The Cell is concerned with the physical well being of the PAFs and is headed by the Deputy Director (Medical). It is responsible for providing preventive and curative care to PAPs as per their requirements and offers comprehensive services to the families. The medical experts in the Cell include physician, pediatrician, gynaecologist, emergency medical officer, statistical assistant and pharmacist.
Prior to resettlement, it was a common practice among the PAFs to consult witchdoctors (bhuvas) for their illnesses. The state medical facilities such as community health centres (CHC) and primary health centres (PHC), if available were distant, and the people had more faith in the local bhuvas. With Gujarat’s R&R package, the medical facilities available to the people have undergone phenomenal change. Moreover, this change is not only in the form of delivery of excellent services, but also in the form of ensuring that the people use the facilities available to them.
The Medical Cell ensures that doorstep medical facilities are available to all families through the provision of 20 mobile medical units. There is also one mobile hospital and 154 dispensaries have been established in the sites. Diagnostic camps and other medical camps are also held at regular intervals. During these camps, the PAFs have access to such facilities as x-rays, sonography and pathology facilities.
The Cell is responsible for overseeing the hygiene and nutrition aspects of the sites. It ensures that the people receive safe drinking water, and adopt good hygiene habits.
Regular immunization is also conducted, and ante-natal and post-natal treatment is also being given to the expectant mothers at their doorsteps. The Cell works in tandem with the Integrated Child Development Scheme (ICDS) and the Mid Day Meal Programme for the promotion of health in children. It is also responsible for advocating family planning.
The SSPA dispensaries have records of all the PAFs. Family-wise health cards and folders are maintained, so that the consulting doctor is aware of the patient’s medical history and the treatment that has been administered. The Cell also coordinates with the district health machinery to offer more comprehensive services and expand the health service coverage.
Health and Medical Facilities under SSPA and State Health Machinery
|Sr.No.||Type of services/activity||Under SSPA||Under State Health|
|1. Female Health Worker||54/FHW||5000/FHW|
|2. Multi Purpose Health Worker||17/MPHW||6000/MPHW|
|3. Medical Officer||20/MO||30,000/MO|
|1. Female Health Worker||Daily (As per tour programme)||Once a week|
|2. Multi Purpose Health Worker||Daily (As per tour programme||Once a fortnight|
|3. Medical Officer||Daily (As per tour programme||Once a month|
|3.||Visit site||House to house||At sub centre or at village|
|4.||Specialist services available||At R&R Site||At Taluka level|
|5.||Diagnostic facilities (like X-ray, sonography, ECG, laboratory)||At R&R Site3 Times/Week||At Taluka level|
|6.||Ambulance services||Alternate Day||Available at PHC/CHC H.Q. with charges or with conditions|
|7.||ICDS Nutritional Services (AWC/ sub centre)||58/117 beneficiaries||1/60 beneficiaries|
|8.||Provision of drinking water||Round the year provision of safe drinking water with quality monitoring||System of quality monitoring of drinking water in epidemic situation|
|9.||Health status record of population||Available in the form of family folder and health card||Available in register format|
|10.||Specialized diagnostic treatment camp like diabetes, physically challenged, kidney diseases, skin, and ayurvedic camps||7 Mega Camps/Year||Organized once a year|
|11.||Couple protection rate||51.5/100 couples (ster)||34/100 couples (ster)|
|Birth rate||19.4/1000 population||27/1000 population|
|Infant mortality rate||23/1000 live births||68/1000 live births|
|Death rate||2.7/1000 population||8.3/1000 population|