services through telemedicine. Three hospitals MKH
Patiala, SDH Dasuya and SDH Ajnala were linked with PGIMER,
Chandigarh with the aid of ISRO.
During the year 06-07, a project proposal was got approved from
GoI for linking three Medical Colleges and twenty District
Hospitals with an outlay of Rs. 414 lakh.
Link has been established through C-DAC for three medical
colleges and sixteen district level hospitals.
SUPER SPECIALITY CANCER HOSPITALS
The State Govt. has decided to establish under Public Private
Partnership (PPP) mode, one super specialty cancer and trauma
hospital in the Civil Hospital Mohali and one super specialty cancer
and cardiac hospital at Bathinda.
The land in the hospitals will be offered to the private healthcare
providers on lease basis. The lease money will be utilized for
betterment of the hospitals.
The PIDB has been nominated as a nodal agency for promoting
• 2 Trauma centres at CH Amritsar and Pathankot have
• Trauma centre Jalandhar is under construction.
• Trauma Centre at Khanna is to come up in 2009-10.
• Department of Pharmaceuticals has opened a
Government Medicine Shop in CH Amritsar where
Medicines from CPSU would be made available to
the people at fair price on 24/11/2008.
• Such Medicine fair price shops would be opened in
the remaining 19 District Head Quarter Units in
RECRUITMENTS ON REGULAR BASIS
Recruitment of 156 posts of Medical Officers (Specialist Doctors)
on regular basis is under process through Departmental selection
committee. 45 more posts of specialist doctors have been
Punjab Public Service Commission has been requested to recruit
100 posts of Medical Officers.
400 Multi Purpose Health Worker (M) and 35 Clerk have been
recruited on regular basis. 130 MPHW (M) and 23 MPHW (F)
recruited on contract basis.
The State to receive about Rs. 13.41 crore from GoI for AIDS Control
3 Treatment Centres (ART) – Amrtisar, Jalandhar & Patiala have been
set up for diagnosis and treatment of AIDS Patients. 3 Community
Care Centres are also being set up at these places.
Integrated Counseling and Testing Centre (ICTC) – 57 Centres for
testing and counseling of HIV persons are functioning. 14 more are
being set up to cover all the Sub Divisions.
As per official record 4949 AIDS patients are under treatment. The
number of HIV patients registered in ICTC is 12833 upto November,
AYURVEDA AND HOMEOPATHY (AYUSH)
Full time qualified Doctor has been appointed as Director Ayurveda
through Punjab Public Service Commission after 25 years.
At present 5 Ten-Bedded Ayurvedic Hospitals, 17 Swasthya Kendras,
507 Ayurvedic/unani dispensaries are functioning in the state.
AYUSH Doctors are being provided in all the Hospitals including PHCs.
All kinds of treatment would be available under single roof in
Government Institutions. Out of 121 contractual posts of Ayurveda MOs,
99 Ayurveda MOs have already been recruited, 22 MOs of reserved
categories (9 SC, 1 FF, 2 Sports, 3 Handicapped, 6 Exn, 1 General) have
yet to be appointed. Written test & Counseling for appointment of 112
Homeopathy MOs done. Appointment letters being issued. Very shortly,
the regular posts of the Ayurveda department shall be filled through
Punjab Public Commission.
AYURVEDA & HOMEOPATHY (AYUSH)
Herbal garden – Herbal garden which is beneficial for Ayurvedists
and farmers of Punjab is being established at village Dayal Pura
Sodian (8 acres donated by a Sodhi Family) near Zirakpur District
Patiala. Inauguration by Hon’ble Health Minister, Punjab on 28th
Establishment of 7 ISM wing in district hospitals at Amritsar,
Bathinda, Hoshiarpur, Gurdaspur, Jalandhar and Sangrur under
SCHOOL HEALTH PROGRAMME
School Rheumatic and Congenital Heart Diseases Control Programme
launched in collaboration with PGIMER. The State Govt. will bear the cost of
surgery and treatment of students suffering from Rheumatic Heart Disease
and Congenital Heart Disease.
30 cases of RHD/CHD identified in the State, out of which 11 cases referred
to PGI Chandigarh for treatment.
Special School Health Checkup camps organized on the occasion of
Independence day on 14.8.2008 at CHCs and Sub Divisional Hospital level in
which special stress was made to check the nutrition status and medicine
given to needy children.
Special Eye checkup camps were organized on the occasion of Gandhi Jayanti
on 3.10.2008 at CHCs, SDH & District Hospitals. 56601 school children were
examined and 5300 children were found reflective error and provided
spectacles free of cost.
Dental fortnight organized at the level of Sub Divisions/Community
Health Centres and all districts of the State. 74 camps organized,
71,168 patients were examined and given free Dental treatment.
1,28,000 School children were also examined in these camps. 1574
free dentures were distributed to the poor and needy patients.
ESI (EMPLOYEE STATE INSURANCE)
Government of India made ESI Act in year 1948. In Punjab it started in
year 1953 from District Amritsar.
At present 6 ESI Hospitals and 70 ESI Dispensaries are functioning in
the State and are catering to the health needs of more than 5,89,639
registered ESI Workers and their families whose monthly pay is more
than Rs. 10,000/-
The above hospitals and Dispensaries have been divided into 4 Zones
for better Administrative Control.
All expenditure is done in the ratio of 1:7 between State and ESI
In year 2007-08 total Budget – Rs. 39.91 crore. An additional Rs. 2
crores for machinery was allocated. In year 2008-09 Rs. 44.51 crores
plus Rs. 2 crores for machinery was allocated.
ESI (EMPLOYEE STATE INSURANCE)
ESI Hospital Mandi Gobindgarh started in the year 2008-09.
ESI Dispensaries No. 2, Mandi Gobindgarh started in the year 2008-
Tie up with Super-speciality Hospital started for workers needing
super specialist treatment in major cities.
Medicine worth Rs. 6 crores bought and disbursed to various
hospitals and dispensaries falling under ESI Department.
Tender for purchase of equipment/ Machinery is in the pipeline.
A.M.A are being employed in dispensaries with less than 500 IPs.
Proposal for One Dental College, Ludhiana and One Medical College
is under active consideration.
(1) New Districts - The department has requisite staff
sanctioned only for 12 old districts. All the required posts have not
been sanctioned for the 8 new districts which were created after
1992. Shortage is more acute for the 3 districts recently created. We
are shortly moving the case to Finance Department for sanction of
the required strength.
(2) Food/Drug Inspector - At present, there is only one Food
Inspector and one Drug Inspector in a district. This strength is
grossly inadequate since all the areas, there has been massive
increase in the number of drug stores and food establishments.
Department is preparing a proposal for sanction of more post of Drug
Inspectors and Food Inspectors as per the required norms. Atleast
every sub-division should have one Food Inspector and one Drug
(3) Health Block - There are only 118 Health Blocks
and 142 Rural Development Blocks. There is need to
create 24 blocks with accompanying staff.
(4) Shortage of Doctors - The department has acute
shortage of Doctors and other Para-Medical staff. About
60 to 70 Doctors go to Medical Education Department
and about 150 Doctors retire every year. In addition, at
present the department is short of 600 Doctors.
The meeting held with Hon’ble Finance Minister and it was decided
We should recruit Doctors on annual basis in lieu of doctors
who retire or who are sent to Medical Education Department.
We should recruit 200 doctors every year so that the entire
shortage of doctors is met.
(5) Extra Incentive - The department would formulate a
proposal for giving extra incentive of Rs. 5000/- to Rs. 10,000/- and
Rs. 10,000/- to Rs. 20,000/- for MBBS and Specialist Doctors
serving in remote and extremely remote areas. This incentive would
be available to both regular and NRHM doctors. This proposal
would be included in the PIP of NRHM for the year 2009-10.
(6) Recruitment - We are also preparing a proposal for
continuous recruitment of doctors outside the purview of PPSC. This
has already been done by Haryana and that is the only solution to
address the problem of shortage of doctors.
(7) Equipment/Drugs - Government would give top priority to
supply of equipment and drugs in the Hospitals. It would be ensured
that there is no shortage of these two items.
(8) Funds for Infrastructure - Government of Punjab created
huge infrastructure. Secondary level hospitals were upgraded about
10 years back under the World Bank Project. No funds were given for
maintenance of PSUs and Sub-Centres. There is provision under
NRHM for repair of these facilities but the funds are inadequate.
Government of Punjab should release more funds for the maintenance