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HEALTH CARE, HUMAN SERVICE AND FAMILY WELFARE DEPARTMENT

Ensuring qualitative healthcare services has been one of the topmost priority missions of the State

Government. Fostering a health society through quality healthcare, services for all citizens of remotest

villages of West Sikkim has been the vision of Health Care, Human Service and Family Welfare

Department. Indicators in the field of health care and services showcase that West Sikkim is progressing

in an upward spiral.

STATUS OF HEALTH CENTRES:

District Hospital Gyalshing

DCWC Tashiding PHC

Yuksam PHC

Dentam PHC

Rinchenpong PHC

Mangalbaria PHC

Soreng PHC

Sombaria PHC

Particulars 2016-17

Dist. Hospital PHCs PHSCs

Govt. Building 1 7 39

Rented 0 0 2 (Gangyap & Daramdin PHSC)

Under Construction 0 0 1 (Gangyap PHSC)

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Darap PHSC Gangyap PHSC

Gerethang PHSC

Bongten PHSC

Bermok PHSC

Kamling PHSC Buriakhop PHSC

Daramdin PHSC

Legship PHSC Karjee PHSC

Melli-Aching PHSC

Hee-Yangthang

PHSC

Boom-Reshi PHSC

Khanisherbong PHSC

Chakung PHSC

Okhray PHSC

Lingchom PHSC

Kongri PHSC

Thingling PHSC

Karmatar PHSC

Deythang PHSC

Reshi PHSC Chumbong PHSC

Ribdi PHSC

NaKu-Chumbong

PHSC

Radu-Khandy PHSC

Samdong PHSC

Dodak PHSC

Tickpur PHSC

Nambu PHSC Uttray PHSC

Yangsum PHSC

Naya-Bazar PHSC

Pelling PHSC Zeel-Hathidunga

PHSC

Pakkigaon PHSC

Rimbik PHSC Singling PHSC

Sakyong PHSC

Tharpu PHSC

Zoom PHSC

Photo: District Hospital Gyalshing

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Photo: Soreng PHC

Formation of committees: 1. District Health Mission

2. District Health Society

3. Rogi Kalyan Samiti at District and 7 PHCs

4. VHSNC

DHM (District Health Mission) and DHS (District Health Societies) have been formed and Hon’ble

Zilla Adhayksha and District Collector are designated Chairman respectively.

RKS/HMS (Rogi Kalyan Samitis/Hospital Management Society) has also been formed in all the health

centres including Hospital Monitoring committee at District Hospital Gyalshing. The BDO (Block

Development Officers) are the Chairman of RKS for the respective Primary Health Centres.

Grievance Redressal Mechanism of RKS: Under the Grievance redressal mechanism of RKS, the

suggestion/complaint box is placed in District Hospital & 7 PHC. During the meeting of RKS

committee, the committee members will check the suggestion/complain box and accordingly, they

discuss in the meeting.

Monitoring committee of RKS: Monitoring committee of RKS District Hospital Gyalshing, visite at

least twice in a year and submits the report on inspection (visit Hospital wards & collect patient

feedback) of hospital to DMS. After the submission of inspection report, the meeting of executive body

is called and accordingly rectification is done, and reports have been submitting the District Collector &

Chairperson, Zilla Adhakshya/West. Some of the important issues which were raised on executive body

meeting were discussed during the meeting with RKS/HMS Governing Body.

Monitoring of RKS Fund/Accounts has been done regularly be statutory audit & AG audit and report

has been distributed to respective member of Governing Body of RKS

VHSNC (Village Health Sanitation & Nutrition Committee) are formed under every ASHA village

whose main responsibility is to make a health plan of their respective villages and are shouldered with

the responsibility to supervise and monitor every health activities at the village level.

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Indicators West District Sikkim India

MMR (Maternal Mortality

Rate)

15 numbers 2 numbers 167/100000

IMR (Infant Mortality Rate) 22/1000 (HMIS) 18/1000 (SRS-2016) 37/1000 (SRS-2016)

TFR (Total Fertility Rate) 1.2 1.2 2.51

Crude Birth Rate 12.5 (C.N.A) 17 (SRS-2016) 20.8 (SRS-2016)

ACHIEVEMENT OF HEALTH CARE SERVICES

Sl.no Services

2011-2012

2012-2013

2013-2014

2014-2015

2015-2016

1 Total ANC Registered

2393

2231 2183 2118 1963

2

% 1st trimester

registration to total

ANC registration

(within 12 Weeks)

53%

(1258)

61%

(1352)

71%

(1548)

84%

(1781)

85%

(1666)

3

% Pregnant women

received 3 ANC to total

ANC registration

87%

(2074)

88%

(1965)

83%

(1807)

90%

(1899)

92%

(1811)

4

% Pregnant women

given 100 IFA to total

ANC registration

73%

(1738)

69%

(1537)

88%

(1914)

93%

(1975)

91%

(1782)

5 Total Delivery 1796 1935 1886 1862 1812

6 % Institutional Delivery

to Total Delivery 76%

84% 90% 98% 98%

7 % Home Delivery to

Total Delivery 24%

16% 10% 2% 2%

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No. of JSY

Beneficiaries (Inst.

Delivery)

637

518 485 612 578

9

No. of JSY

Beneficiaries (Home

Delivery)

25

13 14 3 1

10 Full Immunization

2034

1983 1868 1838 1785

11 IUCD Acceptor 536 364 528 616 454

12 PPIUCD Acceptor - - 45 154 114

13 OCP Users 1900 1816 2114 2251 2161

14 Condom Users 815 773 818 813 934

Source: West District Health Management & Information System

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WEST DISTRICT FACT SHEETS

Sl.no Indicators DLHS-4 (2012-13) NFHS-4 (2015-16)

1 Mothers who had Antenatal check-up in the

first trimester (%)

56.1% 81.2 %

2 Mother who had at least 4 ANC visits (%) 82.7% 84.9%

3 Mothers who consumed iron folic acid for

100 days or more when they were pregnant

(%)

71.8% 66.8%

4 Institutional Delivery (%) 73.7% 94.6%

5 Institutional Delivery in public facility (%) 66.4% 88.6%

6 Mothers who received financial assistance

under JSY for births delivered in an

institution (%)

31.7% 43.1%

7 Children under age 3 years breastfed within

one hour of birth (%)

59.2% 73.2%

8 Current use of Family Planning any method 70.8% 65.8%

9 Any Modern FP method 55.6% 64.3%

10 Female Sterilization 12.8% 22.1%

11 Male Sterilization 3.0% 4.9%

12 IUCD/PPIUCD 10.9% 12.9%

13 OCP 21.2% 16.9%

14 Condom 3.1% 5.4%

Source: DLHS -4 (2012-13) & NFHS-4 (2015-16)

PROGRMME UNDER NATIONAL HEALTH MISSION

A) RCH FLEXIPOOL:Reproductive Maternal Newborn Child Health + Adolescent (RMNCH+A)

B) National Health Mission (NHM) Flexible Pool

C) Immunisation

D) National Iodine Deficiency Disorders Control Programme (NIDDCP)

E) Integrated Disease Surveillance Programme (IDSP)

F) National Vector Borne Disease Control Programme (NVBDC)

G) National Leprosy Eradication Programme (NLEP)

H) Revised National TB control Programme (RNTCP)

I) National Programme for Control of Blindness (NPCB)

J) National Mental Health Programme (NMHP)

K) National Programme for the Healthcare of the Elderly (NPHCE)

L) National Programme for Prevention and Control of Deafness (NPPCD)

M) National Tobacco Control Programme (NTCP)

N) National Oral Health Programme (NOHP)

O) National Programme for Prevention and control of Cancer, Diabetes, Cardiovascular Diseases

and Stroke (NPCDCDS)

Communitisation:

o Rogi Kalyan Samiti / Hospital Management Society (RKS/HMS)

o Village Health Sanitation & Nutrition Committee (VHSNC)

o Accredited Social Health Activist (ASHA)

o Village Health Nutrition Day (VHND)

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The Chief Minister’s Comprehensive Annual and Total Check-up for Healthy Sikkim (CATCH),

which provides comprehensive healthcare (promotive, preventive and curative) on an annual and

periodical basis is a path breaking initiative envisioned by the Hon’ble Chief Minister of Sikkim.

As of 2016, during the 1st Round, 95% population have been covered or registered and in 2

nd round a

total of 71% individuals have been covered or registered with lab investigation. Out of that, 63% have

been issued health card.

New programme:

PMSMA: Pradhan Mantri Surakshit Matriva Abhiyan has been launched by the Ministry of Health &

Family Welfare GOI on 8th August 2016.The programme aims to provide assured comprehensive &

quality Antenatal Care, Free diagnostics & counselling Services, detection, referral, treatment & follow

up of all high risk & complicated pregnancies. It is held on 9th

of every month where Antenatal Mothers

will be provided all the essential Maternal Health Services. Programme is being implemented in Sikkim

since September 2016.

MAA: (Mother’s Absolute Affection programme for Breastfeeding promotion) This Programme was

launched on 05th August 2016 by Union Minister of Health & Family welfare, GOI. The Goal of the

MMA Programme is to promote, protect, & support of Breast feeding practices through health systems

to achieve higher breastfeeding rates.

Mission Indradhanush: The Ministry of Health & Family welfare GOI has lunched Mission

Indradhanush in December 2014 as a specific drive to vaccinate all unvaccinated & partially vaccinated

children up to 2 years. The mission focuses on interventions to improve full immunization coverage

from 83 % to at least 90 % children in the next 5 years. The objective of mission Indradhanush is to

ensure high coverage of children & pregnant women with all available vaccines through the country.

Under Rastriya Bal Swasthya Karyakam (RKSK) programme, 840 Peer Educators were selected, out of

that 480 PE are trained.

KAYAKALP: An initiative under Swachh Bharat Abjiyan, started in the year 2015-16 with an

objective to encourage or promote cleanliness, hygiene, infection control and sanitation linked to

positive health outcomes, KAYAKALP programme has been initiated by the Department where best

performing public health facilities are felicitated with cash prize and citation at the state level. Under

West District, Dentam PHC was declared as the winner with Rinchenpong PHC securing the second

place.

Position Name of Health Facility Marks obtained (Total=150 marks)

1st Dentam PHC 134 (89%)

2nd

Rinchenpong PHC 117 (78%)

3rd

Mangalbaria PHC 111 (74%)

4th

Yuksam PHC 106 (70%)

5th

Soreng PHC 105 (70%)

6th

Somabria PHC 94 (62%)

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7th Tashiding PHC 92 (61%)

Contact Numbers:

Sl.no Name of Officers Designation Place of Posting Contact No.

1 Dr. Thinlay Wongyal Addl. Director cum

CMO, West

Dist. Hospital

Gyalshing

9733076770

2 Dr. T. N. Bhutia Addl. Director cum

DRCHO, West

Dist. Hospital

Gyalshing

9474767727

3 Dr. Anusha Lama Jt. Director cum DMS,

West

Dist. Hospital

Gyalshing

9733020950

4 Dr. Bikash Pradhan Jt. Director cum DTO,

West

Dist. Hospital

Gyalshing

9733076784

5 Mr. Digam Gurung Dist. Programme

Manager, West

Dist. Hospital

Gyalshing

9735065916

6 Mr. Bikram C. Rai Dist. Accounts

Manager

Dist. Hospital

Gyalshing

9775481283

7 Dr. Bipendra Sharma MO I/C Tashiding PHC 8972869458

8 Miss. Munna Rai BPAM Tashiding PHC 9593267067

9 Dr. Reena Tamang MO I/C Yuksam PHC 9593287007

10 Mrs. Laxmi Rai BPAM Yuksam PHC 9800630901

11 Dr. Kanchan Gurung MO I/C Dentam PHC 9647852368

12 Mr. Avinash Pradhan BPAM Dentam PHC 9609875460

13 Dr. Lasa Hang Limboo MO I/C Rinchenpong PHC 9734552221

14 Miss. Bindu Rai BPAM Rinchenpong PHC 9775316075

15 Dr. Lalit Rai MO I/C Mangalbaria PHC 8116213117

16 Mr. Yapchung Bhutia BPAM Mangalbaria PHC 9735993218

17 Dr. Birendra Subba MO I/C Soreng PHC 9733137085

18 Mrs. Deeya Thapa BPAM Soreng PHC 9775952662

19 Dr. B.K. Chawhan MO I/C Sombaria PHC 7407254321

20 Mr. Avinash Roka BPAM Sombaria PHC 8509823129