The Government of AP is providing health services to the people

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WHITEPAPERONHEALTH,MEDICAL&FAMILYWELFAREDEPARTMENT

TheGovernmentofA.P.isprovidinghealthservicestothepeoplethroughitsvariousinstitutionsandimplementingvariousprogrammestostrengthenthehealthcaredeliverysystemsatalllevels.

HMFWDepartmenthasbeenprovidingprimaryhealthservicesin7548Subcentersand1147Primaryhealthcenters,Secondaryhealthservicesthrough195CommunityHealthCenters,28AreaHospitals,13DistrictHospitals,andTertiaryhealthservicesthrough23Teachinghospitals.

Themajorachievementsofthedepartmentare-

1.DecreaseinMMRfrom83(2014-15)to65.81(2018-19).

2.DecreaseinIMRfrom37(2014)to10.51(2018-19).

3.TalliBiddaExpress,anewinitiativewith279vehicleshasdroppedback719,512post-natalwomen.

4.FreeDialysiscentersincreasedfrom 14to48centerswhichhastreated5946numberofpatients.

5.Mukhyamantrie-EyeKendram,anothernewinitiativeforqualityeye-careestablishedin115centersandhavecovered6,67,796beneficiaries.

6.LinenandlaundryservicesintroducedforfirsttimeinallTeachingHospitalsand4APVVPHospital.

7.IncreaseinfourAntinatalcheck-upstoPregnantwomenfrom74%(2014-15)to81%(2018-19).

8.IncreaseinsurgeriesinGovernmenthospitalsby173%in2018-19(11.99lakhs)comparedto2014-15.(4.39lakhs).

9.IncreaseinLabdiagnostictestsinpublichealthfacilitiesby120%in2018-19(3.25crores)comparedto2014-15(1.48crores).

10.IncreaseinpercentageofInstitutionaldeliveriesfrom 97%(2014-15)to99.2%(2018-19).

11.Increaseinfullyimmunization(1-5years)from79.78%(2014-15)to112.95%(2018-19).

12.Increaseinfullyimmunization(0-1years)from95.07%(2014-15)to101.22%(2018-19).

13.IncreaseintheOutPatientspercentageby51.05%inpublichealthfacilities

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in2018-19(65,875,752)comparedto2014-15(43,611,539).

14.IncreaseintheInPatientspercentageinpublichealthfacilitiesby36.67%in2018-19(3,452,592)comparedto2014-15(2,526,211).

15.DecreaseintheMalariacasesto73.25% in2018-19(5,638cases)comparedto2014-15(21,077cases).

16.IncreaseinNQAScertificationfrom 0to25hospitals(DistrictHospitalsandAreaHospitals).NABHaccreditationpre-assessmentof8TeachingHospitalshasbeencompleted.

17.DecreaseinpercapitaOutOfPocketExpenditureonhealthcarefromINR5770(2015)toINR587.31(2018)whichis90%.

18.Mahaprasthanam–dignifiedtransportationof30,671deceasedfromthegovernmenthospitalswithafleetof53vehicles.

19.Solarrooftopin45governmenthospitals.

20.All153PHCsintribalareasareconvertedinto24X7PHCs.

21.122feederambulancesservicesareintroducedinremoteandinaccessibleITDAareas.

22.ReleaseofState,DistrictandVillageHealthBulletinson7thofeverymonthtoincreasepublicawarenessonhealtheducation&prevention.

23.Essentialmedicinelisthasbeenincreasedfrom 564(2014-15)to751(2018-19)andDrugsBudgetincreasedfromRs.194.8Crores(2014-15)toRs.402.6Croresin2018-19.

24.EstablishmentofAndhraPradeshMedTechZoneLimited(AMTZ),afirst-of-its-kindenterpriseinIndiaundertheGovernmentofAndhraPradeshdedicatedtoMedicalDeviceManufacturing.

25.HM&FWdepartmenthasreceived25National&InternationalAwardsforitsexcellentperformanceindifferentcategories.

Tostrengthenthehealthcaredeliverywithinthestate,thefollowingarethemajorprogrammes/schemesthatarebeingimplementedbytheGovernment:-

I. PublicPrivatePartnershipPrograms/Services

1.TalliBiddaExpress:

Talli Bidda Express, through dedicated vehicles, provides transportationservices (from hospital to home) to new mothers who deliver atGovernment hospitals. This serviceprovidessafeandhygienictransportationand

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contributesinreductionofMMR andIMR.Postnatalwomen,childandoneattendantaretransportedfromGovernmentfacilitytohome.Progress:

7,19,512 postnatalwomen have utilized Talli-Bidda Services since theinceptionofthisprogram.Afleetof279vehiclesisusedacrossthestate.

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NTRBabyKit:

ToreduceInfantMortalityRate(IMR),allthepregnantwomenwhodeliverinpublic

healthfacilitiesareprovidedwithNTRbabykitimmediatelyafterthedelivery.Thefollowing

itemsareincludedinbabykit:

Babywrap,BabyTowel,AntisepticLotion(forhandwashofthemother),Umbrella

net

Atotalof6,91,489havebeenprovidedsofar.

2.ChandrannaSancharaChikitsa(CSC):

CSCstandsfor“PrimaryMedicalCareonwheels”.Anyvillagewithnoexistinghealthfacilitieswithin5kmradius(13,573identified)isprovidedmedicalservicesonfixeddayseverymonthwiththehelpof292MobileMedicalUnits.Diabetes,hypertension,epilepsy,communicablediseases,ANC/PNCcheckupsandothercommonailmentsareinvestigatedandtreated.

Adoctor,anurse,alabtechnicianandapharmacistaremandatorilyavailableinthemobilemedicalunit.50typesofdrugsaredispensedand9diagnostictestsincludingECGareconductedatCSC.

Progress: 4,02,912clinicshavebeenconducted,13,079,243patientshaveavailedthese

services 4,676,926testshavebeenconducted,10,489,515medicineshavebeenissued.CSC

ensuresavailabilityandaccessibilitytomedicalservicesfortheneedyinremotevillages.

3.NationalFreeDialysisProgram:

TheDialysisProgrammewasrolledoutin2016aspartoftheNationalHealthMission(NHM)toprovidefreedialysisservicestothepoor.Inadditiontotheexistingcentersfunctioningwithstatesupport,dialysiscentersareestablishedinallthe13districtsthroughPPPmode,makingqualityservicesaccessibletothekidneydiseasepatientswhichotherwiseisanunbearableexpendituretothemlifelong.Progress:-

Morethan1,09,601sessionsconductedtilldatewith5946uniquepatientshaveutilizedfreedialysis

Intotal48freedialysiscentersarefunctioningacross13districtsinGovtsector

AllDialysispatientsareprovidedamonthlypensionofRs2,500/-underNTRBharosascheme.ThepensionfacilityhasalsobeenextendedtopatientsundergoingdialysisinPrivateHospitalsempanelledunderNTRVaidyaSeva.

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4.MukhyaMantriArogyaKendralu:

State-of-the-arthealthcareservicesincludingspecialtyservicesfreeofcosttoUrbanpoorandSlumdwellerstoreduceoutofpocketexpenditureandimproveaccessibilitytoqualityhealthcarewhichisavailable365days.

Teleconsultationisprovidedtothosewhoneedspecialistmedicalconsultingservices including Cardiology, Orthopedic/ Rheumatology, General Medicine orEndocrinology.Thisisfollowedbylabtestsanddispenseofdrugsatthepharmacy.Atotalof32diagnosticstestsincludingdengue,malariaandTBarecarriedouthere.

Progress: 75,76,281outpatientsareprovidedmedicalservicesand7,17,881teleconsultancies

areconducted 11,51,556immunizationsarecompleted Tilldate22,13,658biochemistrytests,22,24,003clinicalpathologytestsand

4,45,114haematologytestshavebeenconducted

5.NTRVaidyaPariksha(Laboratoryservices):

NTRVaidyaParikshaLaboratoryServicesaimsatprovidingFreeDiagnosticTeststothepatientsvisitingGovernmenthospitals.ThishelpsinincreasingthepatientcareandreducingtheOutofPocketExpenditureforthebeneficiaries.Currently,thereare105Labsinoperationwhichincludes7MotherLabs&98ProcessingLabsspreadacrossallthe13districts.All105labsareISO9001:2015certifiedandallthe7motherlabshaveNABLAccreditation.

7outof19diagnosticstestsinPHCs,12outof22diagnosticstestsinTribalPHCs,21outof42diagnosticstestsinCHCsandAreaHospitalsand40outof62diagnosticstestsinDistrictHospitalsaredonethroughNTRVaidyaParikshaLabservices.Progress: Atotalof1,58,52,964patientshaveavailedtheservicetilldate Atotalof5,92,88,725testshavebeencarriedouttilldate

6.NTRVaidyaPariksha-TeleRadiologyX-Ray:

TeleradiologyservicesareprovidedthroughdigitalizationofX-rayfilm,transmissionofthedatathroughLicensedSoftware.Intheremotehubaqualifiedradiologistwilldothestudyanddetailedreportwithdigitalsignaturewillbesentbackonlinetotheinstitution.ThisfacilityisavailableinCHCs,AreaandDistrictHospitalsacrosstheStatein113locations.Progress:- Atotalof13,20,405patientsavailedtheservice Atotalof13,82,974X-Rayswerecarriedout

7.NTRVaidyaPariksha-TeleRadiologyCTScanandMRI:

CTScanmachinesareinstalledunderPPPmodeat15locationsand5centresareprovidedwithtele-reportingfacility.Further,13MRIscannersarebeinginstalledinDistrictHospitalsandTeachingHospitals.AHPaderuandAHParvathipuramwhicharemainlyservingTribal

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populationarealsoamongthesehospitals.Progress:- Atotalof1,33,674patientshaveavailedtheservice

8.Bio-MedicalEquipmentMaintenanceServices:

Bio-MedicalEquipmentMaintenanceServicesaimsatproviding24x7servicesupporttomedicalequipmentinallpublichealthfacilities.Theserviceaimsatensuringanupkeeptimeof95%forDistrictHospitalsandTeachingHospitals,90%forCHCsand80%forPHCs.Everymedicalassetistaggedtoanassetidentificationnumber.Progress:-

Teaching/Specialty/DistrictHospitalshaveanuptimeof99%asagainstthetargetof95%

Area/CommunityHospitalshaveanuptimeof99%asagainstthetargetof90% PrimaryHealthCentershaveuptimeof99.7%asagainstthetargetof80%

9.108Services:

108EmergencyResponseServiceisa24/7freeserviceforanyemergencyinvolvingpeople.TollFreenumberisaccessiblefrom landlineandMobile.Therearetotal468ambulancesforservice.Salientfeaturesoftheservice: Hospitalfrontdeskwasestablishedin19hospitals–8districtsand11teaching

hospitalstofacilitatecontinuumofcarefromambulancetohospital Tabinambulancestoensuree-patientcarerecordandrealtimereportingof

emergencypatientdetails ProvisionofhealthsectorskillcounciltrainingcertificationforEMTs Uberisationof108servicesintroducedwith177privateambulancesjoinedtothe

existing468fleetason27thDecember2018.

10.Mukhyamantrie-EyeKendram:

Thisprogramaimsinprovidinghighqualityeyecaretoaffectedpopulation.115e-

Eyecentershavebeenestablished.Thisserviceisdeliveredinahubandspokemodeland

servicestypicallydeliveredthroughthesecentersincludecheckingofFundus,retinopathy,

glaucoma,refraction.Thebeneficiaryvisitstheneareste-Eyeclinictogettheireyes

checked.Areportisgeneratedatthehubandtreatmentisinitiatedbasedonthereport.

Correctionglasses/spectaclesarethenprovidedfreeofcostbasedonthereport

recommendations.

Progress:

6,67,796beneficiaryvisits,6,25,932refractionchecks,1,55,013Funduscheckshave

beencompleted,and4,55,522spectacleshavebeenissued

11.LinenandLaundryServices:

Cleanandhygienicbedsheetsandpillowcoverswithsevendifferentcolorcodesfor7days

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aresuppliedtoGovernmenthospitalsinthestate.Thisprogramcovers13,298bedsacrossthestate,with6,06,829bedsheets.Bedsheetsarereplacedafter60washeswithnewones.

12.MukhyamantriBalaSuraksha(RBSK):

MukhyamantriBalaSurakshaisaninitiativeaimedatscreeningchildrenfrom 0to18yearsforthe4Diseases-Defectsatbirth,Diseases,DeficienciesandDevelopmentDelaysincludingDisabilities.Childrendiagnosedwithillnesseswillreceivefollowupincludingsurgeriesattertiarylevel,freeofcost.

Process: 28categoriesofequipmentareavailableforheadtotoescreening Twomedicalofficers(MBBS&AYUSH)andtwoANMsineachteamwillconduct

screening Childhealthdetailsarecapturedinrealtimeandelectronichealthrecordis

maintainedondedicatedwebsite. Eachchildisprovidedwithadedicatedhealthbookletforfiveyears AlltheoutofschoolchildrenarealsoscreenedatrespectiveschoolsandAWCs

inthevillageonpriority.450mobilehealthteamsshouldcover29,87,039childrenfrom birthto5yearsat55,606AWCsand40,10,869studentsfrom 1stto10thstandardat46,967inGovernmentandgovernmentaidedschoolsand2,21,122studentsat664Governmentjuniorcolleges.

13.TBreductionthroughimproveddiagnostics:

RealTimePolymeraseChainReaction(RTPCR)ishighlysensitiveanddiagnoseTBinmorethan90%ofthesymptomaticsanddetectsRifampicinresistancewithin1hour,whereastheconventionalmethodstaketwomonthsfordetectionofDrugresistanceTB.

ByusingRTPCRtechnologythroughTrueNatMachine,TBanddrugresistanceisdiagnosedveryearlyandbyinitiatingearlytreatmentthespreadofthediseasecanbestopped.

14.APeRxApp:

AntiMicrobialResistanceandMultidrug-resistantTB(MDR-TB)aremostemergingproblemsnowadays.Multi-drugresistanttuberculosisiscreatedbyinadequateorimproperadministrationofTBdrugs.ImproperandirrationalsaleanddispensingofTBdrugsisalsooneofthereasonsfordevelopmentofdrugresistance.GovernmentofAPhasbroughtoutaneffectivelowcostsolutionforApp–basedprescriptionandApp-baseddispensingofAntituberculardrugs.

ApeRxisaGooglePlaystorebasedapplication.ItisanePrescriptionandDispensationplatformfordoctorsandchemistswheredoctorsprescribetheantiTBdrugsandchemistsdispensethesamedrugsasprescribed.

ThisappimprovesPatientSafety,reducesthecasesoflostprescriptions,improves

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medicationadherence,enablesautomaintenanceofmedicationhistory–accessibletoanydoctor.

Sofar8300chemistsand1850doctorsaredispensingdrugsthroughthisappason27thDecember2018.

15.Mahaprasthanam:

Dignifiedtransportationofthedeadbodiesfromthehospitalstotheresidenceofthedeceasedwithinthestatestartedsince20.06.2017.Presently53vehiclesareplacedin11teachinghospitalsand6APVVPhospitals.AtotalNo.of30,671tripsanddistanceof28,85,969Km.havebeencoveredbythesevehicles.

16.QualitycareinHospitals:

i. HospitalSanitation&MonitoringSystem:

Apolicyforscientificsanitation,security,pest&rodentcontrolwasstartedinJune2016acrossthestatecovering11TeachingHospitals,11SpecialtyHospitals,8DistrictHospitals,33AreaHospitals,3MCHCentersand2CHCs.AHSMSapplicationisusedtocollatevariouscheckpointsofmeasurableitemsandisthenusedtogenerateaveragesanitationscores.

Sanitation&Hygienelevelinthehospitalshaveimprovedmorethan70%whencomparedtopreviousyears

100%NegativeSwabCulturesinallhospitalstructures,CFU(ColiformUnits)betterthanAirport&CinemaHalls

ii. CHCsanitation:

Atotalof115CHCshavebeenbroughtunderthesanitationprogramandremaining80CHCswouldbecoveredinJanuary2019.

iii. Facilitymanagementsystem(FMS):

FacilitymanagementsystemwasintroducedinallTeachingHospitalsintheState.Theseservicesconsistsof428frontdeskmanagerandMultipurposeHealthworkers.Whomanagee-registrationofOP,IPinthehospitals.

iv. Auto-DisableSyringes:

Toensurepatientsafety,AndhraPradeshisthefirststateinthecountrytouseauto-disablesyringesforallclinicalpurposesstartingfrom16thAugust2018.Autodisablesyringeensurethatasyringeisusedonlyonce.Thiswillhelpinstrengtheningandloweringburdenofinfectionsbybreakingcycleofcrossinfection.

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v. GreenHospitals(SolarRoofTopinHospitals):

HM&FW DepthavesignedatripartiteagreementwithNREDCAPandtwoserviceprovidersempanelledbySECI(SolarEnergyCorporationofIndia)on25-02-2018duringCIIPartnershipSummit2018totakeupsolarrooftopprojectsunderRESCOroute,withoutanyinvestmentbytheDepartment.

8MW capacityprojectshavebeenproposedinthefirstphasecovering23AreaHospitals&22TeachingHospitalscoveringall13Districts.

WithZeroinvestmentfrom HM&FW Dept,therewillbeSavingsonElectrivityBillexpenditureofRs4Croreperannum.Further,theprojectscontributetoreductionof7350tonsofCO2perannumor1.84lakhtonsoveraperiodof25years.

vi. NABHAccreditationfor15hospitals:

Toenhancehealthcaredeliverysystem andpromotecontinuousqualityandpatientsafetybasedonnationalandinternationalstandardsthroughprocessofselfandexternalevaluation,Govt.OfAPhasenteredMOUwithQualitycouncilofIndia,foraccreditationof15TeachinghospitalsunderDME,AP.8hospitalshavecompletedpre-assessmentforNABH.7 Hospitalsare performing internalself-assessmentsand preparing forpre-assessment.

vii. NQAS(NationalQualityAssuranceStandards)forDH/AH/CHC:

NationalQualityAssuranceStandardsarethesetofstandardsenvisagedtoimprovequalityhealthcaredeliveryinthepublichealthfacilitiesunderNHM asperOperationalGuidelinesforQualityAssurance2013.QualityAssuranceProgrammestartedin2015-16,NQASisanAccreditationonparwithNABH,recognizedbyTheInternationalSocietyforQualityinHealthcare(ISQua).

Tilldate,6outof7Districthospitals,13outof34Areahospitals,2outof3MotherandChildHospitals)havebeenassessedbyNHSRCandCertifiedbyMoHFW,GoI.ForFY2018-19,65morefacilitiesareinpipelineforcertification.

viii. MedicalOxygenforTeachingHospitals:

ForuniformsupplyofuninterruptedMedicalOxygenStatewidepolicywasadoptedandMOUwassigned(forallteachinghospitalsintheStateofAndhraPradeshunderPPPmodewitheffectfromSeptember2018).ServiceproviderwillensureuninterruptablesupplyofLiquidMedicaloxygen(LMO)toallteachinghospitalsintheStateofAndhraPradeshandalsoresponsiblefortheoperation,managementandmaintenanceofthemedicaloxygensupplysystem.

E-Aushadhi–OnlineSupplyChainManagementofdrugs:

e-Aushadhiisacompleteonlinesupplychainmanagementforprocurementanddistributionofmedicinesandsurgicalitems.Theentireprocessofraisingdemand,placingpurchaseorders,supply,receiptanddisbursementisdoneon-lineinamost

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transparentmanner.Bufferstocksofeveryitemiskeptinthecentraldrugstoreswhichisapproximatelythree(3)monthsrequirement.Thisbufferstockisusedinemergencysituationsandincaseswherethesupplyisdelayed,ortherequirementsisenhanced.Thesoftwareisimplementedinabout1855institutionsofthehealthdepartment,mobilemedicalunitsandeUPHC.

FreeDrugsPolicyinAndhraPradesh

IncreaseofEssentialMedicineListhasbeenincreasedfrom564(2014-15)to751(2018-19).

DrugBudgethasbeenincreasedfrom194.8crores(2014-15)to402.56crores(2018-19).Alsothenumberofbeneficiariesisincreasedfrom1.1.crores(2014-15)to2.65crores(2018-19).

SADAREMProgramme–BusinessProcessRe-engineering:

Theexistingsystem ofissuingdisabilitycertificateswasentirelyrevampedbyBusinessProcessRe-engineeringtoenablebeneficiariesgetcertificateswithoutanyhasslesandintermediaries.55hospitalshavebeenidentifiedspecialitywiseasSADAREMcentresand589specialistdoctorsareprovidedwithdigitalKeys.CertificatesareissuedeveryFridaybetween12.30PMto4.30PM.

BloodTransfusionServices:

13Bloodcollectionandtransportationvehiclesarefunctioningacrossthestate.Improvedvoluntarybloodcollectionisfrom 73% (2014-15)to83% (2018-19).Thetotalsbloodcollectionincreasedfrom4,33,112units(2014-15)to5,24,523units(2018-19).APBloodCellApphasbeenintroducedandisfunctioning.Sofar,30,426usersareactivelyusingtheapp.Thenumberofbloodbankshaveincreasedfrom110(2014-15)to147(2018-19)andBloodstoragecentersfrom54(2014-15)to104(2018-19).

ANMDigi-DigitalJobAidtoANMsreplacingmanualregisters:

ANMscanusethisapplicationtoscreenmembersofacommunityforconditionssuchasPregnancy,CommunicableandNon-CommunicableDiseases,Immunizations,FamilyPlanningetc.

ItintegrateswithPrajaSadhikaraSurveyofGoAPandRCHportalofGoI.

Helpstheofficialsinmanagingdaytodayworkeliminatingtheneedofmultipleapplicationsandreducing/Eliminatingpaperwork.MultilingualAppincludingTelugulanguageensuringeaseofuse

12,500NewTabletPCsisprovidedtoallANMsalongwithbiometricfacility,GPStracking,mobiledevicemanagementandANMDigiacrossthestateinlastweekofOctober.

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HealthandWellnessCenters:

TheconceptofHealthandWellnesscentersistoprovidecomprehensivehealthcare,well-beingandeasyaccesstothecommunity.Atotalof365HealthandWellnessCentersareestablishedinthestateofAPforscreening-

1.CervicalCancer2.OralCancer3.BreastCancer4.Diabetes5.Hypertension6.Vision7.Hormonaldisorders

AndhraPradeshMedTechZone:

AMTZhasbeendedicatedtothenationbytheHon’bleChiefMinisteron13thDecember,2018.Thezonehasdevelopedasexcellentecosystemformedicaldevicesmanufacturingandhasalsodevelopedthebackwardandforwardlinkages,whichincludestheprocessoftestingofmedicalequipments,certification,regulation,marketingaswellasresearchanddevelopmentbackup.10Nationalorganizations/centerswerebroughttothezonebypursuingwithdifferentministriesinGovt.ofIndia.Theyareasfollows:

(i) 10NationalOrganizations/Centres:

1.KalamInstituteofHealthTechnology(MinistryofScience&Technology);2.Governmente-Marketplacemedicalequipmentcell(Dept.ofCommerce,Govt.of

India);3.Bio-EngineeringPatentCell(ControllerofPatents,Govt.ofIndia);4.NationalInstituteofDesignCell(DIPP,Govt.ofIndia);5.NationalMedicalDevicePromotionCouncil(DIPP,Govt.ofIndia);6. Medi-ValleyIncubator(NitiAyoge);7.Bio-ValleyIncubator(DBT,Govt.ofIndia);8.RegionalHubforHTA(Dept.ofHealthResearch,Govt.ofIndia);9.DirectorateofRadiationSafety(AERB);10.IndianBiomedicalSkillCouncil(MinistryofSkillDevelopment);

Inadditiontothis

(ii) 4InternationalCenters/SecretariatswasalsobroughttotheZone.

1.InternationalSocietyofPharmacovigilance(ISoP)–Sweden/UK;2.ECRIInstitute–USA;3.JoannaBriggsInstitute–Australia;4.WHOpre–qualificationcell–WHOGeneva

Inadditiontothis

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ScientificIndustrialLaboratoriesandCentresarealsoestablishedintheZoneandmanufacturingcompanieshavealsocometothezone.

Withthis,AMTZisnowknownastheMedicalTechnologyCapitalofIndia. The4thWHOGlobalForumforMedicalDeviceswashostedsuccessfullyfrom13-

15thDecember,2018atAMTZ.Itwasattendedbyover1049delegatesfromover90countries.

II. Infrastructure

i. ExpenditureonInfrastructure

TheAPMSIDCisanexecutingagencywhichtakes-upconstructionofallmedicalbuildingsfromSubCentretoMedicalCollegeandalongwithrepairsandrenovationstotheHospitalsandthedetailsofthesanctionsareasdetailedbelow:

1.NABARDXX,XXI,XXIII:

94 works with an estimated costof447.88 crores was sanctioned forstrengthening/upgradation/constructionofHospitalsandworksgrounded.

2.MCHsunderNHM:

14workswithanestimatedcostofRs.177.59croreswassanctionedunderNHMandgrounded

83workswithanestimatedcostofRs.97.94croreswassanctionedforPHCsunderNHMandcompleted

3.Faceliftworks(DrNTRVaidyaSeva)

221workswithanestimatedcostofRs.142.02croreswassanctionedforimprovements ofteaching hospitals,districthospitals,area hospitals andCommunityHealthCentersandcompleted.

4.DMEPlanworks:

38workswithanestimatedcostofRs.670.25croreswassanctionedforimprovementsofteachinghospitals,districthospitalsandareahospitalsincluding2medicalcollegesatNelloreandPadmavatiMedicalCollege,Tirupatiandgrounded.

5.NABH

Upgradation ofInfrastructure in 15 teaching hospitals sanctioned forRs.167.70croresandgrounded.

III. SpecialFocusonTribalareas(TRY)

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1.Roundtheclockprimarycareservicesintribalareas:

153PHCsintribalareasareconvertedto24X7andprovided604additionalstaffwithincludes84MO,staffnurses,classIVandsupportstaff.ThelineofdrugsavailableatthesePHCshasbeenincreasedto160from 125andthenumberofhighenddiagnostictestshasalsobeenincreasedto11from7.

2.Sicknewborncareunits(SNCU)mini:

5beddedSNCUs,withPediatricianand5staffnurses,in18CHCsand3AHsareestablishedinITDAareas,toprovidecaretosicknewbornandreduceIMR.28categoriesofequipmentareavailableforneonatalcareandalldrugsandconsumablesatfreeofcost.MaintenanceofEHRandrealtimecapturingofservicesisdone.Withthisall26AH&CHCsinTribalareasarehavingSNCUs.

3.MukhyamantriGiriArogyaKendralu(eSubCenter):

40subcenterslocatedininteriorand6-9KMsawayfrom theroadpoints(20inITDAPaderuand10eachinITDARampachodavaram andITDAParvathipuram)areconvertedintoEsubcentreswithmedicalofficerservicesontelemedicinemodeanddrugvendingmachinesfordrugdispensingwiththehelpoftheANMareestablished.

4.FeederAmbulances:

Toshiftthepatientsfrom remoteandinaccessibleITDA areastonearest108

ambulances,122FeederAmbulancesservicesareinitiatedin7ITDAs.Thesefeeder

ambulancesareintendedtosavethetimetoreachinshiftingthepatientto108

ambulancesandsavethelivesofthecriticalpatientsandpregnantwomen.ThePilotis

trainedinemergencyhealthmanagementtechniquesandtousethegoldenhourtosave

thepatientlife.Thesefeederambulanceswereequippedwithlifesavingdrugsandsurgical

consumablesandthedetailsofservicesandmonitoringoffleetmovementiscapturedon

realtime.

Progress:

20,241caseshavebeentransportedusing108BikeServiceswithatotalof2,02,143

kmhasbeentravelledbythe108bikes.

IV. ImprovedMaternalCare

1.DistrictHospitalStrengthening&ObstetricICUs

SevenDistrictHospitalsarebeingprovidedwithstateofart20beddedHybridICU/HDUsalongwithequipmentandmanpower.ObstetricICU/HDUisprovidedat6highloaddeliverycentres.A50beddedMCHcentreissanctionedtoAdoni.ThreemorehospitalsatKandukur,KadiriandVinukondaarebeingequippedwithhighendObstetricequipment.145LabourRoomsinCHCsarebeingstrengthenedbyequippingthem withadditionalequipment.

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2.Gynaecunits:

InTeachingHospital-amilestoneinthemedicaleducationi.e.19unitsofOBGwith570bedsweresanctionedin7collegeswith19Professors,19AssociateProfessorsand38AssistantProfessors.

V. UniversalHealthCoverage

1.NTRVaidyaSeva:

Withaviewtoprovideenhanced&strengthenedservicesunderDR.NTRVaidyaSeva,Governmentisimplementing1044(873Surgicaland171Medical)procedurestothepoorpeoplewhoareBelow PovertyLinein455empaneledhospitals.ThetotalnumberofpatientsbenefitedundertheTrustis12,00,706withexpenditureof5,330croresason2018.

2.ArogyaRaksha:

ToattainUniversalHealthCoverageinAndhraPradesh,Govt.ofAPhasstartedascheme“ArogyaRaksha”forallAPLfamilieswithPremiumofRs.100/-perheadpermonth.Allthemembersofthefamilyhavetobeenrolled.Rs2.00Lakhistheentitlementforanindividualperannum throughover900GovernmentandCorporateNetworkHospitalsfor1044procedures.15197membershaveavailedthisserviceswithRs.38.49crores.

3.EmployeesHealthScheme:

TheStateGovernmenthasintroducedemployeehealthschemestoprovidehealthcoveragetothestategovernmentemployees,pensionersandtheirdependents.Thepremiumcontributionis50:50betweenthestategovernmentandemployeesorpensioners.ThefinancialcoverageofRs.2.00LakhisentitledfortheemployeeorpensionerthroughgovernmentandCorporateNetworkHospitalsfor1885procedures.Thetotalnumberofpatientsbenefitedundertheschemeis2,80,207withexpenditureof860croresason2018.

4.WorkingJournalistsHealthScheme:

TheStateGovernmenthasintroducedWorkingJournalistsHealthSchemestoprovidehealthcoveragetoaccreditedjournalistsidentifiedbyI&PRDepartment.Thepremiumcontributionis50:50betweenthestategovernmentandjournalists.ThefinancialcoverageofRs.2.00LakhisentitledforthebeneficiarythroughgovernmentandCorporateNetworkHospitalsfor1885procedures.Thetotalnumberofpatientsbenefitedundertheschemeis7601withexpenditureof2.70croresason2018.

5.AmaravatiResidentsHealthScheme:

TheresidentswithintheAmaravaticapitalcityareawhoareresidingason08.12.2014shallbeprovidedfreemedicalfacilitiessubjecttocertainconditionsasstatedthereinandtheschemeshallbeimplementedbyDr.NTRVaidyaSevaTrust.TheTrustisprovidingservicesunderthisschemetotheresidentsofCRDAregioncovering37,569familiesonthe

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guidelinesofDr.NTRVaidyaSevaScheme.

6.NTRCancerCareTrust:

NTRCancerTrustisregisteredbyGovt.ofAPtoestablishcancercarecentersinallthedistrictsofAndhraPradeshunderPPP.

7.ClinicalAudit:

Toensurequalityinhealthcareservicesandtobringtransparency,theGovt.ofAPhasinitiatedclinicalauditthroughthirdpartyagency.2(two)percentofclaim paidcasesinbothpublicandprivateempanelledhospitalswillbeaudited.

VI. Outofpocketexpenditure:

Outofpocketexpenditureonhealthisdefinedasthepaymentmadebytheuseratthepointofserviceforseekinghealthcare.ItisoneofthemeasureofUniversalhealthcoveragewhichmeansaffordable,accessibleandequitablehealthcare.Thesurveyisdesignedwithaspecifictocaptureutilizationandexpendituredetailsofsicknessordiseasewithspecialfocusonchronicillness;treatmentunderwent(out-patient,inpatient,anddelivery)withtypeofpublicorprivateprovider;expenditureincurredagainstservicedeliveryforthecomponentslike:servicefee/consultationfee,medicines,diagnostics,transport,otherexpendituresforlodging,attendantetc.

Baselinesurveywasconductedin2015.VariousinterventionsinhealthsectorhasbeenlaunchedinJanuary2016.TocapturechangetheendsurveywasconductedinAugust2017i.e.after20monthsofinterventions

Thissurveywasconductedinselected26villagesand14urbanareasacrossall13districts

S.no.Totaloutofpocket

expenditure(OOPE)percapitaperannum

2015(INR) 2017(INR)Change(2015to2017)

2018(INR)Change(2017to2018)

Change(2015to2018)

1PercapitaOOPEon

Healthcare5770 1205 -79% 587.31 -51% -90%

2PercapitaOOPEonhealthcare-medical

5062 1104 -78% 336.56 -70% -93%

3PercapitaOOPEon

laboratory860.54 388 -55% 80.12 -79% -91%

4PercapitaOOPEon

medicinesandconsumables

2531 486 -81% 135.07 -72% -95%

16

KeyfindingsfromMajorIndicators:

ThepercapitaOOPeonhealthcarereducedby79%,i.e.,from5,770(2015)to1,205(2017)

OOPeonlaboratorytestsreducedby81.25%inGovernmentfacilities(861in2015to388in2017)andby53.5%inprivatefacilities(820in2015to381in2015)

AverageOOPeforC-Sectiondeliveriesreducedby55.4%inGovernmentfacilities(1,451in2015to646in2017)andby32.3%inPrivatefacilities(37,494in2015to25,386in2017).

VII. BudgetAllocationForHealth:

1.ThebudgetforthehealthdepartmentwasRs.4,387.94Croresforthefinancialyear2014-2015.Thishasnearlydoubled(increasedby93%)for2018-2019withRs.8,463.51Crores.

VIII. SpecialFocusonCommunicableDiseasesandNon-CommunicableDiseases

1.Non-CommunicableDiseaseManagement

MasterHealthCheck-up:-

MHCprogramisforscreeningofmenandwomanabove30yearsforearlydetectionon7majornon-communicablediseasesnamelyoralcancer,cervicalcancer,breastcancer,prostatecancer,diabetes,hypertension,vision,hormonaldisorders. 12,000ANMsaretrainedforscreeningfortheabovementionedNCDs.Anysuspectedcaseisreferredto57identifiedreferralhospitalsfordiagnosisandtreatment.

Progress:- 19,93,727screenedtilldate,allscreenedmenandwomenareprovidedHealthcard 59,019werereferredto57identifiedreferralhospitalsfordiagnosisandtreatment

Districts,mandalsandvillageswithhighestprevalenceofthementioneddiseasesareidentifiedforpolicyandadministrativeinterventions,i.e.,brownricewasintroducedinthetop57mandalswithhighdiabetesprevalence.

2.CommunicableDiseaseManagement:

1.ForMalaria:

a.Duringtheperiodfrom JanuarytoDecember(Till17thDecember),in2017,a

totalof16,147malariacaseshavebeenregisteredinthestate,whereasin

2018,atotalof5,629malariacaseshavebeenregisteredduringthesame

period.2018hasregistered65%lowerthancasesregisteredin2017inthe

17

sameperiod.

2.ForDengue:

a.Duringtheperiodfrom JanuarytoDecember(Till17thDecember),in2017,a

totalof4,665denguecaseshavebeenregisteredinthestate,whereasin

2018,atotalof3,895denguecaseshavebeenregisteredduringthesame

period.2018hasregistered16.5%lesserthancasesregisteredin2017inthe

sameperiod.

25.02lakhslonglastingimpregnatednetsweredistributedinalltheITDAareasandhighriskplainareasofallthedistricts.ScreeningtestsformalariaareavailableuptothelevelofASHA.ScreeningfordengueisdoneatallPHCs.AllthepositivecasesarereferredforconfirmationbyMACELLISAtestinallthedistricthospitalsandteachinghospitals.H1N1testingfacilityisnowavailableacross18centersinallthedistricts.

IX. HealthEducation:

1.HealthBulletin:

State,districtandvillagelevelhealthbulletinswerelaunchedonMarch4,2018.ThemainobjectiveofthisbulletinistoeducatethepeopleofAndhraPradeshaboutthemajorhealthproblemsthatareprevalentintheregionandtohelpthemtotakenecessaryprecautionstostayhealthy.Thebulletinsalsoaimatcreatingawarenessamongstthepeopleabouthealthprogramsandservicesthattheycanavailatvariouspublicfacilitiesfreeofcost.Itisalsousedtocommunicatehealthtipsthatensurepreventionofseasonaldiseases.Thesubsequenteditionsofthesehealthbulletinsarebeinglaunchedonthe7thofeverymonth.

2.SwasthyaVidyaVahini:

SwasthyaVidyaVahiniisahealtheducationprogramlaunchedon24.12.2016bythegovernmentwhereateamoftwomedicalstudentsareallocatedtoeachvillage.TheteamworksincollaborationwithvariousdepartmentsincludingPanchayatRaj,AnganwadiCenterandschooltodevelopavillagehealthstatusreport.

ProgressSinceinceptionofthisprogram

• 119collegesareparticipatinginthisprogram• Atotalof11,721studentshaveregisteredforthisprogram• Atotalof13,903villageswerecoveredasapartofthisprogram

SurveyresultsfromWestGodavarishowthatabout80%ofpopulationhasgoodknowledgelevelsonWASH,whereas70%ofpopulationispracticingandhaveawarenessonthesame.

X. MedicalEducation:

18

Thenumberofundergraduateseatsin11governmentMedicalCollegesis1750and2050in18privatemedicalcolleges.140BDSseatsingovernmentdentalcollegesand1300inprivatedentalcolleges.LastyearthereisanincreaseinPGintakeby138andnowthenumberofpostGraduateseatsis831ingovernmentsideandinprivateside894seats.Inadditiontotheabove,62SuperSpecialtyseatsarealsoavailable.

Forearlyoperationalization ofAIIMS atemporarycampusisbeing established inSiddharthaMedicalcollegetostartwith50MBBSSeats.ThegovernmentofAPsanctioned6CrorestoenableestablishmentforInfrastructure.Theclassesstartedfrom30-08-2018.

A.Training/ObservershipProgrammeforMD/MSPostgraduates

TheHM&FWdepartmenthasenteredintoMOUwithSriSatyasaiInstituteofHigherMedicalSciencesofPuttaparthitosendMD/MSpostgraduatesfrom theGovernmentMedicalCollegesforshortterm training(Observership)programmeinSuperspecialitybranchesonrotationinnine(9)departmentslikeCardiology,CTVS,Plasticsurgery,Urology,Ophthalmology,orthopaedics,anaesthesia,Radiology and Pathology. About 350postgraduateswillbebenefittedfromthisprogramme.

B.DNB:

TheHM&FW departmenthavestartedDNBprogramswhichispresentlyconductedin3DistrictHospitalsvizDHVizianagaram,DHEluruandDHNandyalaunderwhich50PostGraduatesstudentsaregettingtrainedindifferentspecialities.

C.VisakhaInstituteofMedicalSciences(VIMS):

G.O.Ms.No.224,HM&FW(C2)Dept.,Dt:30.11.2018hasbeenissuedfortheestablishmentofVisakhaInstituteofMedicalScience(VIMS)asa400-beddedpremierinstituteofMedicalservicesandMedicalEducationwith874postssanctioned.

AYUSH

TheAYUSHDepartmentprovideitsservicesthrough729Dispensariesand4TeachingHospitals.AminipharmacyatDr.NRSGovt.AyurvedicCollege,Vijayawadaisestablishedwith14specialistdoctors,13YogainstructorsforSchoolHealthProgram,1Supervisorand6workers.TheDepartmentalsopublishes“AYUSHVignan”.

KnowledgeCommandCenter(KCC):

KCCisthedataanalyticswingfortheHealth,MedicalandFamilyWelfaredepartment,GovernmentofAndhraPradesh.Itisdedicatedtowards

DiseasesurveillanceofCD&seasonaldiseases

IdentifyincidenceofmajorNCDtillvillagelevel

PredictiveanalysisofCDs&NCDs EvaluationofPPPprogramstoidentifygapsinhealthcaredelivery IdentifyKPIsthatneedinterventionatdistrictadministrationlevel

19

Tracktheperformanceofprivatehealthprovidersinagivenperiod Evaluatethestatehealthindicatorsbasedon100KPIs ProvidethebottomperformingKPIsfordistrictstoimproveupon AnalyticalanalysisofhotspotsformitigatingMMRandIMR

XI. MemorandumofUnderstandingtoprovidebetterqualityhealthcare

1)UddanamKidneyResearchCenterwithGeorgeInstituteforGlobalHealth,New Delhiestablished at VIMS,Visakhapatnam to study,test,operationalizepreventiveapproachforCKDofunderminedEtiology(CKDu)inAP.

2)HealthSectorSkillCounciltotrainandprovidecertificationbyconductingtheonlineexaminationforallthetechniciansandparamedicsworkingwithServiceProvidersofvariousPPPsimplementedinAP.

3)CSIO partnership forBio-medicalequipmentforfinalization ofBERequipmentforcondemnation.

XII. CentersofExcellenceunderImplementation

1.StateCancerCenteratKurnoolissanctionedwith120crores.2.VisakhapatnamCenterofExcellenceformentalhealthcareissanctioned.3.NACOGoI,MoHFWhasgivenapprovaltoGovt.OfAPtoestablishcenterof

excellenceatSiddarthaMedicalCollege,Vijayawada.Itismadefunctionalfrom1stDecember2018and20PLHIVwereinitiatedon3rdlineART.CoEisexpectedtoprovide3rdlineARTservicesto2000PLHIVsinoveranyear.

XIII. KnowledgePartnershipwithInstitutionsofExcellence

TheHM&FWDepartmentinordertoboosttheperformanceofvariousPPPprogramshaveentered into MoUs with various knowledge partners aiming to ensure qualityimplementationoftheprogrammes.TheseInstitutionsconductindependentevaluationoftheprogrammeandgiveinputstoimprovequalityandefficiencyofprogrammes.

S.No. Programme KnowledgePartner

1 BiomedicalEquipmentMaintenance CSIR–CSIO,

Govt.ofIndia

2 HospitalSanitation,Rodent&PestControl,SecurityServices

SulabhAcademy

(IAESPH)

3 electronicUrbanPrimaryHealthCentres PGIMER,Chandigarh

4 NTRVaidyaSeva,EHS&ArogyaRaksha ACEHealth

5 NTRVaidyaPariksha WHO

20

6 ChandrannaSancharaChikitsa CentreforPublicHealth,TataTrust

7 Maternal,ChildHealth&ComprehensiveHealthIndex

TERI

8 FreeDialysis GeorgeInstituteofGlobalHealth,NewDelhi

9 108services PGIMER,Chandigarh

10 ThalliBiddaExpress PGIMER,Chandigarh

11 TeleRadiology PGIMER,Chandigarh

XIV. HumanResource:

Atotalof5523medical,paramedicalandclassIVarerecruitedinlastthreeyearsonregular/contract/outsourcedbasis.

Furtherthegovernmenthaspermittedrecruitmentof205CASspecialiststhroughAPPSC,155CASspecialistsand35DASunderAPVVPand1171CASforregularrecruitmentunderDirectorofPublicHealthandDMEthroughdepartment.

GovernmenthasalsoenhancedtheSalariesofcontractualandoutSourcingEmployeesofMedical,ParaMedicalandNon-Medical.GovernmenthasenhancedHonorariumofASHAworkersfrom performancebasedtofixedhonorarium ofRs.3000/-perMonthandperformancebasedtoalimitofRs5600/-permonthandatotalofuptoRs.8600/-PerMonth.

XV. WorldBankassistedprojects:

A.eSubCenter:

To provide assured qualitative health care services bya MedicalOfficerthroughTelemedicineatthedoorstepsofSub-CentersbyleveragingTechnology.

Themaincomponentsforthee-Subcenterincludes–1)Multi-paramonitormachine(7tests),2)DrugVendingMachine(40drugsdispensingcapability),3)DesktopwithTeleConferenceequipment,4)InternetConnectivity,5)Hubwithdoctors(zone-wise)and6)Refurbishment(minorcivilrepairs,painting,toiletprovisionwithwatersupplyetc.)ofSub-centerswhenevernecessary.

XVI. Awards(RecognitionofQualityServices):

Thedepartmenthasreceivedawardsbothatnationalandinternationallevelforitsexcellentperformanceindifferentcategories.

21

TableofAwards:

SlNo

NameoftheAward

AwardedToIndiviudal/institutionName

AwardedbyAgency

Dateofaward

Awardgivenforexcellencyin

1 InnovativeMedtechZoneaward-2017(International

Listing)

AndhraPradesh

MedTechZoneLtd.

WorldHealth&Wellness

Congress&Awards

14thFebruary2017

InnovativeMedtechZoneawardwasgiventoAMTZformostinnovativemedicaltechnologyecosystemtocatertotheneedsofindustryspeciallyinIndiawhereimportdependencyis90%formedicalequipment

2 SkochPlatinumAward

HealthMedical&FamilyWelfare

Department,GovtofAP

SkochSwasthBharatAward

March2017

1stBestPerformingStateinHealth

3 SkochPlatinumAwards

SwasthVidhyaVahini


March

2017

ProvidingHealthEducationbyMedicalStudentsinruralAreas


InventoryManagement


March

2017

Besttrackingofmedicinedisbursementthroughonline


Bio-medicalEquipmentMaintenance


March

2017

BestmaintenanceofequipmentsinPublicHealthFacilities


MukhyaManthriAarogyaKendralu


March

2017

InnovativeoutreachofHealthFacilitiesinUrbanAreas


FreediagnosispolicyNTRVaidhyaPariksha


March

2017

ProvidingfreelaboratoryservicestothepopulationofAndhraPradesh

8 LeaderShipaward–HealthCareSummit


HealthCareSummit

June

2017

OverallPerformance,initiatives&InnovativesinHealth

22

SlNo

NameoftheAward


AwardedbyAgency

Dateofaward


Department,GovtofAP

9 FICCIAwardfor2017under

FICCI

PatientCentricity(Public

Hospitals)

FICCI June

2017

BestStateforprovidingcleanlinessinHospitals

10 1stPrizeforIPDservicesamongBigStates,National

SummitBestPracticeGoodandRepublicPracticesandInnovation,GoI

IPDServices NationalSummitBestPracticeGoodandRepublicPracticesandInnovation,GoI

June

2017

1stPrizeforIPDservicesamongBigStates

11 BestawardforGoodPractice

titled“TBReach-Wave4

project”National


TBReachWave4Project

NationalSummitBestPracticeGoodandRepublicPracticesandInnovation,GoI

June

2017

EradicationofTBinAndhraPradesh

12 Awardedfor“InnovationinIncreasingAffordableaccessbya

stateGovernment”ExpressPublicHealthAwards

InnovationinIncreasingAffordableaccessbya

stateGovernment

MoHFW,GOI June

2017

InnovationinIncreasingAffordableaccessbyastateGovernment

13 ExcellenceAwardforExtending

ExtendingPublic

Healthcare

MoHFW,GOI June

2017

ExtendingPublicHealthcareServicestotheRemotestandLastMileoftheState

23

SlNo

NameoftheAward


AwardedbyAgency

Dateofaward


PublicHealthcare

ServicestotheRemotestandLastMileofthe

State

ServicestotheRemotestandLastMileoftheState

14 AwardedforMostEffective

–“PPPDiagnostics”ExpressPublicHealthAwards

DiagnosticServices

MoHFW,GOI July

2017


15 AwardforMaternal

HealthSurvival2nd Prize,National


MaternalHealth


July

2017

ProvidingMaternalHealthCareservicesforthepopulationofAndhraPradesh

16 BestawardonImplementationofDiagnosticsServicesintheState,NationalSummitBestPracticeGoodandRepublicPracticesandInnovation,GoI

DiagnosticServices


July

2017


17 SkochGoldAward

ChandrannaSancharaChikitsa


March

2018

ProvidingHealthservicesinruralAreas

18 SkochGoldAward


Department,GovtofAP


March

2018

1stBestPerformingStateinHealth

24

SlNo

NameoftheAward


AwardedbyAgency

Dateofaward


19 KayakalpAwards–2017-18–State

Level,3DistrictHospitals&4StateHospitals

DHs-Eluru,Vizianagaram,Machilipatnam

AHs-Hindupur,Atmakur,Tanuku,Nuzividu

MoHFW,GOI April

2018

BestSecondaryHospitalswhichfollowsKayakalpProcedure

20 NQAS(NationalQuality

AssuranceStandards)Awardfor3

DistrictHospitals&3AreaHospitals

DHs-Machilipatnam,

Nandyal&Eluru

AHs-Tanuku,Kavali,KadiriforNational

QualityAssuranceStandards

MoHFW,GOI April

2018

BestSecondaryHospitalswhichfollowsNationalQualityStandards

21 BestUsageofICTinruralservices

ChandrannaSancharaChikitsa

BusinessworldDigitalIndia

Award

June

2018

ProvidingHealthservicesinruralAreas

22 BestMobileAppforcitizen

services

ANMDigi BusinessworldDigitalIndia

Award

June

2018

BestMobileApplicationtoprovidevariousHealthservicestocitizens

23 PMSMA 'IPledgefor9'AchieversAward


Department,GovtofAP

MoHFW,GOI June

2018

States withmaximumproportionofPregnantwomenreachedunderPMSMAamongNONEAGstates.

24 AmericanCollegeofClinical

Engineering

AndhraPradesh

MedTechZoneLtd.

AmericanCollegeofClinical

Engineering

2ndJune2018

ACCE–HTFInternationalOrganizationAwardisgiventoanorganizationoutsidetheUnitedStatesand

25

SlNo

NameoftheAward


AwardedbyAgency

Dateofaward


(ACCE)-2018international

award

(ACCE) CanadathathasdemonstratedsignificantimprovementsinClinicalEngineeringandMedicalTechnologyglobally

Conclusion:

Withthesupportofmorethan1400publichealthfacilities7500SubCentersand22newinitiatives,HM&FWiscontinuouslystrivingtoprovidequality&affordablehealthcaretothecitizensandmakethestate-“ArogyaAndhraPradesh–AnandaAndhraPradesh”.

The Government of AP is providing health services to the people

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