Health Report 1

HEALTH & FAMILY WELFARE
DEPARTMENT
CITIZEN
CITIZENS’ CHARTER
2019
2019-2020
CONTENTS
S.No. CHAPTER PAGE
1. Introduction 01 – 03
2. Directorate of Medical Education 04 – 14

Directorate of Medical & Rural Health
3. 15 - 21
Services
Department of Public Health and Preventive
4. 22 – 36
Medicine
5. Directorate of Family Welfare 37 – 40
Directorate of Indian Medicine and
6. 41 – 56
Homoeopathy
7. Tamil Nadu Food Safety Department 57 – 60
8. Drugs Control Administration 61 – 70
Tamil Nadu State Health Transport

9. 71 – 73
Department
10. Medical Services Recruitment Board 74 – 79
11. Tamil Nadu Urban Health Care Project 80 – 81
Tamil Nadu Medical Services Corporation

12. 82 – 86
Limited
13. Tamil Nadu State AIDS Control Society 87 – 94
14. Tamil Nadu State Blindness Control Society 95 – 101
15. Miscellaneous 102 - 103

CHAPTER - 1
INTRODUCTION
Citizens’ charter of Health and Family Welfare Department seeks to

educate the public by providing the information regarding facilities and services
available under different directorates of this Department and the medical
facilities to which they are entitled along with their rights and responsibility.
The details of various Directorates functioning under Health and Family

Welfare Department is given below:-
Telephone
Sl.No. Name of the Office Address
No.
DMS Campus,
Directorate of Medical and 044-2434 3271
Anna Salai,
1. Rural Health Services,
Teynampet, 044-2436 4755
Chennai
Chennai-6
162, EVR Periyar 044-2836 4501

Directorate of Medical
2. Salai, Kilpauk,
Education, Chennai 044-2836 4502
Chennai-10
DMS Campus,
Directorate of Public 044-2432 0802
Anna Salai,
3. Health and Preventive
Teynampet, 044-2433 5075
Medicine Chennai
Chennai-6
DMS Campus,
Directorate of Family Anna Salai, 044-2432 1021
4.
Welfare, Chennai Teynampet, 044-2432 0933
Chennai-6
Directorate of Indian
Arumbakkam, 044-2621 4718
5. Medicine and Homeopathy,
Chennai Chennai-106. 044-2621 4929
DMS Campus,
Directorate of Drugs Anna Salai, 044-2432 1830
6.
Control, Chennai Teynampet,
Chennai-6
1
DMS Campus,
Tamil Nadu Urban Health Anna Salai, 044-2434 5990
7.
Care Project Teynampet, 044-2433 6476
Chennai-6
DMS Campus,
Anna Salai, 044-2432 0563
8. National Health Mission
Teynampet, 044-2432 1310
Chennai-6
DMS Campus,
Commissionerate of Food 044-2435 1014
Anna Salai,
9. Safety and Drug
Teynampet, 044-2435 1051
Administration
Chennai-6
No.417, Pantheon 044-2819 1891

Tamil Nadu Medical
10. Road, Egmore,
Services Corporation
Chennai.8.
Directorate of State Health Guindy, 044-2436 1108

11.
Transport Chennai-35. 044-2230 0420
DMS Campus,
Directorate of Medical and 044-2432 7953
Anna Salai,
12. Rural Health Services
Teynampet, 044-2432 7954
(ESI), Chennai
Chennai-6
Tamil Nadu State Egmore, 044-2852 6873

13.
Blindness Control Society Chennai-8 044-2852 0799
No.417, Pantheon 044-2818 0261

Tamil Nadu State AIDS
14. Road, Egmore,
Control Society 044-2819 0469
Chennai.8.
DMS Campus,
Medical Services Anna Salai, 044-2435 5757
15.
Recruitment Board Teynampet, 044-2435 9393
Chennai-6
2
WEBSITE
To enhance the interaction with public using modern technology and to

improve the utilization of the health services provided by the Government,
interactive website www.tnhealth.org has been launched in which information
regarding health care facilities and services provided to the public are
available.
2. Some of the interactive facilities such as “Bulletin Board” where people

can post message, health Chat where public can interact with the specialist
from Government Hospitals about their health concerns and
“Feed Back” facilities for the people to send their questions and suggestions
are available in the website.
3. The information about the Government Hospitals, Medical Colleges

including Indian System of Medicine, Mental Health Clinics, Selection
Committee along with the performance details of this Department are provided
in the Website.
3
CHAPTER - 2
DIRECTORATE OF MEDICAL EDUCATION
Introduction: The Directorate of Medical Education has been functioning as

an independent Directorate since July 1966 on bifurcation from the Directorate
of Medical and Rural Health Services, Chennai to provide world class health
care to the citizens of the State by making available quality health care
facilities and tertiary care facilities. It also focuses on innovative teaching,
training and research activities in the modern day medical field.
This Directorate is providing State-of-Art health care services with

excellent human resources and infrastructure through its 24 Medical Colleges
and Hospitals functioning throughout the State. Super Speciality services in the
field of Cardiology, Neurology, Nephrology and Oncology are offered at Tamil
Nadu Government Multi Super Speciality Hospital, Omandurar Estate, Chennai.
Further the other important services are Trauma and Accident and Emergency
services, Prevention and Management of Burn Injuries, Geriatric care,
prevention and control of Diabetes, cardio vascular disease, stroke and mental
health.
A Selection Committee is in place to process admissions to various

Medical and Paramedical Courses in Government as well as Self-Financing
Colleges in Tamil Nadu.
Hospital Management Information System (HMIS), an online system, is

functioning at the Directorate for direct monitoring by networking all the
Government Medical College Hospitals throughout the State by gathering day
to day data pertaining to OP/IP services, Lab services, Pharmacy services,
Nursing services and diet, etc.,
1. Vision and Mission of the Organization.
Providing quality health care with State-of-Art Facilities and

innovative teaching are the main vision and goal of all the teaching Medical
Colleges and Hospitals throughout the State. The State of Tamil Nadu is
dedicated to deliver the best quality and top end Medical Care to the people
through Government Hospitals and Medical College Hospitals and other
Allied Institutions.
4
Vision: Provision of quality medical care to the people and easy access of
qualified human resources including all Specialists in all Government
Medical College Hospitals is the main vision of this Directorate.
The other aspect of vision is in the area of ‘Innovations in medical

treatment for the general public’ by promoting Multi Disciplinary Research
Activities in the modern day medical field in selected medical institutions.
Mission: The mission of the Directorate is to provide the following modern

day Health Care Services to the Public:
i. Providing Quality health care/ Tertiary Care services
ii. Providing preventive and curative health care services
iii. Control of non Communicable diseases
iv. Prevention of HIV / AIDS
v. Reduction in Infant Mortality Rate (IMR)
vi. Reduction in Maternal Mortality Ratio (MMR)
vii. Improving Maternal and Child Health
viii. De-addiction centres
ix. Skill Centres
x. Establishment of Burn and Trauma Centres
xi. Establishment of National Ageing Centre
xii. Prevention and Control of Cancer, Diabetics, and Cardio Vascular

Diseases and Stroke
xiii. Innovative and Research activities in the field of medical education
xiv. Cadaveric Organ Transplantation
xv. Transgender clinic established in Rajiv Gandhi Government General

Hospital, Chennai and in Madurai Medical College Hospital.
5
2. Details of Business Transacted: The Directorate provides tertiary care
facilities to the general public through its network of medical colleges and
hospitals with excellent human resources and infrastructure facilities.
NUMBER OF GOVT. COLLEGES, HOSPITALS AND DISPENSARIES
UNDER THE CONTROL OF THE DIRECTORATE OF MEDICAL EDUCATION
Govt. Medical Colleges 24

Govt. Dental College & Hospital 1
Hospitals and Allied Institutions 36
Multi Super Speciality Hospital 1
Women And Children (OG) Hospital 4
Children Hospital 1
Ophthalmic Hospital 1
TB Hospital 5
Mental Hospital 1
Rehabilitation Medicine 1
King Institute 1
Dispensaries 13
TOTAL 89
PERFORMANCE OF THE MEDICAL COLLEGE HOSPITALS FOR THE

PERIOD 2018-2019
Outpatients / Per Day 86199

In Patients Census / Per Day 31670
Deliveries /Per Month 15229
Major Surgeries / Per Month 28529
Minor Surgeries/ Per Month 60678
Dialysis Done / Per Month 12839
CT Scan/ Per Month 59603
USG / Per Month 81310
MRI/ Per Month 8102
6
SELECTION COMMITTEE: Every year, Selection and admission to the MBBS /
BDS / MD / Super Speciality / Post Graduate Degree Courses in Medicine /
Para Medical courses / Nursing courses / Certificate courses to the Government
Medical Colleges and Self Financing Medical Colleges are being dealt with by a
separate body constituted in the form of Selection Committee. The intake
capacity of the Government Medical Institutions for Under Graduate and
Diploma courses (2019-2020 session) are furnished here under:
Sl. Name of the Course Number of

No Seats
1 M.B.B.S 3,350
2 B.D.S 100
3 B.Sc Nursing 250
4 Post Basic (B.Sc. Nursing) 90
5. B.Sc Radiology and Imaging Technology 160
6. Bachelor of Physiotherapy Technology 70
7 Bachelor of Cardio Pulmonary perfusion 40
Technology
8 B.Pharm and B.Pharm (Lateral Entry) (108+ 10) 118
9 Bachelor of Audio and Speech Language Pathology 25
10 Bachelor of Optometry 60
11 Para Medical courses (25 Courses) 7,876
12 B.Sc Radio Therapy 20
13 B.Sc Cardiac Technology 49
14 B.Sc Critical Care Technology 80
15 B.Sc Dialysis Technology 105
16 B.Sc Operation Theatre and Anaesthesia 170
Technology
17 B.Sc Physician Assistant 120
18 B.Sc Respiratory Therapy 40
19 Diploma in Nursing 2,000
20 Diploma in Pharmacy 240
21 B.Sc Accident and Emergency Care Technology 130
22 B.Sc Medical Laboratory Technology 120
23 B.O.T 10
7
Besides the Government Institutions, the Private Medical / Paramedical
self-financing institutions affiliated to Tamil Nadu Dr.M.G.R Medical University
are providing Medical and Para Medical Education in the State. The details of
the total Number of seats surrendered by the private self-financing Medical /
paramedical colleges for allotment by the Government for the academic year
2019-20 is presented in the table below:
Name of the No.of Number of

Sl.No
Course Colleges Seats
1 MBBS 14 1850
2 B.D.S 19 1842
3. B.Sc Nursing 163 5921
4 B-Pharm 51 2242
B-Pharm (Lateral
5 33 180
Entry)
Bachelor of
6 30 1625
Physiotherapy
7. B.O.T 4 225
Post Basic B.Sc
8. 49 1050
Nursing
The details of Post Graduates and Speciality courses available in the

Government Medical Institutions (2019-2020 session) in Tamil Nadu are as
follows:
Number of Total intake

Sl.No Courses
Specialities capacity
1 P.G. Degree (Medical 19 334
Super Specialities) DM /
MCH
2. P.G. Diploma (Medical) 1 3
3. M.D.S (Dental) 8 42
4 P.G. Degree (Medical 24 1758
Broad Specialities) MD /
MS
5 Post Graduate 1 4
Diplomate of National
Board (DNB)
8
6 M.Pharmacy 4 58
7 M.S.c (Nursing) 5 65
8 M.Phil (Clinical Social 1 15
Work)
9 MSc (Molecular 1 21
Virology)
10 M.Phil (Clinical 1 8
psychology)
3. Details of Citizen or ‘Clients’: Every Citizen of the country is treated

equal in accessing and receiving quality medical treatment from the tertiary
care institutions.
4. Statement of services including standard quality time frame etc.,

provided to each citizen / Client group separately and how / where to
get services: This Directorate focuses in implementing tertiary care medical
services through various programmes / schemes like Trauma Care Facilities,
Burns Unit, Skill centres, Amma Master Health Checkup, Prevention of Cancer,
Diabetic Cardiovascular, Stroke, Multi Disciplinary Research units etc.
Apart from the above services, the following additional specialty and
super specialty services are also provided in the Medical Colleges and Hospitals
throughout the State.
1. Laboratory services with 9. Ventilator facility

modern kits for diagnosis
of the diseases
2. X-ray and Digital X-ray 10. Dialysis treatment
3. Ultrasound Scanning 11. Fibre Optic Bronchoscopy
4. CT scan 12. Cystoscopy
5. MRI scan 13. Video Thoracoscopy
6. Mammogram 14. Video colonoscopy
7. PET CT scan 15. Lithotripsy
8. C-Arm facilities 16. Linear Accelerator and Cobalt
Therapy treatment
9
Services provided in the Government Medical College Hospitals
i. OP and IP services in all Specialities
ii. Exclusive Neonatal and Paediatric Services through the Children

Hospital, Egmore, Chennai
iii. Neonatal and Paediatric Services available in all Government

Medial hospitals
iv. Quality Maternity Services provided through CEmONC centre in all

Government hospitals
v. Exclusive Maternity Services Centre through the Hospital for

Women and Children , Egmore, Chennai.
vi. Super Specialty services in the field of Cardiology, Urology,

Neurology, Nephrology, Orthopedics, Sports Medicines, Oncology
and Radiology Services
vii. Exclusive Dental services through the Dental College
viii. Renal / Liver transplantation surgeries
ix. Cath Lab service and Cardiac Transplantation
5. Details of Grievance Redressel Mechanism and how to access it
i. Every hospital has a Complaint box to receive grievances from

Citizens and Patients.
ii. Appropriate action is taken immediately for on-call complaints

received through 104/108 call centres.
iii. Immediate and appropriate actions are taken to rectify the petitions
and grievances received through CM Cell, AMMA Call Centre and also
those received from the institutions functioning under this Directorate.
iv. Any incident which warrants detailed probe and enquiry is being
conducted by nominating enquiry officers with the specialist of the
concerned field to investigate the matter of contention and
appropriate disciplinary action, if required, taken against the erring
officials as per the rules in force.
10
For any Medical Emergency or General Queries, the Head of following
Institutions may be contacted over phone or by e-mail as detailed
below:
Name of the
S. Desig-
Medical College/ Mobile No. E.mail.Id
No nation
Institutions
1 Directorate of Director 044-28366890-234
Medical Education of Medical 044-28364501 [email protected]
Education
2 Madras Medical Dean 044-25305301(C) [email protected]
College/RGGGH, 044-25305111(H)
Chennai 044-25305112(H)
3 Stanley Medical Dean 044-25280900(D) [email protected]
College, Chennai 044-25281347-53
4 Kilpauk Medical Dean 044-28364949(D) [email protected]
College, Chennai. 044-28364951,52
5 Chengalpattu Dean 044-27431225(C) [email protected]
Medical College 044-27431287(H)
044-27431221(B-H)
6 Vellore Medical Dean 0416-2260900(D) [email protected]
College, Vellore. [email protected]
7 Thanjavur Medical Dean 04362-240854(C) [email protected]
College, 04362-240851(H)
Thanjavur
8 K.A.P. Dean 0431-2401011/13(C) [email protected]
Viswanatham 0431-2770114(H) [email protected]
Government
Medical College,
Tiruchirapalli
9 Madurai Medical Dean 0452-2534242(H) [email protected]
College, Madurai 0452-2533230, maduraimedicalcollege@
31(C) ymail.com
10 Coimbatore Dean 0422-2574375(C) [email protected]

Medical College, 0422-2300345(H)
Coimbatore
11 Govt.Mohan Dean 0427-2385513(C) deangmkmcslm@gmail.
Kumaramangalam 0427-2210965(H) com
Medical College,
Salem
12 Tirunelveli Medical Dean 0462-2572944(C) [email protected]
College, 0462-2579785(H)
Tirunelveli
13 Thoothukudi Dean 0461-2392698 [email protected]
Medical College, (B-C)
Thoothukudi 0461-2321051
(B-H)
11
Name of the
S. Desig-
Medical College/ Mobile No. E.mail.Id
No nation
Institutions
14 Kanyakumari Dean 04652-223201(B) [email protected]
Medical College, 04652-223202(B)
Kanyakumari
15 Theni Medical Dean 04546-263666(C) [email protected]
College, Theni 04546-263677(H)
16 Villupuram Dean 04146-232400(H) [email protected]
Medical College, 04146-232300(C)
Villupuram
17 Tiruvarur Medical Dean 04366-220040(C) [email protected]
College, Tiruvarur 04366-222486(H)
18 Dharmapuri Dean 04342-233033(B) [email protected]
Medical College, [email protected]
Dharmapuri
19 Sivagangai Dean 04575-245560(B) abi_nofear2003@yahoo.
Medical College, com
Sivagangai [email protected]
20 Thiruvannamalai Dean 04175-233315(C) deantvmmedicalcollege@
Medical College, 04175-233314(H) gmail.com
Thiruvannamalai ghthiruvannamalai@gmail.
com
21 Omandurar Dean 044 25333317/19 gmcomandurar@gmail.
Medical College , com
Chennai [email protected]
22 Karur Medical Dean 04324-274280 deangmchkarur@gmail.
College, Karur com
23 Pudukottai Dean 04322-221333 [email protected]
Medical College,
Pudukottai
24 ESI Medical Dean 0422-2574300,01,02 deangmcesiccbe@gmail.
College, (D) com
Coimbatore
25 IRT Perundurai Dean 04294-220910-14 [email protected]
Medical College,
Erode
26 T.N..Govt.Dental Principal 8825785573 [email protected]
College and 25340681
Hospital, Chennai
6. Expectation from the “Citizens or Clients”: It is the right of every

citizen to expect quality health care facility services for their needs to their
satisfaction at the nearest location possible.
12
The Government of Tamil Nadu is a pioneer state in delivering 24 x 7 top
health care and emergency services to the Public including lab and ambulance
facilities with latest modern equipment like CT Scan / MRI scan / PET Scan /
Flexible Video Bronchoscope etc., Purified drinking water, shelter for the
attenders, RFID to prevent Infant theft, good sanitation inside the hospital
premises and 24 hours CCTV cameras to prevent and detect crime are also
available in all the institutions.
7. Additional Commitments such as compensation in the event of

failure of services delivery: In the event of any medical mismanagement
and failure in delivering medical service to the Public, appropriate
compensation will be given to the individual as per the orders of Government
Court of Law from the corpus fund.
8. Amma Master Health Checkup and Amma Women Special Master
Health Checkup: Amma Master Health checkup and Amma Women Special
Master Health Checkup are functioning in the Government General Hospital,
Chennai, since 01-3-2016. The following package of tests are done in the
above Schemes with the cost package as tabulated below:
Package -1 (Rs.1000) Package-II Package-III

(Rupees 2000) (Rs.3000)
complete hemogram, ESR, Package 1 + Package II + Digital
Urine analyser, Blood sugar, Echocardiogram, PSA, Mammogram, Dexa
F&PP urea, Creatinine, Uric thyroid Profile and Scan, Bone profile
Acid, Lipid profiles, Total HbA1C (Vitamine D,
Cholesterol, HDL, LDL, Calcium,
Triglycerides, Total Cholesterol Phosphorous and
/ HDL ratio, Liver Function PTH)
Test, Serum billirubin (total
and direct) AST, ALT, SAP Total
protein and albumin. HbsAg
Blood grouping and typing
ECG. X – ray Chest, USG
abdomen, Pap smear
13
Since public response to Amma Master health Checkup and Amma Women
Special Master Health Checkup is exemplary, this health checkup programme
has been extended to the Tamil Nadu Government Multi Super Speciality
Hospital, Omandurar Government Estate, Chennai and the same is functioning
well since 08-06-2018. In order to provide the Amma Master health Checkup
and Amma Women Special Master Health Checkup to the people of southern
districts, Government granted permission to start these two programmes in
the Government Medical College hospitals of Coimbatore, Madurai and
Tirunelveli at a cost of Rs.10 crore to each hospital (total cost Rs.30 crore).
In addition to the existing packages under Amma Master Health Checkup an

additional package viz Amma Platinum Plus(Package IV[Rs.4,000] ) has been
launched at Tamil Nadu Government Multi Super Speciality Hospital,
Omandurar, Chennai which includes all the tests in Package III+ Vision
Testing, Glaucoma Testing, Refractory errors testing, retinal testing, colour
vision testing Treadmill lung function testing.
14
CHAPTER - 3
DIRECTORATE OF MEDICAL & RURAL HEALTH SERVICES
Introduction
The Directorate of Medical and Rural Health services is the fundamental

unit and the other Directorates have emerged from this parent Department at
various stages in order to cater to the increasing health needs of the general
public.
It is a pride of this Directorate to have an experience of 95 years in

provision of multifarious speciality medical care to the public through
secondary care facilities in the State of Tamil Nadu with District Headquarters
Hospitals, Taluk and Non-Taluk Hospitals and Hospitals for Women and
Children, Hospital for Tuberculosis, Hospital for Leprosy and
1 Rehabilitation Institute & Mental Health. Exclusive maternity and child
welfare services through Comprehensive Emergency Obstetrics and New born
Care (CEmONC) units in 104 Government Hospitals New born Stabilization
Units (NBSUs) in 119 Government Hospitals Sick Neo-Natal Care Units
(SNCUs) in 42 Government Hospitals.
Further, the Speciality services like Medicine, Surgery, Obstetrics and

Gynaecology, Ophthalmology, E.N.T, Venerology, Orthopaedics,
Anaesthesiology, Child Health, Dental Health, Psychiatry, Ambulance Services,
Laboratory Services, Leprosy, Tuberculosis, Diabetology, Cardiology and Non
Communicable Disease (N.C.D) have been extended with high-end
technologies.
1. Vision and Mission statement of the Organization: ‘Good health is

the basic requirement for ensuring a good quality life’. This statement forms
the basis for the Vision and Mission of the Directorate for rendering good
health services with quality.
Our Vision: By enhancing the quality of services provided through an

accredited system (National Quality Assurance System – NQAS) ,the secondary
care hospitals functioning in the state under this Directorate should be such
they serve as the health care institution of choice for all citizens in the state.
15
Our Mission: Increasing the life expectancy and improving the physical quality
of life of the people of Tamil Nadu so that they attain the highest level of
physical and mental health and contribute towards the development of the
State by 2023.
The following steps are being taken to achieve the above goal:
i. Provide quality health care services
ii. Provide preventive and curative health services
iii. Improving Child sex ratio by effective implementation of

Pre-conception and Pre-natal Diagnostic Techniques (PCPNDT) Act,1994
iv. Control of Communicable Diseases like Dengue, Swine flu etc.
v. Control of Non-Communicable Diseases
vi. Prevention of HIV/AIDS
vii. Reduction in Infant Mortality Rate (IMR)
viii. Reduction in Maternal Mortality Ratio (MMR)
ix. Improving Maternal and Child Health
x. Monitoring the functioning of Private Hospitals, clinics and Health related

institutions by implementing Clinical Establishment Act (CEA).
xi. Enforcement of Health related regulatory matters in the state (PCPNDT,

Transplantation of Human Organs Act - THO, Clinical Establishment Act)
xii. Improving Mental Health through District Mental Health Program
xiii. Promotion of Adolescent Health
xiv. Co-operation with Directorate of Indian Medicine and Development of

AYUSH Dispensaries in District and Sub-district Hospitals.
xv. De-addiction services
xvi. Eradication of Quackery practice.
16
2. Details of Institutions functioning under this Directorate:
The Secondary Care Hospitals functioning under the control of this
Directorate is entrusted with the responsibility of providing secondary level
medical care to the public through its following network of Hospitals.
District Head Quarters Hospital 29

Taluk Hospitals 206
Non Taluk Hospitals 68 *
Women & Children Hospital 7
TB Hospitals 2
Leprosy Hospitals 7
Rehabilitation Institute and Mental Health 1
Dispensaries 11
Total 331
*One Non-Taluk Hospital is under construction in Emerald in The Nilgiris District

Performance of the Hospitals
Average OP / day 2.34 Lakhs

Average IP /Day 22,500
Deliveries per month 15900
Caesareans per month 8600
Major Surgeries per month 50000
Minor Surgeries per month 1.2 Lakhs
Dialysis Done per month 4800
CT Scan per month 14500
Blood Collection per month 9300
Blood Transfusion per month 8100
In the CEmONC Centres functioning in the Headquarters Hospitals and

the Taluk Hospitals, 24x7 emergency Obstetric care is given by a panel of
Obstetricians, Paediatricians and Anaesthetists. Evaluation of high risk mothers
and their admission & treatment for observation, Emergency / Elective
Caesarean Surgery services etc. are provided with utmost care.
17
Stabilizing new born babies, Treating sick neo-natal babies in Sick Neo-Natal
Care Units, New Born Stabilization Units (NBSU), New born Intensive care unit
(NICU) are rendered by Paediatric specialists.
Certain specialized services such as health care of the elderly through Geriatric
units and De-addiction centres for substance abusers are provided to the
needy.
The patients requiring further treatment are referred to the Tertiary care
Hospitals for expert management.
3. Details of ‘Citizens’ or ‘Clients’: All the citizen of the country are the
potential clients. The people not only across the state but also across the
country are provided treatment in the Secondary Care Hospitals.
4. Statement of Services: The Directorate of Medical and Rural Health

Services provides secondary care medical services and implements various
programmes such as Revised National Tuberculosis Programme (RNTCP),
District Mental Health Programme(DMHP), Accident and Emergency Care,
Trauma Care, Occupational, Social and Environmental Health care services.
The Directorate is also an appropriate authority for the implementation of
Important Acts such as Pre-conception and Pre-Natal Diagnostic Techniques
(Prohibition and Sex Selection) Act 1994, Human Organ Transplantation Act
1994, Tamil Nadu Clinical Establishment Act etc.,
Services provided in the Government Headquarters Hospitals
 Out-Patient and In-Patient services in General Medicine and General

Surgery.
 CEmONC services
 Paediatric services
 Tamil Nadu Accident and Emergency Care Initiative (TAEI)
Specialized services
 ENT
 Ophthalmology,
 Orthopaedics
18
 Paediatric
 Dental
 Dermatology
 Mental Health services
 Revised National Tuberculosis Programme - RNTCP
 Integrated Counselling and Treatment centres - ICTC
 Non Communicable Diseases (NCD) control Programme
 Leprosy
 Pain and Palliative care
 Day care Chemotherapy
 Accident and Emergency Service
 Trauma Care in selected Hospitals
TALUK HOSPITALS
 Out-Patient and In-Patient services in General Medicine and General

Surgery.
 Maternal services
 Paediatric services
 Dental Services
 Treatment for Non Communicable Diseases
 Orthopaedic Services in selected Hospitals
 ENT Services in selected Hospitals
 Accident and Emergency Service / Trauma Care in selected Hospitals
NON TALUK HOSPITALS
 Out-Patient and In-Patient Services in General Medicine and General

Surgery.
19
 Maternal Services
 Paediatric Services
 Emergency Services
TIMING OF SERVICE
 All Emergency care Services : 24x7
 OUT PATIENT SERVICES
MORNING OP : 7.30 AM TO 12.00 PM ALL DAYS
EVENING OP : 3.00 PM TO 5.00PM (EXCEPT ON GOVERNMENT

HOLIDAYS AND SUNDAYS)
 Referral services : 24x7
 In- Patient Services : 24X7
 Obstetric Services : 24X7
 Lab Services
District Head Quarters Hospitals : 24X7
Sub district Hospitals – During Outpatient department (OPD)
Hours.
 Diagnosis Services
District Head Quarters Hospitals : 24X7.
Sub District Hospitals – During Outpatient department (OPD)
Hours.
5. Details of Grievance Redressal Mechanism
 Every hospital has a Complaint box to receive grievances from Citizens

and Patients. Patient’s satisfaction survey is also done under National
Quality Assurance System.
20
 Appropriate action is taken immediately for on-call complaints received
through 104/108 call centres.
 Immediate and appropriate actions are taken in this Directorate to rectify

the petitions and grievances received through CM Cell, AMMA Call Centre
and also those received from the institutions functioning under this
Directorate.
 If any grievance received regarding the failure of operations like

maternal death, misconduct of operations etc., an Inquiry is conducted
by the Inquiry Officer designated by the Director of Medical and Rural
Health Services and departmental actions is initiated against the erring
official according to rules in force.
6. Expectations from the ‘Citizens’ or ‘Clients’: Citizens or Clients expect

Quality Health Care services in a facility nearest to their location and up-to
their satisfaction.
The Government of Tamil Nadu has taken every possible steps to provide
quality health care services by providing modern equipment like CT scan, MRI,
Mammogram etc., and more infrastructural developments and amenities like
spacious new wards, Purified drinking water, Good sanitation in the premises
etc.,
Further, special mode of services like Trauma care, Treatment for Mental
Health Program, De-addiction centre, Geriatric wards, Chemotherapy units,
Dialysis centres etc., have been initiated in the Government Headquarters
Hospital under the control of this Directorate. Based on the need, it will also be
extended to other Secondary Care Hospitals.
7. Additional commitments such as compensation in the event of

failure of Service delivery: In the event of any failure of service is proved,
compensation as per the orders of the Government / Court will be given to the
individual from the Corpus fund.
21
CHAPTER - 4
DEPARTMENT OF PUBLIC HEALTH AND PREVENTIVE MEDICINE
1. Vision: Public Health identifies, measures, and monitors health needs and
trends at the community levels, locally and globally through surveillance of
diseases and risk factor trends.
2. Mission: Functions of Public health include prevention and control of

diseases and their progression through promotion of healthy lifestyles and
healthy habits, promotion of healthy and hygienic environment including safe
water and food, health education and community mobilization, empowering
public particularly women to make healthy decisions, preventive measures
including immunization, surveillance and monitoring, organizing high quality
community based health services, camps and campaigns, investigation of
health problems including infectious disease outbreaks, planning and
preparation for natural and man-made disasters, reducing inequities among
different regions and population groups for reaching the unreached,
formulation of public health policies and strategies, development of dedicated
and competent public health work force, public health infrastructure and
operational research.
The Public Health and Preventive Medicine department is functioning with

42 Health Unit Districts each unit under a Deputy Director of Health Services.
3. Primary Health Care Strategy to achieve UHC: Primary health care is

essential health care made universally accessible to individual and acceptable
to them, through the full participation and at a cost the community and
country can afford.
4. Elements of Primary Health Care: The eight essential components of

primary health care as outlined by the Alma-Ata declaration are as follows:
i. Education concerning prevailing health problems and the methods of

preventing and controlling them.
ii. Promotion of food supply and proper nutrition.
iii. An adequate supply of safe water and basic sanitation
iv. Maternal and child health care including family planning
22
v. Immunization against major infectious diseases
vi. Preventing and control of locally endemic diseases
vii.Appropriate treatments of common diseases and injuries
viii. Provision of essential drugs.
5. Major Contributions of the Directorate of Public Health and

Preventive Medicine for the Health and wellbeing of the people Infant
Mortality Rate (IMR): The Infant Mortality Rate (IMR) is the number of
deaths per 1000 live births of children below one year of age. The current level
of IMR in Tamil Nadu for the year 2017 is 16 per 1,000 live births as per the
Sample Registration System (2017) survey. The State is taking multi-pronged
efforts to bring down the IMR on par with developed nations by 2023 focusing
on the components such as the neo-natal mortality rate etc.
Maternal Mortality Ratio (MMR)
MMR is calculated as the number of maternal deaths during a given year

per 1,00,000 live births. In Tamil Nadu, MMR has been reduced to 66 per lakh
live births as per SRS data 2014-16. As per the Health Management
Information System, Maternal Mortality Ratio has been further reduced to
60/1,00,000 live births in 2018. Government of Tamil Nadu aims to bring down
MMR on par with developed nations by the year 2023 as mentioned in the
Vision 2023 document.
Eradication/Elimination of Vaccine Preventable diseases and other

infectious Diseases:
i. Small pox eradicated in 1977
ii. Polio free Tamil Nadu in Feb 2004 and Polio free India in 2014
iii. In Tamil Nadu, Maternal and Neo-natal tetanus eliminated in 2006 and
validated in 2015 by Government of India
iv. In Tamil Nadu, Guinea worm disease not reported since 1983 and
declared eradicated in 1995
v. Yaws cases not reported since 2006 and eradicated in 2015
23
vi. Leprosy elimination goal achieved in 2005
vii. Malaria elimination will be achieved in 2025
The institutions which function under this directorate include:
 Health Sub Centres
 Primary Health Centres in Rural areas
 Primary Health Centres in Urban areas
 Community Health Centres and Upgraded Primary Health Centres
 Regional Entomological Teams
 National Filaria Control Units
 Research cum Action Projects
 Filaria and Malaria Clinics
 Leptospirosis Clinics
 Japanese Encephalitis Control Units
 Water Analysis Laboratories in Guindy King Institute campus, Chennai,

Coimbatore, Tiruchirapalli and Tirunelveli
 State and District Public Health Laboratories
 Institute of Public Health, Poonamallee
 Health and Family Welfare Training Centres, Chennai, Egmore and Madurai
 Health Manpower Development Institutes, Salem and Villupuram
 Regional Institute of Public Health, Thiruvarankulam
 Institute of Vector Control and Zoonoses, Hosur
 Health Visitor Training School, Triplicane
 ANM Training Schools
24
6. Health Sub Centres (HSC): Health Sub Centre (HSC) is established for a
population of 5,000 in plain areas and 3,000 in hilly areas. HSCs are the hub
for delivering Maternal and Child Health (MCH) and Family Welfare (FW)
services to the people in the rural areas. There are 8,713 HSCs in Tamil Nadu.
Functions of Health Sub Centre
 All pregnant women are registered by the Village Health Nurses before
12 weeks of pregnancy and given Antenatal care, Immunisation care,
Family welfare services and all other MCH care.
 Antenatal care includes two doses of Tetanus diphtheria (Td) Injections

and distribution of Iron and Folic Acid (IFA) tablets.
 The Health Sub Centre area is divided into 4 units and following services
are provided by Village Health Nurse as follows
Monday Antenatal Clinic

Tuesday Antenatal care at PHC and review meeting
Wednesday Outreach Immunisation
Thursday House to House visit
Friday Village Health and Nutrition Day (VHND)
Saturday House to House visit
 Village Health Nurses are providing medicine for minor ailments in the
afternoon
 Village Health nurses gives counselling on Permanent Family Welfare
services and provide temporary services.
 Non-communicable diseases (NCD) like Diabetes, hypertension, Cancer
cervix and Breast cancer Screening, Referral and follow up done by
Village Health Nurse
 The Health Inspector @ one per 3 HSCs is responsible for prevention and
control of Communicable Diseases, Checking of Births and Deaths
Registration, Health Education, Surveillance, etc.
25
 The Health Inspector visits the Village and takes blood smear from fever
case patients to detect malaria.
 The Health Inspectors are collecting Sputum from persons having cough
more than 2 weeks and sent to Primary Health Centres, for examination.
If found positive for tuberculosis, treatment is started through Primary
Health Centres.
 Chlorination of water sources and disinfection of unhygienic places are
monitored by the Health Inspectors.
 Screening of leprosy cases and treatment initiation done by Health
Inspector.
 Health Inspector organizes public health activities during festivals.
 Health Inspector motivate for male sterilization and distribute condoms.
7. Primary Health Centre (PHC): Primary Health Centre (PHC) in rural area
is established for a population of about 30,000 in plain areas and 20,000 in
hilly areas. Now, ‘time to care’ concept is also considered for remote and
interior areas. In Tamil Nadu, there are 1,806 PHCs functioning under
Supervision of Medical Officers

To improve the availability of Primary Health Care services to the urban poor,
320 Urban PHCs are functioning under the control of the Directorate of
Public Health and Preventive Medicine (DPH&PM) in urban areas. 140 Urban
PHCs are functioning in Greater Chennai Corporation. The concept in urban
areas is to have a facility for primary care for every 50,000 population and a
Community Health Centre for every five-lakh population. All Primary
Health Care Services are being provided at the door steps of the community.
Functions of PHCs
 Medical Care
 Basic laboratory services
26
 MCH care including Antenatal care and Delivery care services
 Family planning services
 Health Programme Implementation
 Health Education and training
 Safe water supply and basic sanitation
 Prevention and control of locally endemic diseases
 Collection and reporting of vital events
Community Health Centres /Upgraded Primary Health Centres

At present 422 PHCs are upgraded, thereby covering all the blocks with
an UG PHC. Next level to the basic PHC, a 30 bedded upgraded PHC is
established at the rate of at least one per block to provide round the clock
essential health care services. Five doctors are posted to the Upgraded PHCs.
Each Upgraded Primary Health Centre is provided with an operation theatre,
modern diagnostic equipment like Ultra Sonogram, ECG, Semi Auto Analyzer,
cell counter, X-Ray unit etc and an ambulance. Dental health care services are
provided in 341 block level and selected Upgraded PHCs to treat dental
ailments.
8. Universal Health Coverage (UHC): Since 2017, the scope of the Health
Sub Centres is being further expanded to render the Universal Health Coverage
(UHC). UHC seeks to strengthen Health Sub Centres in the rural Tamil Nadu
towards universalizing access to essential assured services to improve
coverage and quality of institutional and outreach services with home visits
towards achieving health goals under Sustainable Development Goals (SDG).
i. Care in pregnancy and child-birth.
ii. Neonatal and infant health care services
iii. Childhood and adolescent health care services.
iv. Family planning, Contraceptive Services and all RCH services
v. Management of Common Communicable diseases: National Health
Programmes
27
vi. General Out-patient care for acute simple illnesses and minor
ailments
vii. Screening and Management of Non-Communicable diseases
viii. Screening and Basic management of Mental health ailments
ix. Care for Common Ophthalmic and ENT problems
x. Basic Dental health care
xi. Geriatric and palliative health care services
xii. Trauma Care (that can be managed at this level) and Emergency
Medical services
9. Polyclinics in Urban Areas: With a view to provide specialist services at

the doorsteps for urban poor, polyclinics are established in 96 PHCs including
Greater Chennai Corporation. These centres provide maternity and child care,
NCD screening and follow up, family welfare, immunization, dental care and
other essential specialist service with focus on Non-Communicable Diseases
like diabetes and hypertension. The contract labourers and the daily wage
workers in the urban areas can avail the service in the evening speciality clinics
at no cost without foregoing their daily wages.
10. Amma Arokiya Thittam: An innovative programme to provide health

promotion, prevention, early detection and treatment of diseases by providing
free access to basic health check-up to all the people in the age group of
30 years and above on annual basis is implemented in 400 Upgraded PHCs /
Block PHCs. Under this Programme, the Public can utilize the investigation
services free of cost rendered in all Upgraded PHCs / Block PHCs on 2 days in a
week i.e. Thursdays and Fridays.
The following 25 Investigations are being done in these camps
i. Height
ii. Weight
iii. BMI
iv. Blood Pressure
v. Haemoglobin
28
vi. Blood Grouping and Typing
vii. Random Blood Sugar
viii. Blood-Cholesterol
ix. Blood-Creatinine
x. Urine-Albumin
xi. Urine-Sugar
xii. Urine-Deposits
xiii. Screening for cancer Ca cervix
xiv. Screening for cancer Ca Breast
xv. Screening for Oral Cancer
xvi. Ophthalmic Screening for visual acuity and cataract.
xvii. Screening for Dermatological condition.
xviii. General examination by the Medical Officer.
According to the need the following investigative are also made
i. Blood-Total Count
ii. Blood-Differential Count
iii. Peripheral Smear
iv. Ultra Sound abdomen(if needed)
v. ECG based on symptoms
vi. X-Ray (if needed)
vii. Sputum Microscopy (AFB)
11. Dental Health Programme in PHCs: Dental Health Care Clinics are
functioning in 341 Primary Health Centres. Dental problems treated in these
Dental Clinics are,
1. Dental caries
2. Dental Flurosis
29
3. Gingivitis
4. Tooth
5. Pulpitis
6. Mal Occlusion and other dental problems.
12. Hospital on Wheels Programme: The Hospital on Wheels Programme

provide health care services in remote villages and far flung areas. At Present,
416 Hospital on Wheels team is functioning in the state. Each team consists of
One Doctor, One Staff Nurse, One Lab Technician, One Driver and One
Attender cum cleaner and a well equipped laboratory facilities for performing
laboratory test like Blood, Urine and Sugar test etc.,
The Ultimate aim of Hospital on Wheels Programme is to provide high

quality medical care with focus on mother and child health services and non
communicable diseases covering all the remote villages and hamlets as per the
Fixed Tour Programme (FTP) specifically for each block. Information boards
about the day and time of visit are permanently displayed at the camp site.
Two camps one each at forenoon and afternoon are conducted on Monday,
Wednesday, Thursday and Friday and one camp to be conducted on Tuesday
and Saturday. On Tuesday afternoon HoWP MO and other team staff attend the
Primary Health Centre review meeting in rotation in all PHCs within the block
for planning and discussing the issues related to the functioning of the HoWP.
40 camps are being conducted per month per block as per Fixed Tour
Programme.
13. Major Components of Public Health
1. Maternal and Child Health including Family Welfare and Immunisation
2. Prevention and Control of Infectious Diseases
3. Prevention and Control of Non-Communicable Diseases
4. Maintaining Public Health during natural and manmade calamities
14. Maternal and Child Health Services/Programmes
1. Delivery care services on 24x7 basis in PHCs
2. National Anaemia Control Programme

30
3. Gestational Diabetes Mellitus Control Programme
4. National Vitamin A Deficiency Disorder Control Programme
5. National Deworming Programme
6. National Iodine Deficiency Disorder Control Programme
7. Adolescent Health Programme including menstrual hygiene
8. National Immunization Programme
Vaccines play a vital role in control and prevention of communicable

diseases. Tamil Nadu is the front runner State in implementing National
Immunization Programme. Expanded Programme of Immunization was
launched in the year 1978. In 1985 the program was rechristened as Universal
Immunization Programme (UIP) and Measles vaccine was added in the same
year. In 1992, Universal Immunization Programme and the Safe Motherhood
program merged under the umbrella of the Child Survival and Safe Motherhood
(CSSM) program. Tamil Nadu attained Polio free status since 2004.
All pregnant women are administered with Td vaccine. At birth, Hepatitis-

B, OPV and BCG are given. Pentavalent, OPV and Rota virus are administered
at 6, 10 & 14 weeks. Injectable Polio Vaccine is administered during 6th and
14th weeks. After completion of 9 months MR & JE 1st dose are given to the
child.
During 16-24 months DPT 1st booster, OPV booster, MR & JE 2nd doses
are given. DPT 2nd booster given at the age of 5 to 6 years. Td given for
children of 10 & 16 years of age.
15. NATIONAL FAMILY WELFARE PROGRAMME
Dr.Muthulakshmi Reddy Maternity Benefit Scheme
Rs. 18,000/- in 5 instalments from April 2018 for poor pregnant mothers.
Instalment / Amount (In

Conditionalities
Kind benefit Rupees)
Antenatal registration on or before 12

I Instalment 2,000
weeks
31
First Nutrition Kit on completion of third
Kind benefit 2,000
month (Kind benefit)
II Instalment After 4 months 2,000
Kind benefit Second Nutrition Kit (Kind benefit) 2,000
III Instalment After delivery. 4,000
After completion of 3rd dose of

IV Instalment OPV/Rota/Penta valent and 2nd dose of 4,000
IPV.
After completion of Measels Rubella
V Instalment vaccination between 9th and 12th month 2,000
of their infants.
TOTAL 18,000
Janani Suraksha Yojana (JSY) Cash Assistance
• All below poverty line mothers above 19 yrs delivered in Govt.

Institutions
• All SC/ST mothers above 19 yrs
Region Institutional delivery Home delivery

Rural 700 500
Urban 600 500
Amma Baby Care Kit Scheme
Amma Baby Care Kit is provided to all delivered mothers and new born
babies, born in all the Government Health facilities such as Government
Primary Health Centres, Urban Primary Health Centres, ESI Hospitals,
Government Hospitals and Medical College Hospitals with the following
objectives.
 To improve the hygiene of the postnatal mothers and the new born baby
and inculcating hygienic practices among the mothers for self and baby
care.
 To reduce the post-natal infections of mother and new born which in turn
reduces the neo-natal mortality and Infant mortality due to infections.
32
The Amma Baby Care Kit contains the following 16 items.
 For Baby: Towel, Dress, Bed, Protective Net, Napkins, Oil, Shampoo, Soap,
Soap Box, Nail Clipper, Rattle, Toy.
 For Mother: Liquid Hand Wash, Bathing Soap, Sowbagyasundi Lehiyam, Kit
Bag.
Birth Companion Programme
The State has introduced this new Programme since 2004, to allow one family
member as birth companion in the labour room. This has a positive impact on
increasing institutional deliveries in public facilities.
Birth waiting room in 17 Hill area PHCs: Mothers living in hill areas find it
difficult to reach the delivery point on time. Though 108 vehicles with four-
wheel drive facility are provided due to the long distance to be travelled it was
observed that if the hill area mothers were admitted well before the Expected
Date of Delivery in birth waiting room established at the foot hills of the 17
PHCs in tribal areas it would ensure that safe delivery happens under
institutional care. If referral to a CEmONC centre is required, it can be done
well in advance.
16. Blood Storages Centers: Under NHM, 259 UG PHCs, have been provided
with blood storage facilities. Collection of blood through blood donation camps
is regularly done.
17. Prevention and Control of Infectious Diseases
i. National Water Supply and Sanitation Programme

ii. National Vector Borne Diseases Control Programme
iii. Integrated Disease Surveillance Programme
iv. National Leprosy Eradication Programme
v. Revised National Tuberculosis Control Programme
vi. National Diarrhoeal Diseases Control Programme
18. Prevention and Control of Non-Communicable Diseases
i. National Tobacco Control Programme
ii. Prevention and Control of Diabetes
33
iii. Prevention and Control of Diabetes and Cardio Vascular Diseases
iv. Prevention and Control of Cancer
v. Prevention and Control of Fluorosis
vi. Prevention and Control of Silicosis
vii. Chronic Obstructive Pulmonary Disease
19. ‘104’ Health Helpline:
This is a 24x7 service through which people can get information regarding
health schemes and medical problems and counseling. The services provided
by the ‘104’ Health Helpline are:
 Guiding the public and patients on health related matters like first aid,
maternal child health information, disease prevention, health care
facility information.
 Providing information about blood banks, blood storage centres.
 Providing information on health programmes and related welfare

schemes like Dr. Muthulakhsmi Reddy Maternity Benefit Scheme and
Janani Suraksha Yojana (JSY).
 Providing information on Hon’ble Chief Minister’s Comprehensive

Health Insurance Scheme.
 Providing counselling on all health issues like nutrition, HIV/AIDS,

Family Welfare, Suicide prevention, etc.
 Round the clock (24x7) emergency services like prior information to

health facilities about mass causalities, transfer of high risk antenatal
mothers etc.
20. Civil Registration System (CRS)
The registration of births and deaths is carried out uniformly throughout

the country as per the Registration of Birth and Death Act 18 of 1969. As per
the Act all births and deaths have to be compulsorily reported for registration
at the place of occurrence.
34
The Registration of Birth and Death Act came into force in Tamil Nadu
from 01.04.1970 and it is governed by Tamil Nadu Registration of Birth and
Death Rules, 1977. The revamped system of registration of births and deaths
was implemented from 01.01.2000 as per TN Registration of Birth and Death
Rules, 2000.
Birth and Death Registrars
Local Area Registrars
Corporation Sanitary Inspector
Municipality, Township Sanitary Inspector
Executive Officer/ Sanitary

Town Panchayats
Inspector
Village Panchayats Village Administrative Officer
Primary Health Centres Health Inspector
Govt. Institutions situated in Village

Multipurpose Health Supervisor
Panchayats, ULBs and Town
(Male)
Panchayats.
Sanitary Inspector/Health
Cantonment
Inspector
Estates / Plantations Manager
The CRS software is implemented by all Birth and Death Registrars and
certificates can be downloaded anytime/anywhere in CRS web portal Public
Domain (http://www.crstn.org). from 01.01.2018.
21. 24x7 Control Room of the Directorate of Public Health and

Preventive Medicine
044-24334811 9444340496
8754448477
Locations of Public Health Institutions, services, schemes, programs and other

relevant information are available in the following websites.
35
Information on Website
Contact Details tnhealth.org
RCH ID picme.tn.gov.in/public
Birth and Death Registration crstn.org
NHM related schemes nrhmtn.gov.in
Govt of Tamil Nadu tn.gov.in
36
CHAPTER - 5
DIRECTORATE OF FAMILY WELFARE
1. Vision and Mission
Vision: To achieve by 2030
i. Reduction of Infant Mortality Rate (IMR) from 16 to 10 and

Maternal Mortality Rate (MMR) from 60 to 0
ii. No single death due to sterilisation process.
iii. Reduction of Higher Order Birth (WOB) from 7.2 to 2
iv. Provision of uninterrupted Family welfare Services in

Government health facilities at all levels of health care
v. Availability of service providers for Family Planning methods

in all the Districts
vi. Reduction of the unmet need for Family Planning services

from 10.1 to 0
vii. Modern contraceptive prevalence rate from 52.6% to 70%
viii. Expanded Basket of Choices
ix. Increased access to contraceptives through distribution of

contraceptives at the door step of beneficiaries through
Accredited Social Health Activist (ASHA) and utilization of the
services of Anganwadi Worker (AWW) of concerned blocks in
the State
Mission: Tamil Nadu is considered as a pioneer in the implementation of the

Family Welfare Programmes in the country. Family Welfare Programme is
being implemented since 1956 as people’s programme in the State with 100%
central assistance. The objective of the programme is to reduce the birth rate
to the extent necessary to stabilize the population at a consistent level. In view
of commendable progress in reducing the birth rate, the focus has been shifted
from a "Target based approach" to "Community Needs Assessment Approach”
where importance is given to meet the unmet needs for Family Planning
services and improving the Maternal and Child Health services.
37
2. Details of Business transacted
i. Providing Female / Male Sterilisation services in all Government &

Government approved Medical Institutions including private
Nursing homes and Non-Government Organisations.
ii. Providing Temporary spacing methods: such as
 Intra Uterine Contraceptive Device (IUCD)--Cu‘T’ 380A and

375
 Oral Contraceptive Pills (OCP)--Mala N (Hormonal) and

Chhaya (Centchroman - Non Hormonal Pills)
 Injectable contraceptive -- Antara (Depo Medroxy

Progesterone Acetate)
 Contraceptive Condoms -- Nirodh
 Emergency Contraceptive -- E-Pills
iii. Providing Medical Termination of Pregnancy (MTP): Medical Method

of Abortion (MMA), Manual Vacuum Aspiration (MVA), and other
methods
iv. Training of Doctors in Minilap, Laparoscopy, Medical Termination of

Pregnancy (MTP), IUCD Insertion and Injectable Contraceptives
(ANTARA).
3. Details of ‘Citizens’ or ‘Clients’: Women in reproductive age group (15 -

49) and with two living children are eligible to undergo any one of the
permanent methods of female sterilization. Eligible men up-to 60 years of age
can undergo sterilization as per Government of India norms.
All other eligible couples in the same age group can avail any one of the
temporary methods.
38
4. Statement of service including standards, quality time frame etc.,
get the service
Sl.
Type of Services Institution providing the services
No.
i. Government Medical College Hospital
Female Sterilisation /Government Hospital / Block Primary
(Laparoscopic, Mini Health Centres /Private Approved
Lap) Nursing Homes.
ii. Male Sterilisation Government Medical College Hospital
(NSV) /Government Hospital / Block Primary
Health Centres / Private approved
Nursing Homes.
iii. Medical Termination of Government Medical College Hospital /
Pregnancy (MTP) Government Hospital / Block Primary
Manual Vacuum Health Centres and Private approved
Aspiration (MVA) Nursing Homes.
iv. All public Health facilities including
IUCD Insertion Health subcentres / Private approved
Nursing Homes.
v. Distribution of Oral All public Health facilities including
Pills Health subcentres.
5. Details of Grievance Redressel Mechanism and how to access it: The

spouse of the Acceptor should approach the Medical Officer of the Government
institutions in the event of Death, failure or any complication arising out of
Family Welfare Services.
If the clients are not satisfied, appeal may be made with the Deputy Director of
Medical and Rural Health Services and Family Welfare of the concerned
District.
6. Expectations from the ‘Citizens’ or ‘Clients’: Availability of quality

Family Planning services at all Public Health Facilities, Government approved
Nursing Homes and Non Governmental Organisations.
39
failure of service delivery.
Family Planning Indemnity Scheme (FPIS): The Government of

India introduced the Family Planning Indemnity Scheme with effect from
1st April 2013 with the following insurance benefits for the family welfare
sterilization acceptors and service providers:
i. Death following sterilization in hospital or

within 7 days from the date of discharge from Rs.2,00,000
the hospital
ii. Death following sterilization within 8 to 30
days from the date of discharge from the Rs.50,000
hospital
iii. Failure of sterilization leading/not-leading to
Rs.30,000
child birth
iv. Actual cost not
Cost of treatment upto 60 days arising out of
exceeding
complication from the date of discharge
Rs.25,000
v. Up to Rs.2.00
Indemnity insurance per doctor per facility but
lakh per case of
not more than 4 cases per Doctor in a year
litigation
40
CHAPTER - 6
DIRECTORATE OF INDIAN MEDICINE AND HOMOEOPATHY
1. Vision and Mission : The Mission of the Directorate of Indian Medicine and
Homoeopathy is to provide affordable, safe and efficacious treatment to the
public, so that Indian System is main streamed with the modern system of
medicine.
 Taking the benefits of traditional systems to the public by opening

ISM wings/Hospitals at various levels in all the districts.
 Establishing and encouraging the growth of educational

infrastructure in the public and private sector in Siddha, Ayurveda,
Unani, Yoga & Naturopathy and Homoeopathy.
 Promoting cultivation of Medicinal Plants and processing &

preserving raw drugs
 Encouraging the manufacturer and sale of high quality ISM drugs.
 Promoting Research and Development in ISM.
 I.E.C. (Information, Education and Communication) activities

among public for making more awareness about preventive,
promotive and curative aspects of ISM&H in the Public Health care
system.
2. Details of Business transacted: There are 1,534 institutions including

Medical Colleges in the State providing Medical Treatment under Indian System
of Medicine and Homoeopathy with an in-patient capacity of 1,410 Beds. This
includes NHM supported 475 units which are co-located in Primary Health
Centres and 72 AYUSH Wellness Clinics functioning in District Head Quarters
Hospital, Taluk, Non Taluk, Primary Health Centres and Regular Dispensaries in
order to popularize the Indian Systems of Medicine.
Two Diploma Courses (viz.) Diploma in Integrated Pharmacy and Diploma in

Nursing Therapy of two and half year duration with the aim to promote
availability of institutionally qualified Pharmacists and
Nursing Therapists in Indian System of Medicine are being conducted at
Government Siddha Medical College, Chennai and Government
Siddha Medical College, Palayamkottai, Tirunelveli.
41
3. Details of ‘Citizens’ or ‘Clients’: Under Graduate Degree Courses
(BSMS / BAMS / BNYS / BUMS / BHMS) in the Systems of Siddha, Ayurveda,
Yoga and Naturopathy, Unani, Homoeopathy and Post Graduate Degree
Courses (M.D. (S), M.D. (H) and M.D. (Y&N) in the Systems of Siddha,
Homoeopathy, Yoga & Naturopathy are being imparted in the 6 Government
Medical Colleges and 23 Self Financing Colleges are given below:
Sl. No. of No. of

No. System Govt. Private
Colleges Colleges
1 Siddha 2 7
2 Ayurveda 1 4
3 Unani 1 -
4 Yoga and Naturopathy 1 7
5 Homoeopathy 1 9
Total 6 27
The details of Government Medical Colleges functioning under Indian Medicine

and Homoeopathy Department are as follows.
 Government Siddha Medical College, Palayamkottai, Tirunelveli.
 Government Siddha Medical College, Arignar Anna Government

Hospital of Indian Medicine Campus, Arumbakkam, Chennai.
 Government Yoga & Naturopathy Medical College, Arignar Anna

Government Hospital of Indian Medicine Campus, Arumbakkam,
Chennai.
 Government Ayurveda Medical College, Kottar, Nagercoil,

Kanniyakumari.
 Government Unani Medical College, Arignar Anna Government

Hospital of Indian Medicine Campus, Arumbakkam, Chennai.
 Government Homoeopathy Medical College, Thirumangalam,

Madurai.
42
4. Statement of Services including standards, quality, time frame etc.
provided to each Citizen / Client group separately and how / where
to get the services.
Combined Hospital
Arignar Anna Government Hospital of Indian Medicine, Chennai –
600 106
Standards of Service:
 This is a 310 bedded Hospital with four systems of Medical
treatment i.e. Siddha, Ayurveda, Unani, Homoeopathy.
 It provides Medical Care free of cost to all patients who come to

this Hospital.
 Chronic Disease like Arthritis, Paralysis, Skin Diseases, Bronchial

Asthma, Diabetes, Hypertension, Peptic Ulcer, etc. are being
treated with effective remedies.
 We make sure that all our beneficiaries receive courteous and

prompt attention.
General Information: Doctors Wear White Coat, Nurses are in uniform and
Masseur Wear Blue Overcoat.
Enquiries: Reception is located at the entrance to the Hospital, where Out-

patient slips are issued and Triage for different systems is done.
 Signage boards indicating different areas of Hospital are on the

display.
 Telephonic enquiries can be made through Telephone Numbers.

044 – 26222688
 Duty Doctor is available round the clock.
Out – Patient Department:
For O.P Morning 7.30 A.M. to 12.00 Noon
Evening 3.00 P.M. to 5.00 P.M.
43
Special Clinics: Special Clinics Care available for
Sl. Day on which Special

Name of the Special Clinics
No. Clinic is conducted
Kanai (Primary Complex), Sarma
1 Monday
Noi, Skin Diseases
2 Neerizhuvu (Diabetes) Tuesday
3 Eraippu Noi (Asthma) Wednesday
4 Kuruthiazhutha Noi Thursday
5 Sahanavatham (Vertebral Diseases) Friday
6 Magapperinmai (Infertility) Saturday
7 Jaundice, AIDS, Cancer All days
Research:
 Research Wing for Cancer and AIDS in Siddha System of Medicines

at Arignar Anna Government Hospital of Indian Medicine, Chennai.
 Research OP’s in (1) Diabetes (2) Infertility
In Patient Treatment:
 All patients admitted in General Wards of the Hospital are treated

free of cost.
 Free Diet is provided to all patients in the General Wards.
 A Patient ID Card is issued to all the patients so that trespassers

can be avoided.
 Visitors are allowed only during notified visiting hours.
 Three Staff Nurses are on duty round the clock in the Wards.
 In-patients are instructed to take the help of the Staff Nurse for
any Medical assistance they need.
44
Laboratory:
 Bio-Chemistry Lab: week days 7.30 A.M. to 1.00 P.M.
 Pathology Lab: Week days 7.30 A.M. to 1.00 P.M.
 Reports are made available within shortest time possible which will
be specified according to the test.
Equipment and Facilities Available: This Hospital has the following services
X-Ray: Week days 7.30 A.M. to 1.00 P.M
Ultra Sound Sonogram Scan: Week days 7.30 A.M. to 1.00 P.M.
Government Siddha Medical College, Chennai -600 106
Facilities available in this Medical College
Under Graduate Degree – B.S.M.S.
 Annual Intake of Students – 60 Seats
Post Graduate Degree – M.D. (Doctor of Medicine)
Government Unani Medical College, Chennai – 600 106
Under Graduate Degree – B.U.M.S.
Government Siddha Medical College Hospital, Palayamkottai,

Tirunelveli
 Separate Hospital exclusively for Siddha is functioning at

Palayamkottai. This is 350 bedded Hospital is attached to
Government Siddha Medical College, Palayamkottai.
45
 It provides Medical Care to all patients who come to the Hospital
 Chronic Disease like Arthritis, Paralysis, Skin Diseases Bronchial

 We insist that all our users receive courteous and prompt

attention.
Enquiries:
 Boards indicating different areas of Hospital are on display.
 Telephone enquiries can be made through Telephone Numbers.

0462 – 2572736, 2572737, 2572738
Facilities available in this College
Out – Patient Department
For OPDs: Morning 7.30 A.M. to 12.00 Noon
Special Clinics: Special Clinic Care services available for

1 Cancer and AIDS On all Days
2 Skin Disease On Tuesday

3 Diabetes and Yoga On Wednesday
4 Eraippu Erumal Kalladaippu On Thursday

5 Hypertension On Friday
Thokkanam, Massage, Otthadam,
6 Stream bath, Varmam thadaval
On all days
Yogasanam
46
In-patient Treatment:

free of cost.
 One attendant pass is given to the attendant of every admitted

patient.
 A Staff Nurse is on duty round the clock in the Ward.
 Admitted patients should contact the Staff Nurse for any Medical
assistance they need.
Laboratory:
 Bio-Chemistry Lab: week days 7.30 A.M. to 1.00 P.M. and 3.00
P.M. to 5.00 P.M.
 Pathology Lab: Week days 7.30 A.M. to 1.00 P.M. and 3.00 P.M. to
5.00 P.M.
 Reports are made available within the shortest time possible which
will be specified.
Equipment and Facilities Available: This Hospital provides the following

services
Ultra sound sonogram Scan: Weekly once in Friday
E.C.G: Week days 7.30 A.M. to 1.00 P.M.
Under Graduate Degree – B.S.M.S.
47
Post Graduate Degree –M.D. (Doctor of Medicine)
Government Homoeopathy Medical College Hospital, Thirumangalam
 Government Homoeopathy Medical College and Hospital,

Thirumangalam is a 50 bedded Hospital and attached to
Government Homoeopathy Medical College, Thirumangalam.
 It provides Medical Care to all patients who come to the Hospital.

 All the clients are users receiving courteous and prompt attention.
Enquiries:
 Signage boards indicating different areas of Hospital are on

display.

04549 – 280727
Facilities are available in this College
48
Special Clinics: Special Clinic care services available for

1 Arthritis On Monday
2 Paediatrics On Tuesday
3 Skin Diseases On Wednesday
4 Diabetes On Thursday
5 Infertility On Friday
6 Renal Disorder On Saturday

free of cost.
Laboratory:
Reports are made available within the shortest time possible which will be
specified.
Equipment and Facilities Available: This Hospital has the following services
Ultra Sound Sonogram Scan: Weekly once in Friday
E.C.G : Week days 7.30 A.M. to 1.00 P.M.
49
Under Graduate Degree – B.H.M.S.
Government Ayurvedha Medical College & Hospital, Kottar, Nagercoil
 Government Ayurvedha Medical College and Hospital, Kottar,

Nagercoil is a 100 bedded Hospital and attached to Government
Ayurvedha Medical College, Kottar, Nagercoil.
 It provides Medical Care to all patients who come to the Hospital

 Paediatric disorders like Cerebral Palsy, Autism, Respiratory

disorders, Down’s Syndrome etc. are being treated with effective
remedies.
 We insist that all our users receive courteous and prompt

attention.
Enquiries:
 Signage boards indicating different areas of Hospital are on

display.

04652 – 240948 Website:- www.gamchnagercoil.com.
Facilities available in this College
50
Special Clinics: Special Clinic care services available for
Sl. Name of the Special Day on which Special Clinic is

No. Clinics conducted
1 Piles / Fistula / Fissure Monday, Wednesday & Friday

Fracture / Dislocation Tuesday, Thursday &Saturday
2
Management
 Special in-patient treatment called Panchakarma, Agnikarma &

Leech Theraphy are available.

free of cost.
Laboratory:
 Reports are made available within the shortest possible time which
will be specified.
Under Graduate Degree – B.A.M.S.
51
Government Yoga and Naturopathy Medical College and Hospital,
Arumbakkam, Chennai – 600 106.
 Government Yoga and Naturopathy Medical College and Hospital,

Chennai is a 100 bedded Hospital and attached to Government Yoga and
Naturopathy Medical College, Chennai – 600 106
Standards of Services
 It provides Medical Care to all patients who come to the Hospital.
 Skin Diseases, Obesity, Neck and Back pain, Diabetes, Stress related
Problems, Constipation, Short & Long Sight, Hypothyroidism, Hair fall,
Hypertension, Peptic Ulcer, etc. are being treated with natural remedies.
 We provide treatment through various therapies like Yoga Therapy, Diet

& Herbal therapy, Magnetic therapy, Fasting therapy, Acupuncture,
Acupressure, Massage therapy, Hydro therapy (Steam bath, Hip bath,
Spinal bath), Mud therapy, Chromo therapy etc.
 We insist that all our users receive courteous and prompt attention
without any kind discrimination.
Enquiries
 Boards indicating different areas of Hospital are on display.
 Telephone Enquiries can be made through Telephone Number 044-

26222516.
Facilities available in College Hospital
Timing for OPDs: Morning 7.30 A.M. To 12.00 P.M.
Evening 3.00 P.M. To 5.00 P.M.
Free Seminar Classes for Public: Every week from Monday to Friday
(excluding Government Holidays) between 11:30 A.M. to 01:00 P.M., the
College Hospital conducts free Seminar to create awareness on different Health
topics for the benefit of the Public.
52
Free Yoga Classes for Public: Apart from the routine therapeutic Yoga
sessions which is available in the OPD, free Yoga classes are conducted for the
Public on general health and wellbeing on all the 7 days of the week.
Laboratory
 Biochemistry Lab: week days 7.30 A.M to 1.00 P.M
 Pathology Lab : week days 7.30 A.M to 1.00 P.M
 Reports are made available within the earliest possible time which will be
specified.
The following are the list of various departments functioning in this

Medical College.
1. Department of Nature Cure.
2. Department of Fasting, Nutrition and Dietetics.
3. Department of Yoga.
4. Department of Hydrotherapy.
5. Department of Massage and Reflexology.
6. Department of Anatomy.
7. Department of Physiology.
8. Department of Biochemistry.
9. Department of Social and Preventive Medicine.
10. Department of Pathology.
11. Department of Microbiology.
12. Department of Diagnostic methods.
13. Department of Obstetrics and Gynecology.
14. Department of Forensic Medicine.
53
Outreach Training Program:
1. Yoga Classes for Police personals at Police Training Academy,

Chennai.
2. Yoga and Naturopathy Training Program for Allopathy Doctors at
Health and Family Welfare Centre, Egmore – Chennai.
3. Yoga and Naturopathy Training Program for AYUSH Doctors at
Institute of Public Health, Poonamallee, Chennai.
3. Special Yoga and Naturopathy Health program for general Public,
School Students and Women.
Under Graduate Degree – B.N.Y.S. (Bachelor of Naturopathy and
Yogic Sciences) – 5 ½ years duration
Post Graduate Degree – M.D. (Doctor of Medicine)
 Annual Intake of Students – 15 Seats and 3 years duration
Rights of the Patients in all Indian System of Medicine and

Homoeopathy Hospitals:
 The Doctor will be present in the Hospital to treat the patients in

stipulated time mentioned in the Hospitals.
 Patients on entering the Hospital will receive attention within half-an-

hour. The medicines will be distributed to them within half-an-hour of
the consultation being over.
 The Doctor will treat the patients cordially and attentively.
 The Doctor will explain to the patients about the nature of disease and
the method of treatment. The prescription will be neatly written with
the dosage also indicated. The staff try to instill confidence into the
minds of the patients.
54
 Best medical facilities are rendered to the patients and good efforts are
initiated for speedy recovery of the patients.
 Since every patient has right to consult other Doctors, patients

needing further treatment are referred to other Hospitals without any
delay.
 The staff do not demand or receive any reward in cash or kind from
the patient or their relatives.
Production of Quality Drugs: Every effort is taken to secure genuine herbs

and produce drugs as per the classical texts or standard pharmacopoeia.
To supply quality medicines to Public free of cost, the medicines are being
manufactured in the two Government Pharmacies, one situated within the
campus of Arignar Anna Government Hospital of Indian Medicine and another
in the campus of Government Siddha Medical College, Palayamkottai. In the
Pharmacy attached to Arignar Anna Government Hospital of Indian Medicine,
Chennai, Medicines of Siddha, Ayurveda and Unani are prepared while Siddha
Medicines alone are being prepared in the Palayamkottai Pharmacy.
Quality Control of Drugs (IM) / State Licensing Authority (IM): To

have a better quality assurance of ISM drug and better enforcement as per
D&C Act 1940, a separate Licensing Authority and his Office, and a separate
Drug Testing Laboratory (IM) have been established.
According to Drug and Cosmetics Act 1940, there should be a separate

enforcement mechanism exclusively for Indian Medicine. In pursuance of the
above provision, the Government has appointed a separate Licensing Authority
for Indian Medicine and all the District Siddha Medical Officers have been
appointed as Drug Inspectors of their respective jurisdiction for Indian
Medicine. A separate Office for the Licensing Authority has been established
and is functioning.
Drug Testing Laboratory (IM): Drugs Testing Laboratory (IM) is

established to strengthen the enforcement mechanism of Chapter IV-A of
Drugs and Cosmetics Act 1940 ensuring issue of quality Medicine of Indian
Systems to Public. Drug Testing Laboratory (IM) has got statutory status vide
G.O. (Ms) No. 8, Health and Family Welfare Department, dated: 12.01.2010.
55
The prime duty of this Laboratory is to test statutory samples received
from Drug Inspectors notified under section 33G of Drugs and Cosmetics Act
1940. The Laboratory was equipped with most Hi-tech instruments for
standardization and quality control of Indian Medicine.
5. Details of Grievance Redress Mechanism and how to access it:
 Public can register a complaint to CM Cell through online petitions

and tapals. Reply sent to CM Cell through online and intimated to
petitioner.
 Public can make Sugesstion /Complaint through Amma Call

Centre using Toll Free number 1100 for early redressal.
 Complaint Box is kept in every Indian System of College and

Hospital.
6. Expectation from the ‘Citizens’ or ‘Clients’
Citizen’s or Clients are expecting opening of more Indian System of

Medicine College and Hospitals in the State.
failure of service delivery.
Not applicable to this Department.
56
CHAPTER - 7
TAMIL NADU FOOD SAFETY DEPARTMENT
Introduction: The Food Safety and Standard Act was enacted in 2006 by
consolidation of all the food related laws by repealing the Prevention of Food
Adulteration Act 1954 and other seven related Food Laws. Government of India
came up with a single comprehensive law. This paved the way for the
establishment of the Food Safety and Standards Authority of India (FSSAI), the
apex national organization vested with the powers for laying down
science-based standards for articles of food and for regulating their
manufacture, storage, distribution, sale and import for ensuring availability of
safe and wholesome food for human consumption in the country.
This Act came into force all over India from 5th August, 2011.
Tamil Nadu Food Safety and Drug Administration Department has been
formed with effect from 22.12.2011 to implement the said Act and Rules in
Tamil Nadu.
VISION: The prime objective of the Department is to ensure safe food for all
as per Safety Standards prescribed of Food Safety and Standard Act 2006 and
Rules 2011 and regulations issued by Food Safety and Standards Authority of
India (FSSAI) from time to time.
MISSION
 Ensuring Safe Food for all in Tamil Nadu as per Safety

Standards prescribed of Food safety and Standard Act 2006
and Rules 2011 and regulations issued by Food Safety and
Standards Authority of India (FSSAI) from time to time, by
implementing and monitoring all the activities of Districts.
 Training and Capacity Building of the field level staff.

 Ensuring 100% License and Registration of Food Business
Operators.
 Creating Awareness among every Stake Holders on Safe
Food and Nutrition
57
2. Details of Business transacted by the Organization: The
Department is headed by the Commissioner of Food Safety, who is assisted by
the Director and Additional Commissioner of Food Safety, other supportive
Staff at State Level and 32 Designated Officers at the District level and 584
Food Safety Officers (385 for Blocks and 199 for Urban) to implement the new
Act. Six Food Laboratories established at Chennai, Thanjavur, Madurai, Salem,
Coimbatore and Palayamkottai have been notified under the Food Safety Act
for testing of food samples. Appellate Tribunal established to handle the appeal
made against civil cases by the Concerned Food Business Operators (FBOs).
The general Business of this department is to implement the Food Safety

and Standard Act - 2006 to ensure the standards with the Food Business
Operators and to ensure the safe and wholesome food to the consumers.
3. Details of Citizens or Clients: Food Business Operators and Consumers

are the clients.
4. Statement of service including standards, Quality, Time frame, etc.,

provided to each citizen / client group separately and how / where to
get the service:
 Licensing and registration of Food Business Operators (FBOs):
 Creating Awareness to all Food Business Operators (FBOs) to

obtain License and Registration Certificate.
 License and Registration Certificate are being issued through online

portal
 Enforcement Activities :
 Implementation of Food Safety and Standard Act 2006 and Rules.
 Periodical Inspections of all Manufacturing Units, Storage Places

and Retails outlets.
 Enforce Standards by surveillance and Act sampling and testing of

food products in Food Analysis Laboratories.
 Initiating the legal actions based on the result of Food Analysis

Laboratories as civil cases or Criminal cases
58
 Appellate Tribunal
 The appeal of civil cases by the Concerned Food Business

Operators (FBOs) at the Appellate Tribunal
 Food Analysis Laboratories
 Testing the surveillance and Act Samples which are sent by the
Food Safety Officers.
 Testing Samples which are sent by other departments- Social

Welfare Department, Civil Supplies Department and Railways.
 Testing Samples which are sent by the Consumers themselves.
 Uploading the details of the performances in the Indian Food

Laboratory Network System (INFoLNET).
 IEC and Awareness:
 Create awareness among all Stakeholders, the public, Students of

Schools/Colleges, SHG, etc. on safe food and nutrition.
 Redress consumer grievances and take action on complaints.
 Implementing the Food Safety Awareness Programmes- Detection

of Adulteration with Rapid Tests (DART), Safe and Nutritious Food
@ Schools(SNF@Schools), Food Safety Hub programme at
130 Tourist places.
3. Details of Grievance Redress Mechanism and How to access it:
A grievance and complaint redressal system is important for handling

issues relating to unsafe, substandard and mislabeled food products received
from consumers. The department has created a Consumer complaint redressal
system using a separate e-mail address [email protected]
and a WhatsApp mobile number 9444042322. They are popularized through
newspapers, mass media and social media to reach all categories of people.
Any complaint received is acted upon within 24 / 48 hours and feedback sent
to the complainant.
59
4. Expectations from the ‘Citizens’ or ‘Clients’:
 Food Business Operators to adopt the Standards prescribed by

Food Safety Standards Authority of India.
 Consumers to adopt the Eat Healthy, Eat Safe, Eat Fortified.

failure of service delivery
 This is not applicable to this department.
60
CHAPTER - 8
DRUGS CONTROL ADMINISTRATION
VISION: Ensure availability of quality and safe drugs to the Public at right
price
MISSION
i. Drugs Control Department, being a statutory body, performs a very

important role by way of Drug regulations which enhances the quality
of health care services and ensures safety of our community.
ii. As statutory body for Drugs Control, the department distinguishes

the massive challenges posed by spurious /adulterated /Not of
standard quality drugs, selling drugs at excess pricing, misleading
advertisements by some manufacturers and dealers.
iii. The department monitors the quality, safety, efficiency and rational
use of drugs at controlled prices, collection and supply of safe blood
and blood components, scrutinizing the misleading advertisements to
safeguard the interests of the unwary people.
iv. The department draw samples of Drugs & Cosmetics for the purpose
of test or analysis to ascertain its quality, purity and safety for which
well-equipped statutory laboratory has been established, to
undertake the analysis.
v. The department has a dedicated work force that is known for skill,
knowledge, and professional integrity.
vi. Since the quality of drugs is beyond the understanding of common

man, it is the responsibility of the Department to ensure the
availability of quality drugs to the public and the market is free of
spurious and substandard drugs and that the drugs are sold at a
price not higher than the retail price marked on the container.
61
2. Details of Business transacted by the organization
(as per the Acts and Rules in force)
a. Manufacturing & Blood Bank Services
1. Licence for manufacture of Allopathic Drugs
Licence for manufacture of Medical Devices and In-vitro

Diagnostics
2. Licence for manufacture of Homeopathic Drugs
3. Licence for manufacture of Cosmetics
4. Licence for Approval of Laboratory
5. Licence to operate a Blood Bank / manufacture and store blood

products for sale or distribution / Umbilical Cord Blood Stem
Cells Bank
6. Approval of Blood Storage Centre
7. Approval of Blood Donation Camp
8. Endorsement of Additional Technical Staff in various Licence
9. Endorsement of Additional Product in various Licence
10. Duplicate Licence
11. Other Certificates
b. Sales Services
1) Licence for the sale of Allopathic Drugs
2) Licence for the sale of Homeopathic Drugs
3) Issue of Duplicate Licence
62
c. Main Acts & Rules Enforced
 Drugs & Cosmetics Act, 1940 and Drugs and Cosmetic Rules
1945
 Medical Devices Rules 2017
 New Drugs and Clinical trial rules 2019
 Drugs & Magic Remedies (Objectionable Advertisements ) Act,

1954 and Rules 1955
 Drugs Price Control Order, 2013
 Narcotic Drugs and Psychotropic Substances Act, 1985
3. Details of ‘Citizens’ or ‘Clients’
a) Pharmaceutical Manufacturers
b) Wholesale and retail drug dealers
c) Citizens
4. Statement of services including standards, quality time frame etc,

provided to each citizen/client group separately and how/ where to
get the service
THE SERVICES BEING PROVIDED BY THIS DEPARTMENT:
Information about Licensed Drugs and Cosmetics Manufacturers,

Blood Banks, Approved Labs, Banned Drugs, Not of Standard Quality
Drugs Etc.
a. Information about Licences
1. Manufacturers Drugs, Cosmetics, Homeopathic Medicines,

Vaccine Unit, Medical Devices, Large Volume Parenteral (LVP),
Repacking Licence
2. Approved Lab
3. Blood Storage Centre
4. Recognized Medical Institution List (RMI)

63
b. Information about Banned Drugs
c. Investigation of Complaints on services of Chemists and

Druggists.
d. Investigation of Complaints on quality and adverse reactions

of Drugs.
e. Investigation of Complaints on prices of Notified Drugs in

Drugs Prices Control Order 2013
f. Information under Right to Information Act, 2005.
g. Investigation of complaints on Advertisement of drugs in

violation of provisions of Drugs & Magic Remedies
(Objectionable Advertisements) Act, 1954.
h. Information about Not of Standard Quality drugs/ Cosmetics/

Medical Devices based on the test reports issued by
Government Analyst, Drugs Testing Laboratory, Chennai – 6,
Tamil Nadu.
Our service standards: The department has set the following

targets/standards/response time for delivery of services by our department.
Sl. Targeted
Item of work Response whom to approach
No Time
1. Information on Licenced 3 days Office of the Director of Drugs
blood bank Control, Chennai-6
2. Information on Banned 3 days Office of the Director of Drugs
drugs Control, Chennai-6
3. Information on 3 days Office of the Director of Drugs
Manufactures Control, Chennai-6
4. Investigation of 7 days Concerned Assistant Director
Complaints on Services of of Drugs Control Zonal
Chemists and Druggists offices/ Office of the Drugs
Controller
64
5. Investigation of 7 days Concerned Assistant Director
Complaints on quality, of Drugs Control Zonal
Excess Pricing and adverse offices/ Office of the Drugs
reactions of drugs Controller
The above services are provided based on the written request by the citizens.
No fee is charged for the above services.
SERVICES OFFERED BY THIS DEPARTMENT:
 Grant of manufacturing Licence in respect of Drugs & Cosmetics
 Approval of Blood storage centers.
 Grant of approval for Approved Laboratories.
 Grant of sales Licence
 Effecting correction/changes in existing sales Licence
 Approval of Additional Products.
 Approval of Technical Staff.
 Recommending for Grant/Renewal of Licenses to Central License

Approving Authority, Delhi with respect to Vaccines and Sera, Large
Volume Parenterals: Blood Bank and Blood products manufactured by
recombinant DNA, Notified Medical Devices.
 Effecting correction /changes in existing Manufacturing Licence and

product permission letters
 Issue of World Health Organization Good Manufacturing Practices

Certificate
 Issue of Free Sale certificate
 Issue of Market Standing Certificate
 Issue of Good Manufacturing Practice Certificate as per Schedule ’M’
 Issue of Non Conviction Certificate
 Issue of Non Cancellation Certificate
65
 Issue of Production and capacity certificate
 Issue of Validity Certificate.
 Issue of Certificate of Pharmaceutical products
 Issue of approval to Recognized Medical Institution.
 Issue of Neutral Code Number
 Issue of Manufacturing and Marketing Certificate.
 Issue of Quality and Capacity Certificate.
 Issue of Quality Management System Certificate
 Issue of Performance Certificate.
OUR SERVICE STANDARDS: The department has set the following

Targets/ standards/ response time for delivery of services by our
department.
Targeted
Sl.
Item of work response
No.
time
1 Grant of Licence in respect of manufacturing Drugs/
120 Days
Cosmetics and approval for Approved Laboratories.
2 Grant/ Renewal of Blood Storage Centre. 120 Days
3 Grant of sales Licence 75 Days
4 Effecting correction/changes in existing sales Licence 7 Days
5 Grant/ Renewal of Licence in respect of manufacturing
120 Days
of Homeopathic Medicines
6 Approval of Additional Products. 15 Days
7 Approval of Technical Staff. 15 Days
8 Recommending for Grant/ Renewal of Licence to Central
Licence Approving Authority, Delhi
with respect to Vaccines and Sera, Large Volume
120 Days
Parenterals: Blood Bank and Blood products
manufactured by recombinant DNA Notified Medical
Devices
9 Effecting correction/ changes in existing Manufacture
10 Days
Licence and product permission letters
66
10 Issue of World Health Organization Good Manufacturing 15 Days
Practices Certificate
11 Issue of Free Sale certificate 15 Days
12 Issue of Market Standing Certificate 15 Days
13 Issue of Good Manufacturing Practices Certificate as per 15 Days
Schedule ‘M’
14 Issue of Non Conviction Certificate 15 Days
15 Issue of Non Cancellation certificate. 15 Days
16 Issue of Production capacity certificate 15 Days
17 Issue of Licence Validity Certificate. 15 Days
18 Issue of Certificate of Pharmaceutical products (COPP) 20 Days
19 Issue of approval to Recognized Medical Institution. 120 Days
20 Issue of Neutral Code Number 7 Days
21 Issue of Manufacturing and Marketing Certificate. 15 Days
22 Issue of Quality and Capacity Certificate 15 Days
23 Issue of Performance Certificate. 15 Days
24 Issue of Quality Management System Certificate 15 Days
5. Details of Grievance Readressal Mechanism and How/where to get

the service
 Guidance and Help can be obtained from the Concerned Assistant

Director of Drugs Control Zonal Offices Drugs Inspectors/ Assistant Drugs
Controllers/ Deputy Drugs Controller/ Head office Officers or by visiting
website http://www.drugscontrol.tn.gov.in/grievance_reporting.html or
by email to [email protected]
 The grievances would be forwarded to concerned officers and the result

would be communicated to the complainants. In case any further follow-
up and for suggestions to improve the services, where you feel
necessary, please contact the following officers:
67
Address List of All Offices Head Office, 15 Zonal Offices & Drugs
Testing Laboratory
Sl. Name of the Department Contact Number Email ID

No. with Address
1. Office of the Director of Drugs 044- 24321830 [email protected]
Control,
No.359, Anna Salai,
Teynampet,
Chennai-6.
2. Office of the Assistant Director 044-24328734 [email protected]
of Drugs Control,Zone-I,
No.359, Anna Salai,
Teynampet, Chennai-6.
of Drugs Control, Zone-II,
359,Anna Salai, Teynampet
Chennai-6.
of Drugs Control, Zone-III,
359, Anna Salai, Teynampet,
Chennai-6.
of Drugs Control, Zone-IV,
Chennai-6.
of Drugs Control,
Kancheepuram Zone,
Chennai-6.
of Drugs Control, Thiruvallur
Zone
No.201, J.N. Road,Vishu
Complex 1st floor Tiruvallur-
602 001.
8. Office of the Assistant Director 0452 - 2533699 [email protected]
of Drugs Control, Madurai
Zone
No.5, Ramaiah Street,Shenoy
Nagar,Madurai-625 020.
of Drugs Control, Salem Zone
No.130/9 & 130/10, Panagadu,
Meyyanur, Salem – 636 004.
68
of Drugs Control, Mobile
Squad, Madurai
Flot No 28, Kurivikaran Road,
1st Cross Street,
Sathamangalam, Anna Nagar,
Madurai.
of Drugs Control, Vellore Zone
No.1/15, Thiru. Vi. Ka. Nagar,
6th Street, Rangapuram,
Sathuvachery,Vellore- 632
009.
of Drugs Control, Thanjavur
Zone No.2975, GandhijiRoad,
Railady Thanjavur- 613 001.
of Drugs Control, Tirchy Zone
No.19, A.V. Arcade,
9th Cross East,
Thillai Nagar, Trichy-620 018.
of Drugs Control, Thirunelveli
Zone C-36, 25th Cross Street ,
Maharaja Nagar,
Tirunelveli-627 011.
of Drugs Control, Virudhunagar
Zone, No.30, LP Shanmugam
Road ,Virudhunagar - 626 001.
of Drugs Control, Coimbatore
Zone, No.219, Race Course
Road ,Coimbatore - 641 018.
17. Office of the Government 044-24310951 [email protected]
Analyst,
Drugs Testing Laboratory,
No.359, Anna
Salai,Teynampet, Chennai-6.
69
6. Expectations from the ‘citizens’ or ‘Clients’
 Ensure quality drugs without short supply and at right price.
 Timely prioritization and approval of the applications
 Prompt Grievance Redressal
 Timely response to letters from clients / citizens

failure of service delivery: In case the complaint is not resolved within
30 days time period or any of the services get delayed, the same can be
escalated to Director of Drugs Control, Chennai – 600006 for redressal.
70
CHAPTER - 9
TAMIL NADU STATE HEALTH TRANSPORT DEPARTMENT
Tamil Nadu State Health Transport Department is functioning for the exclusive
maintenance of all the vehicles attached to various Directorates of Health and
Family Welfare Department. Presently, 2823 vehicles are in the fleet
maintained by this Department.
Vision: To function as a ‘Model Department’ in all aspects and to assure and

make certain all the vehicles in the fleet of Health Department in Tamil Nadu
remains Healthy.
Mission: To effectively and economically maintain the vehicles attached to

Health and Family Welfare Department while also providing a robust Grievance
Redress Programme. To act as a ‘One Stop Solution’ to all the issues faced by
the vehicle users in repairs, maintenance, operation of vehicles and also in
their condemnation and disposal.
2. Details of Business Transacted
i. To render periodical service through mobile teams to all vehicles once

in two months.
ii. To carry out the required minor, second line and major works through
the District / Regional Workshops and deliver the vehicles within the
prescribed time frame.
iii. To provide professional assistance during tender evaluation and to

appraise and evaluate the fabrication work executed in ambulance and
hearse vehicles.
iv. To identify aged vehicles that are uneconomical to operate and to

condemn and dispose them through e-Auction.
v. To act as repository of all vehicles in the fleet of Health Department
71
3. Details of Clients: All the Vehicle Owning Officers and Drivers of Health
and Family Welfare Department.
4. Statement of Time frame provided for the services offered through

Mobile / District / Regional Workshops
i. Renewal of tyre, tube, battery and oil – Immediate.
ii. Rendering of periodical Service, on-road assistance, tow service,

rectification of faults in the break down vehicles – Same day.
iii. Maximum detention period of Hospital on Wheel (HOW) Vehicles

irrespective of magnitude of repairs – 20 days.
iv. Maximum detention period of Vehicles (Other than HOW) irrespective

of magnitude of repairs – 30 days.
v. Queries related to Upkeep of vehicle records, Motor Vehicles Act,

warranty claims, safe vehicle operation, prescribed norms for repairs
and Purchase of vehicles – Immediate.
vi. Queries related to condemnation and disposal of vehicles, statistical

information with regard to vehicle fleet – Immediate.
5. Details of Grievance Redress Mechanism:Health Department vehicles

Information and Complaint Redressal Programme (HICORP) is implemented by
this Department to provide a single window grievance redressal and
information providing facility for the Medical Officers and Drivers for the
proficient maintenance and hassle free operation of Health and Family Welfare
Department vehicles plying in the State. The concerned stake holders could
utilize this platform to register and resolve all the vehicle related problems by
calling or sending a Short Message Service (SMS) to the HICORP Help line
No.94896 21111. This is a first of its kind 24x7 free of cost facility run by a
vehicle maintenance Government Department.
72
6. Expectations from the Clients:
i. To replace worn out tyres and batteries as quickly as possible.
ii. To regularly replace engine oil at the specified intervals without fail.
iii. To deliver the faulty vehicles admitted in Workshops as early as

possible and after rectification of all the requested works.
iv. Overall, to maintain the vehicles in good roadworthy condition.

failure of service delivery: Not Applicable - as this department do not
directly deal with the General Public.
73
CHAPTER - 10
MEDICAL SERVICES RECRUITMENT BOARD
Introduction: Human Resources are the back bone of any organisation.

Medical Services Recruitment Board (MRB), formed in 2012 plays a crucial role
in contributing human resources required for achieving the objectives of Health
and Family Welfare Department.
1. Vision and Mission of the Organisation
Vision: MRB was formed with the objective to carry out all direct recruitments
in order to fill up vacancies in various categories of posts. MRB undertakes
recruitment for over 200 categories of posts existing in various Government
Medical Institutions throughout the state.
Mission: The mission of Medical Services Recruitment Board is to fill up all the
vacancies in Government medical institutions in a speedy manner with utmost
transparency in recruitment by deploying technically qualified staff to ensure
timely provision of health care services to the Public.
2. Details of the business transacted by the organisation: As on
13.06.2019, the Medical Services Recruitment Board from the time of inception
has recruited 26777 candidates (12815 – Doctors, 9533 – Nurses, 4429 –
Paramedical / Technical posts) for the following categories of posts.
No. of
Sl.
Name of the Post candidates
No.
selected
01. Assistant Surgeon (General) 9344
02. Assistant Surgeon (Speciality) 1943
03. Personnel for Tamil Nadu Government Multi 72

Super Speciality Hospital
04. Assistant Surgeon (Dental) (General) 59
05. Assistant Surgeon (Dental) (Speciality) 67
06. Assistant Surgeon (General) (Special Qualifying 1151

Examination)
74
07. Assistant Medical Officer (Siddha) 101
08. Assistant Medical Officer (Homoeopathy) 4
09. Assistant Medical Officer (Ayurveda) 1
10. Assistant Medical Officer / Lecturer Grade-II 73

(Yoga & Naturopathy)
11. Nurses 9533
12. Senior Lecturer in Optometry 2
13. Pharmacist 974
14. Pharmacist (Siddha) 148
15. Pharmacist (Ayurveda) 38
16. Pharmacist (Unani) 20
17. Pharmacist (Homoeopathy) 23
18. Village Health Nurse 1323
19. Lab. Technician Grade III 890
20. Radiographer 285
21. Fitter Grade II 60
22. Physiotherapist Grade-II 48
23. ECG Technician 29
24. Therapeutic Assistant 114
25. Prosthetic craftsman 33
26. EEG / EMG Technician 12
27. Audiometrician 14
28. Occupational Therapist 18
29. Dark Room Assistant 227
75
30. Plaster Technician Grade-II 87
31. Heart Lung Hypothermia Machine Technician 7
32. Anaesthesia Technician 77
TOTAL 26777
3. Details of Citizens or Clients: The unemployed Medical and

Paramedical candidates who seek employment in the existing various
posts in the Government Medical Institutions throughout the state.
4. Statement of Services including standards, quality, time frame
etc. provided to each Citizen / Client group separately and how /
where to access it: The details pertaining to various methods of
Recruitment by the Medical Services Recruitment Board is presented
below:-
i) Recruitment by Competitive Examination: After obtaining the
indent from the concerned Heads of the Department, an open notification
is published for the posts of Assistant Surgeon (General), Assistant
Surgeon (Dental - General / Speciality), Assistant Medical officer (Siddha,
Ayurvedha, Unani and Homeopathy), Assistant Medical Officer / Lecturer
Grade – II (Yoga and Naturopathy) and Nurses in two newspapers (Tamil
and English) to invite online applications with sufficient time for the
candidates to apply. Then the Competitive Examination is conducted and
after evaluation of the marks secured by the candidates, the marks
secured are published immediately in the website of this Board.
Based on the marks secured by the candidates in the competitive
examination, the short-listed candidates will be called for Certificate
Verification duly following the rule of reservation and the eligible
candidates will be selected as per the rules in force. The list of
provisionally selected candidates will be forwarded to the concerned
Heads of the Departments for issue of appointment orders.
76
ii) Walk-in selection: Medical Services Recruitment Board recruits
Assistant Surgeon (Speciality) through Walk-in selection process in order
to utilise the services of various speciality doctors to provide better
treatment for the public. After obtaining the indent from the concerned
Heads of the Department, an open notification is published for the posts
of Assistant Surgeon in two newspapers (Tamil and English) to invite
online applications with sufficient time for the candidates to apply.
Then the candidates possessing the prescribed qualification for the
concerned speciality will be short-listed by calculating the Weightage
marks based on the academic performance of the candidates as
prescribed in G.O.(Ms).No.401, Health and Family Welfare (C2)
Department Dated: 16.12.2014 duly following the rule of reservation and
the eligible candidates will be selected as per the rules in force.
The list of provisionally selected candidates will be forwarded to the
concerned Heads of the Departments for issue of appointment orders.
Later, Special Qualifying examination will be conducted by the Medical
Services Recruitment Board to regularize the services of the candidates
selected through the Walk – in – Selection process.
iii) Recruitment by Weightage Method: For other Para Medical
posts, after obtaining the indent from the concerned Heads of the
Department, an open notification is published in two newspapers
(Tamil and English) to invite online applications with sufficient time for
the candidates to apply. The candidates sponsored by the Employment
Exchange will be intimated to apply online for the post as per an open
notification published. Then the candidates possessing the prescribed
qualification will be short-listed by calculating the Weightage marks
based on the academic performance of the candidates as prescribed in
G.O.(Ms).No.401, Health and Family Welfare (C2) Department Dated:
16.12.2014 and G.O.(Ms).No.331, Health and Family Welfare (C2)
Department Dated: 05.11.2015 duly following the rule of reservation and
77
the eligible candidates will be selected as per the rules in force.
The list of provisionally selected candidates will be forwarded to the
concerned Heads of the Departments for issue of appointment orders.
Special Qualifying Examination: Medical Services Recruitment Board also

conducts a Special Qualifying Examination to regularize the services of
Assistant Surgeons appointed through ‘Walk-in’ Selection process and
Non-Service Post Graduates who are willing to continue their service in the
Government Hospitals after having been appointed to complete the bond
period of service.
5. Details of Grievance Redress Mechanism: Medical Services
Recruitment Board consists of the following officials:
Name of the post Telephone No. Office Address
Chairman 044 - 24359393

Medical Services Recruitment
Board, 7th floor,
Member Secretary 044 - 24354343 DMS Buildings,
359, Anna Salai,
Member 044 – 24330744 Chennai - 600 006.
The Grievance of the candidates are redressed by this Board through the
representations submitted by the candidates, e-mail sent by the candidates,
petitions received under Right to Information Act – 2005, petitions received
through Chief Minister’s Special Cell, grievance submitted by the candidates
through Amma call centre.
Telephone No. : 044 – 24355757
Fax No. : 044 - 24359393
e – mail id : [email protected]
Website Address : www.mrb.tn.gov.in
78
Public Information Officer : The Administrative Officer,
Medical Services Recruitment Board.
Appellate Authority : The Member Secretary,
Medical Services Recruitment Board.
6. Expectations from the ‘ Citizens’ or ‘ Clients’: The Medical Services

Recruitment Board is constantly striving to improve and strengthen the
recruitment process by reforming the procedures to make the process of
recruitment more transparent and candidate friendly.
All the notification regarding the posts notified by this board are
published in two newspapers (Tamil and English) to invite online applications
from the candidates.
The details regarding notification, marks secured by the candidates in
the competitive examination, the weightage marks calculated based on the
academic performance of the candidates, Certificate Verification schedule,
provisional selection list of the candidates are uploaded in the website of this
board (www.mrb.tn.gov.in) enabling the candidates to know various stages of
recruitment process. Thus, the entire system of recruitment is open and
transparent. The candidates are requested to periodically visit the board’s
website to know about the status of the various recruitment process done by
this board.

failure of service delivery: The above heading does not arise since such
situation have not been faced in the functioning of this office.
79
CHAPTER - 11
TAMIL NADU URBAN HEALTH CARE PROJECT
1. Vision and Mission of the Organization
(i) Strengthening the capacity of key hospitals with upgradation of

facility and equipment
(ii) Reinforcing the capacity of human resources thereby to contribute

to cope up with increasing demand for non-communicable
disease (NCD) prevention and control
2. Details of Business transacted by the Organization: Tamil Nadu

Urban Health Care Project is a Loan project signed between India and Japan at
a cost of INR 1634.00 crores (JPY 30060 million). The Project’s cost is split up
into two parts. Japanese International Cooperation Agency (JICA) part is of
INR 1387.88 crores and Government of Tamil Nadu part is of
INR 245.87 crores.
3. Details of Citizens or Clients: General public and patients consist of

about 44.63 million in 17 districts and also from the surrounding districts who
require medical services.
4. Statement of Services including standards, quality, time frame, etc.

get the services: The Project aims to achieve the improved health care of the
population living in the urban areas of Tamil Nadu. The time period of the
project is from 2016 – 2023.
Strengthening of Services in 17 districts are as follows:
1. Upgrading Tertiary Care Hospitals (Facilities & Medical Equipment)
2. Strengthening Referral Hospitals (Medical Equipment)
3. Strengthening Secondary Care Hospitals (Facilities & Medical

Equipment)
4. Strengthening Hospital Management (21 facilities in 17 districts)
5. Strengthening Primary health care in Non communicable disease

for two regional training institute at Chennai and Madurai
80
5. Details of Grievance Redressal Mechanism and how to access it:
Since the project is in the implementing stage the grievance redressal
mechanism will be settled out by the Project Director of Tamil Nadu Urban
Health care Project itself. Once the Project has been completed and handed
over, the Grievance mechanism will be controlled, monitored and settled by
the respective Dean of the Medical College Hospital and by the
Joint Director / Hospital Superintendent of the District Head Quarters Hospitals
in the respective districts.
6. Expectations from the ‘Citizens’ or ‘Clients’: The Citizens’ expectation is
(i) To be provided with a highly sophisticated medical service
(ii) To receive the hi-tech medical facilities within the region

failure of service delivery: The Tamil Nadu Urban Health Care Project
funded by Japan International Cooperation Agency (JICA) is currently in the
implementing phase. Hence, compensation does not arise till completion of the
Project
81
CHAPTER - 12
TAMIL NADU MEDICAL SERVICES CORPORATION LIMITED
Vision
i. Providing excellent quality Healthcare delivery system to the people of

Tamil Nadu by way of arrange to deliver high quality drugs,
medicines, surgical and sutures to the Government medical
institutions in the State of Tamil Nadu with care and with enhanced
satisfaction on time.
ii. Procuring and maintenance of medical and non-medical equipment for

Government medical institutions as per the need.
iii. Facilitating specialized diagnostic services and support services in

Government medical institutions.
iv. To be a role model in drug logistic systems and other procurement

activity.
Mission
To achieve the above vision TNMSC adopts,
i. A rational drug management system abiding by the applicable laws of

the land and other regulatory requirement pertaining to the drugs and
medicines with involvement and empowerment of personnel through
continually improving quality management system established.
ii. Procurement with state funds is based on the most transparent tender
procedure as per the Tamil Nadu Transparency in Tenders Act and
Rules and for externally funded projects with the relevant procedures
applicable.
iii. Ensuring prompt payment and strict penalty to the suppliers and
service providers.
iv. Evaluation and monitoring of stock and status through a time tested
IT enabled online system.
82
2. Details of Business transacted
i. Procurement, testing, storage and distribution of human drugs and

veterinary drugs, medicines, surgical & sutures, kits, regents to the
Government medical and veterinary institutions of the state.
ii. Procurement and supply of specialty drugs as per the needs of the
Government medical institutions.
iii. Procurement and installation of medical equipment to the Government

medical and veterinary institutions in the state.
iv. Finalization of annual rate contract for surgical appliances,

instruments, implants, equipment etc., for direct procurement by the
institutions.
v. Providing support services for the special maternity wards at two

hospitals in Chennai, pay wards at Government General Hospital,
Stanley Medical College Hospital, Chennai.
vi. Operating CT scan centres, MRI scan centres and Lithotripsy centres
in the Medical institutions on minimum user charge collection basis.
vii. Providing support services for maintenance of medical equipments in

the medical institutions.
viii. Procurement of drugs and medicines for other needy states in India
on case to case basis.
ix. Providing consultancy services on the drug logistics system to other

states in India on case to case basis.
x. Establishment and sale of selected life saving medicines to the public

at Kilpauk Medical College Hospital, Chennai.
83
3. Details of Citizens or Clients
Sl. No Client
1 All Medical College Hospitals and allied institutions under

Directorate of Medical Education
2 All District and Sub-District Hospitals under Directorate of
Medical and Rural health Services.
3 All Primary Health Centres and Health Sub Centres under
Directorate of Public Health and Preventive Medicine
4 All ESI Hospitals and Dispensaries under Directorate of
Medical and Rural health Services (ESI)
5 All Veterinary Institutions under Directorate of Animal
Husbandry and Veterinary Services
6 All Police Medical Facilities
7 All Local Body Medical Facilities
8 All Prison and Rehabilitation Homes
9 All Panchayat Union Dispensaries
10 All Transport Corporation Dispensaries
11 All Juvenile Homes
12 All Sugar Mills
13 TNEB Medical Facilities
4. Statement of service including standards, quality, time frame etc.

provided to each citizen/client group separately and how/where to get
the service.
i. Procurement of Drugs, medicines, surgical & sutures as per Drugs and
Cosmetics Act and equivalent international standards.
ii. Procurement of equipment as per USFDA/ European CE/ BIS or any
other equivalent International standards.
84
iii. Essential list of drugs, medicines, surgical & sutures are in generic
form from manufacturers or direct importers who meets the
qualification criteria as per the prescribed terms such as license to
manufacture, import, GMP certificate, non-conviction certificate,
minimum years of experience/market standing, manufacturing and
testing facilities including human resources and manufacturing
capacity, meeting the prescribed financial criteria such as turnover.
iv. Equipment from either manufacturer or non-manufacturer having
manufacturer’s authorization and meeting the qualification criteria
such as experience/market standing, technical and financial capability
and possessing after sales service facilities.
v. Essential drugs are procured, tested and stored in district drug
warehouses spread all over the state and issued to the Government
medical institutions as per the needs on value basis against pass book
indicating the allotted funds annually.
vi. Government medical institutions in the state are attached to the
respective district drug warehouses which will receive the requirement
on a monthly/quarterly basis or as and when special need arises.
vii. The district drug warehouses are keeping an inventory level of about
three months of each of the drugs and the stock will be recouped on
the basis of consumption pattern.
5. Details of Grievance Redress mechanism and how to access it.
i. Any aggrieved bidder in a tender can approach the Managing Director
for representations and or appeal within the prescribed time limit to
the Secretary to Government, Health & Family Welfare Department
under section 11 of the Tamil Nadu Transparency in Tender Act.
ii. Grievances can be represented either in person and/or through
written representation/ designated mail address to the Managing
Director which will be promptly examined for appropriate redressal
based on merits.
85
iii. Identification of omissions/commissions through internal audits,
statutory audits and AG audits and taking necessary corrective actions
as required.
6. Expectation from the Citizens or Clients
i. Continuous availability of quality passed drugs, medicines, surgical &
sutures without stock out and timely supply of equipment are the
expectations of the clients.
ii. Ascertained through client feedback for satisfactory services with respect
to issue of drugs and medicines at district drug warehouse level and
through review of customer complaints and its resolution at the
appropriate level as required.
iii. Review of status of procurement and supply of equipment periodically
and take appropriate corrective actions to meet the requirement of
clients.
failure of service delivery
i. In case of non-availability of any drug in stock, ‘No Objection Certificate’
is issued to the institutions for direct procurement for a limited period to
tide over the situation.
ii. In case of no response/poor response in tenders for procurement of
equipment and the value of procurement is within Rs. 5 lakhs, the
institutions are authorized to procure directly at their end by following
appropriate procurement procedure and the payment for such
procurement is made by TNMSC out of sanctioned funds.
86
CHAPTER - 13
TAMIL NADU STATE AIDS CONTROL SOCIETY
Tamil Nadu state AIDS project cell was formed in 1993 and in 1994, it was
registered as a Society under the Societies act, as Tamilnadu State AIDS
Control Society (TANSACS), the first of its kind in the nation. The Secretary to
Government, Health & Family Welfare Department is the President of the
Society and a senior IAS officer is the Member Secretary and Project Director
of the Society.
I. Vision and Mission Statement of the Organization
VISION: Implementation of various programmes effectively with the noble

aim of bringing a consistent decline in the HIV/AIDS prevalence in the state.
MISSION: The State of Tamil Nadu is a model State in prevention and control
of HIV/AIDS epidemic in the Country. With this objective, the Society has been
executing and monitoring number of programmes – Targeted Intervention by
engaging NGOs, Integrated Counselling and Testing Centres, Cross referral for
HIV – TB, Anti-Retroviral Therapy Centres, establishment and running of
Community Care Centres, Blood Safety and Voluntary blood donation,
operation and maintenance of STD clinics are the key activities of the Society
focusing on prevention and control of HIV/AIDS.
II. Details of Business transacted:
TANSACS is fully funded by the National AIDS Control Organization (NACO)

which is a division of the Ministry of Health and Family Welfare of the Central
Government of India. The Programs of TANSACS are governed by the
guidelines of National AIDS Control Program (NACP), which is in its fourth
phase. TANSACS works under the vision released by NACO through National
Strategic Plan on HIV/AIDS and STI, 2017-24 towards ending AIDS as a Public
health threat by 2030. The program components are effectively implemented
under the various divisions of TANSACS, such as
 Basic service Division
 Blood transfusion Services
 Information Education and Communication (IEC)
87
 Care and Support Division
 Targeted Intervention Divisions & LWS
 Lab services
 Institutional Strengthening
 Monitoring and Evaluation Division
 Strategic Information Management Systems (SIMS)
At the district level the programs and oversight to the interventions are
being implemented by the District AIDS Prevention Control Units (DAPCUs)
Service Delivery Points / Facilities Units
Integrated Counselling & Testing centres 780

(SA-ICTC)
Facility integrated ICTC (F- ICTC) 1555
Mobile ICTC 15
Community Based Screening Testing 80
Centre(CBS)
ART Centres 55
Link ART Centres 174
ART Plus Centres 7
DSRC (STI /RTI Clinics) 210
Blood Banks 89
State Reference Labs 12
National Reference Lab 1
Link Worker Scheme 15
Targeted Intervention 85
III. Details of Citizens / Clients: All the citizens of the country are potential
clients. All the people not only across the state but also across the country are
provided with prevention to care continuum of services related to HIV /AIDS
and STI.
88
IV. Statement of service including standards, Quality time frame, etc,
get the service: TANSACS has successfully reduced the prevalence of HIV in
the state 0.83 in 2003, 0.35 in 2008 and 0.27 in 2017 among antenatal
mothers which is a proxy indicator for general population prevalence and this
is possible only because of the tremendous support provided by both State and
Central Governments. TANSACS, since its establishment, has pioneered many
successful projects through its innovative approaches such as the OVC Trust
for Orphan and Vulnerable Children, Transgender Welfare Society, which are
standing examples for the commitment from the state government.
The Various service delivery points of TANSACS and their details are
given below:
Basic Service Division: Prevention of New Infections - Integrated Counseling

and Testing Centres
(ICTC) or HIV Counseling and Testing services (HCTS)
In Tamil Nadu there are 2618 centres that offer counselling and
testing services. NACO supporting 377 Stand Alone ICTC’s in Medical College &
Hospitals, District Head Quarters Hospitals and Government Hospitals etc. 403
SA-ICTC’s and 1555 Facility Integrated Counseling and Testing services are
supported by National Health Mission (NHM) at block level Primary Health
Centres, Community Health Centers and Additional Primary Health Centers.
TANSACS initiated 188 Public Private Partnership (PPP) ICTCs to strengthen
Prevention of Parent to Child Transmission (PPTCT) coverage. In order to
extend counselling and testing facility services to the remote and inaccessible
areas 15 Mobile ICTC Vans are provided by TANSACS for Coimbatore, Dindigul,
Dharmapuri, Erode, Kanniakumari, Krishnagiri, The Nilgiris, Namakkal, Salem,
Sivagangai, Theni, Tiruvannamalai, Tiruchirapalli, Virudhunagar and Vellore
Districts. These Vehicles are operated by respective District AIDS Prevention
and Control units (DAPCUs).
Prevention of Mother to child transmission of HIV during pregnancy, delivery

and breastfeeding.
This is the primary cause of HIV infection among children. The

Government of Tamilnadu is committed to eliminating HIV and Syphilis
amongst newborns through universal screening of pregnant women for HIV
89
and Syphilis as an essential component of the ANC service package.
To achieve this objective, ongoing Prevention to child Transmission (PPTCT)
services are being implemented in close collaboration with Reproductive and
Child Health (RCH) programme of the National Health Mission (NHM) and to
scale up prevention and care interventions among women of child – bearing
age and their families with a package of services which include primary
prevention, family planning, voluntary counselling and confidential testing,
lifelong Anti –retroviral therapy and counselling on infant feeding practices. In
order to reduce HIV related morbidity/mortality among the newborns
“Early Infant Diagnosis” programme is implemented in the State through
ICTC’s. Under PPTCT new regimen (ARV prophylaxis), HIV exposed babies who
are born to HIV positive mothers are initiated on Nevirapine syrup up to
six/twelve weeks from birth. In addition to this all identified HIV positive
mothers and infected infants are being provided with life long ART.
STI/RTI Prevention and Control Programme: Sexually Transmitted

Infection (STI) and Reproductive Tract Infections (RTI) are an important Public
Health Problem in India. Studies suggest that 6% of Adult population in India
is infected with one or more STI/RTI. Provision of STI/RTI care services is a
very important strategy to prevent HIV transmission and promote sexual and
reproductive health under the National AIDS Control Program and
Reproductive Child Health of NRHM. There are 216 Designated STI/RTI Clinics
(DSRCs) functioning under Tamil Nadu AIDS Control Society. These clinics are
branded as SUGA VAZHVU MAIYAM.
Syndromic Case Management (SCM) with appropriate laboratory tests is

the cornerstone of STI/RTI Management. It is a comprehensive approach for
STI/RTI control endorsed by the World Health Organization (WHO).
This approach classifies STIs/RTIs into syndromes (easily identifiable group of
symptoms and signs) and provides treatment for the most common organisms
causing the syndrome.
District AIDS Prevention Control Unit: (DAPCU): To ensure effective

planning of the HIV programme activities in the district level in line with the
National AIDS Control Organization (NACO), 29 DAPCUs headed by District
AIDS Control Officers and 3 Non-DAPCUs headed by DD (TB) are in position for
90
smooth functioning and proper linkages with the NHM and allied departments
in the State. The role of the DAPCU is
(1) implementation of NACP strategies
(2) Convergence with NHM activities and
(3) Convergence with the other related Govt. Departments in the District.
Blood Transfusion Services: Blood is a life saving drug in the form of

liquid. Blood transfusion service is an integral part of health care system. It is
committed to provide adequate, safe and quality blood and blood components
to meet the needs of the general public in the State at free of cost . It aims to
achieve 100% collection of blood from voluntary and non-remunerated donors.
TANSACS/TNSBTC supports 89 blood banks which are functioning in
Government Medical College Hospitals, Government Head Quarters Hospital &
Government Hospital in the State, out of 89 blood banks, 38 blood banks are
functioning as Blood Component Separation Units to enhance the rational
usage of blood components. In addition to that 383 Government Blood Storage
Centers are being in Government Primary Health Centers to enhanced the
Blood Transfusion Services.
Lab Services: Laboratory services function at the cross cutting interface of all
other divisions like Basic Services (ICTC), Care, Support and Treatment (ART),
Blood Transfusion Services and Sexually Transmitted Infection division. The
assurance of quality in HIV testing services is ensured through the
implementation of External Quality Assessment Scheme (EQAS) by Reference
laboratories at Both National and State level.
NACO supports all the reference laboratories to get Accreditation by

National Accreditation Board for Testing and Calibration Laboratories (NABL).
Three NRLs and twelve SRLs are linked with HIV Testing Laboratories in
32 districts.
Care, Support and Treatment: The key objective of Care, Support &
Treatment division is to provide all base line investigations & CD4 count,
screening for opportunistic infections, provision of Anti retroviral drugs &
Opportunistic Infection drugs to all people living with HIV (PLHIV). With this
objective in mind, currently, various service delivery points like Centre of
91
excellence, Anti-retroviral therapy centres, Anti-retroviral therapy plus centres,
Link ART centres and Link ART plus centres have been established.
Anti Retroviral Therapy (ART) Centres
ART centres provide lifelong care & treatment to people detected as HIV
positive at ICTCs. These Centres are attached to Medical College Hospitals,
District Head Quarters hospitals & GH. Each ART centre is headed by Medical
Officer under whom Staff Nurse, Counsellor, Data Manager, Lab Technician,
Pharmacist & Care Coordinator work. General investigations & CD4 test to
assess the immune status of HIV+ patients are performed at these Centres.
Lifelong free Anti Retro Viral (ARV) drugs & Opportunistic Infection (OI) drugs
are provided through these centres. Counselling services, referral & linkage to
social benefit schemes are also rendered through ART centres.
Currently 55 ART centres are functioning in Tamilnadu. Sites for these

centres are chosen based on the district prevalence, area, terrain & population
characteristics. Each ART centre is attached to a government health facility
prioritizing medical college hospital then district head quarters hospital & lastly
GH. One Centre of Excellence provide both 2nd line & 3rd line drugs in addition
to 1st line drugs. 1 Regional Paediatric Centre of Excellence and 7 ART plus
centers provide Second line drugs, management of complicated OIs and
specialized laboratory Services to PLHIV. In May 2017, NACO has rolled out the
“test and treat” strategy based on which all patients diagnosed HIV positive
are now eligible for treatment irrespective of immune status.
Information, Education and Communication: IEC activities in Tamil

Nadu have been formulated, taking into consideration the diverse cultural,
linguistic and social backgrounds of different communities across the State.
Awareness creation and information dissemination is always the key objective
of IEC thereby motivating behaviour change among the High Risk Group
population. Raising awareness about HIV/AIDS, STI, Blood Donation and
perceptions about HIV, creating a demand for seeking health services, condom
usage and also promoting the need for enabling environment for prevention,
care and support so as to inform, advocate for attitude change of key
population. Subsequently, Timely campaigns for promoting messages on ICTC,
ART, STI, PPTCT, Stigma & Discrimination, Blood Donation & its related service
centres had a greater impact among the target group and general public.
92
Mass Media comprising entire electronic media, print, community media
along with media mix with long format radio programme in All India Radio,
long format programmes in Televisions – Doordarshan (DD), talk shows in DD
during special occasions, community radio, newspapers and neighbour-hood
newspapers are the components under the Mass Media head which has
telecasted, broadcasted and published key messages during campaigns and
events in TamilNadu.
Targeted Intervention Programme: The intervention programme is

designed to bring about behaviour change among specific population groups
whose risk/vulnerabilities of contacting STI/HIV infections are high. These
groups are categorized as core groups, Female Sex Workers (FSW), Men who
have Sex with Men (MSM), Injecting Drug Users (IDU) and Transgender (TG) –
and Bridge population which includes Truckers and Migrants. This programme
is implemented through the Non-Governmental Organizations (NGOs) /
Community Based Organizations (CBOs). During the financial year 2019-20, 85
TI NGOs were functioning under the control of TANSACS.
Link Workers Scheme
Link Workers Scheme is implemented in 15 districts of Tamil Nadu

through TANSACS. The programme is designed to reach out to the high risk
and vulnerable population 1500 villages in the rural areas.
Condom Promotion
Condoms are the most effective means for prevention of HIV infection
among high risk and general population. TANSACS adopts different strategies
to reach out to each group.
Distribution of free condoms to people through health care institutions.

Sexually Transmitted Infection (STI) clinics, outreach programmes, Integrated
Counselling& Testing Centers (ICTCs), Anti-Retro Viral Therapy (ART) center
and NGOs.
Behaviour Change Communication (BCC) to create awareness about

safer sexual practices.
93
Strategic Information Management System (SIMS) & HIV Sentinel
Surveillance (2018-19): It is a web-based Integrated Monitoring and

Evaluation Service for monitoring and taking corrective steps to streamline the
HIV / AIDS programme. All the units of TANSACS report through this system.
HIV Sentinel Surveillance (HSS) is conducted on the Country once in two years
to study the disease prevalence among pregnant women and High Risk Groups
(HRGs). In Tamil Nadu for the year 2018-19, 3 prison sites are included in the
HSS for the first time. 71 ANC sites, 3 prison sites and 44 HRG sites are
included in this survey and is carried out from 1st January 2019.
Timing of Services: All emergency care services 24X7
Out-patient services
ICTC, DSRC – Counselling and testing Services – 8 AM to 5 PM
Antiretroviral treatment Centre – 8 AM to 3 PM
(Except on Government Holidays and Sundays)
V. Details of Grievance Redress Mechanism and how to access it:

TANSACS has established a Grievance Redressal Mechanism and appointed one
senior level officer to look in to the grievances of citizens, or clients, if any. A
Toll free number 1800 419 1800 is also available for citizens to report
grievances if any
VI. Expectations from Citizens or Clients: Citizens or clients expect

quality health care services in the nearest location and up to their satisfaction.
TANSACS has taken every step to ensure all array of services are made
available up to block level across the state.
VII. Additional Commitments such as compensation in the event of

failure of service delivery: If any failure of service is proved then
compensation will be given to the individual from the corpus fund as per the
orders of the Government / Court.
94
CHAPTER - 14
TAMIL NADU STATE BLINDNESS CONTROL SOCIETY
Introduction: The Tamil Nadu State Blindness Control Society is one among
the different vertical societies functioning under National Health Mission-Tamil
Nadu. At the district level, there are 32 District Level Blindness Control
Societies functioning one per each district.
1. Vision and Mission: The vision and mission is to implement the

National Programme for Control of Blindness and Visual Impairment effectively
in our State through the following measures:
i. To eliminate causes of preventable blindness in the State like Cataract,

Diabetic Retinopathy, Glaucoma, Corneal Opacity, Congenital Anomalies,
Childhood refractive error, Retinopathy of Pre Maturity etc.
ii. Elimination of Trachoma and its complications.
iii. To coordinate with the Directorate of Public Health and Preventive

Medicine, Directorate of Medical & Rural Health Services, Directorate of
Medical Education, Directorate of Indian Medicine & Homoeopathy to
implement the programme effectively across all levels of Health care
delivery i.e. Primary, Secondary, Tertiary level.
iv. To make arrangements to provide consumables, infrastructure,

Manpower, Training of Ophthalmic Surgeons and Para Medical
Ophthalmic Assistant for providing effective eye care services in the
Government Institutions.
v. To co-ordinate with all NGOs who are on MOU with various District
Blindness Control Societies and monitor their activities and services
provided under NPCB programme and also services rendered under
Grant-in-Aid (GIA) scheme such as Cataract surgery, eye ball collection
and treatment of other eye diseases.
vi. To establish the Government & NGO run Eye banks across the State
registered under Transplantation of Human Organs Act, 2011 for eye
donation and for donating Corneas to Eye Surgeons for Keratoplasty.
95
vii. To monitor eye care innovations in our State like Tele-Ophthal network,
Tele V Care, Queen Elizabeth Diamond Jubilee Trust Diabetic Retinopathy
Screening in Project States etc.,
viii. Creating IEC materials in regional language for creating awareness

among common public about preventable blindness and facilities
available in the Government side.
ix. Conducting surveys in our population to determine the prevalence of

preventable blindness across our state and to take adequate measures to
eliminate them.
2. Details of Business Transacted: The Tamil Nadu State Blindness Control

Society and 32 District Blindness Control Societies are involved for effective
implementation of the various activities under National Programme for Control
of Blindness and Visual Impairment in our State.
i. To Provide Grant-in-Aid for Eye ball Collection through various eye banks
who are on MOU with District Blindness Control Societies @ Rs.1,000/-
per eyeball collected for screening and grading of Cornea, consumables
purchase, processing of tissue, transport of eye ball and IEC activities.
However, Eye Donation Centres which have signed MoU with Eye Banks
will be eligible for Rs. 500/- for every eye ball collected by them and
deposited with their MoU eye bank.
ii. To provide spectacle for needy school going children identified with
refractive errors at a cost of Rs. 350/- per spectacle every year.
Approximately 1,80,000 children are benefited by this.
iii. To provide near-vision glasses to needy individuals over 40 years of age

@ Rs. 350/- per spectacle. Approximately 10,000 people are benefited
by it.
iv. To improve the infrastructure of eye departments in the Government

side by providing new equipment, construction and maintenance of eye
Operation Theatre and eye wards.
v. To provide training for Ophthalmic Surgeons, Para Medical Ophthalmic

Assistant and other individuals involved in eye care services in the
Government side and also to create IEC materials wherever necessary.
96
vi. To provide Grant-in-Aid to Government eye operating centres for the
cataract operation (catops) @ Rs. 1,000/- per surgery performed for
motivation, transport, consumables purchase etc.,
vii. To create effective Public private partnership with NGOs and private
institutions to improve standard of eye care services in Government side.
To provide Grant-in-Aid for every catops surgery performed by NGO
institutions @ Rs. 2,000/- per surgery who are on MOU with District
Blindness Control Society adhering to the guidelines of National
Programme for Control of Blindness, verification of 5% of the claims
based on MIS entry, etc.
3. Details of Services: The services regarding prevention of blindness are

available across the State in the following health facilities:
Government Medical Colleges - 24
Government Taluk Hospitals - 34
Government Non Taluk Hospitals - 52
Major NGO’s - 6
Other NGO’s - 61
Private Practitioners - 950
There are 9 Government Eye Banks and 11 NGO Eye banks in the State
under National Programme for Control of Blindness.
There are 24 Government Medical Colleges which have 78 Post Graduate

seats in Ophthalmology and 4 DNB seats in Non-Teaching Hospitals.
In Government Institutions, all Ophthalmic surgeries and other services

are performed cashless for patients under different schemes / programmes.
4. Statement of Services Including Standards Quality, Timeframe, etc.
get services.
General Information: The eye care services offered in Government Health

facilities at different levels of care is presented below:
97
Primary Level:- (All Week Days)
i. Population based screening by Para Medical Ophthalmic Assistants who

has a blind register.
ii. Primary screening & follow up of eye care services by the Para Medical
Ophthalmic Assistant at Primary Health Centre.
iii. Screening of school children for refractive errors by Para Medical

Ophthalmic Assistants every year and provide spectacles for needy
children.
iv. Tele V Care Centres run by Optometrists with Tele consultations by

District Ophthalmic Surgeon.
v. Diabetic Retinopathy screening undertaken at the nearest centre based

on the clinical opinion given by Para Medical Ophthalmic Assistances /
Non Communicable Diseases staff nurses
vi. Tele Retinopathy of Prematurity screening of new born in Sick New Natal
Care Unit (SNCU) for early detections and effective management of
Retinopathy of Prematurity.
vii. Public Private Practitioner / Government / Private Eye Donation Centre

/ Eye Bank provide services to promote eye donation activities.
Secondary Level (24 Hours Services is General Ophthalmology): The

eye care services under the Taluk and Non Taluk Hospitals of our state are
broadly general Ophthalmology:-
i. Routine Eye Screening for any minor ailments and services for Refractive
Errors is provided by Ophthalmologist along with Para Medical
Ophthalmic Assistant.
ii. Minor procedures like Chalazion I&C, Dacryocystectomy Small incision

cataract surgery, Intra-Ocular Lense (IOL) Implantation and Lid repairs
are done by Ophthalmologist.
iii. Screening of all new born babies for congenital anomalies and screening
for “Retinopathy of Prematurity” at all Sick New Natal Care Unit is done
by Ophthalmologist.
98
iv. The DEIC situated at District Head Quarters Hospital has exclusive
Ophthalmic out-patient which attends to all children detected with eye
problems by RBSK Medical officers and provides necessary treatment for
them.
v. Government Eye Banks perform ‘Hospital Cornea Retrieval Programme’

in the respective Hospitals and also coordinate with their Eye Donation
Centres.
vi. The Non-Teaching Taluk Hospitals in Cuddalore and Kancheepuram

Districts are recognized as DNB training centres in Ophthalmology.
vii. In certain Districts, under MOU / Public Private Partnership, training

opportunities are provided for Optometrists in Government approved
training institutions.
Tertiary Level (24 Hours Services in Ophthalmic): The level of Tertiary

care services is provided at all medical colleges and Taluk Hospitals (where no
medical college is available) with separate eye department, eye Operation
theatre where along with eye care services, UG Teaching PG Teaching, Medical
Legal services are under taken.
i. Dedicated eye department with operation theatre providing all

Ophthalmic services including sub-specialities like cataract, Cornea,
Retina, Glaucoma, Paediatric ophthal, Orbit and Oculoplasty etc.
ii. Teaching Ophthalmology to undergraduate MBBS Students.
iii. Teaching & Training post graduate students in Ophthalmology
iv. Teaching refraction and basic Ophthalmology to Optometry students
v. Eye donation / Eye Bank / Hospital Cornea Retrieval
vi. Medico legal services
vii. Services for cross-referral from other specialties for the overall
improvement of the patients.
viii. To provide Tele-ophthal class room services, Tele-ophthal reading &

grading services at District nodal centres.
99
ix. The Senior Ophthalmologist who is the District Programme Manager for
District Blindness Control Society, takes up the activities of District
Blindness Control Society of the district along with Deputy Director of
Health Services under the chairmanship of District Collector.
5. Details of Grievance Redress Mechanism: The complaints and

grievances along with suggestion are constantly received through the following
mechanism.
i. Direct representation to our Government Department of Health and

Family Welfare in writing which is in turn referred to us for necessary
action.
ii. Direct representation to the Mission Director, National Health Mission,

Tamil Nadu / the District Collectors as Chairman of District Blindness
Control Societies which is referred to us for necessary action.
iii. Direct petition to the state High Court / District Courts in which case
necessary action is taken following coded procedures
iv. Registered complaints to Chief Minister Special Cell (Online / Tapal),

through Amma Call Centres (Toll Free 1100) forwarded to us for
necessary action.
v. Direct Representation to the Director of Medical Education/ Director of

Public Health and Preventive Medicine/ Director of Medical and Rural
Health Services/ Project Director, Tamil Nadu State Blindness Control
Society/ Dean/ Joint Director of Health Services/ Deputy Director of
Health Services in which case also action is taken accordingly by
concerned officials.
vi. Complaint Box kept in all SBCS, DBCS, Eye Departments for which
necessary action is taken by concerned officers
vii. Various press release in media like newspapers, periodicals, TV Channels

are also examined and appropriate action taken by concerned officials.
6. Expectation of “citizens or clients”
1. The expectation of the standards of services in Ophthalmology on par

with NGOs / Private Institutions.
100
2. To provide day care services
3. To create Mini centre of excellence in 4 zones of the states and a

second RIO at Madurai Medical College where necessary infrastructure
is already available.
4. To provide more preventive management of blinding conditions so that

the resources spent later on curative aspect can be reduced and
morbidity also reduced.
5. To provide services effectively in remote, and other unreachable areas

where the prevalence of preventable blindness is high.

failure of service delivery: Though not applicable as such to this Society,
concerned Directorates (Director of Public Health and Preventive Medicine /
Director of Medical and Rural Health Services / Director of Medical Education)
which are the implementing units provide assistance / compensation, if
required, under direction from the court of law in matters dealing with petitions
claiming compensation.
101
CHAPTER - 15
MISCELLANEOUS
CHIEF MINISTER’S COMPREHENSIVE HEALTH INSURANCE SCHEME
Government of Tamil Nadu with the objective of ensuring universal health

coverage is implementing the Chief Minister’s Comprehensive Health Insurance
Scheme(CMCHIS). The scheme covers 1.58 crore families whose annual
income is less than Rs.72,000. In view of the enormous public benefit due to
the successful implementation of the scheme for five years, the scheme was
continued further for five years starting from 11.01.2017. The Government of
Tamil Nadu has integrated the Government of India’s Pradhan Mantri Jan
Aarogya Yojana(PMJAY) along with CMCHIS in the State from 23.9.2018.
United India Insurance Company Limited is implementing the scheme.
The salient features of CMCHIS being continued from 11.01.2017 are as

follows:
 Sum insured – After integration with PMJAY all the beneficiary families
will get enhanced coverage upto Rs.5.00 lakh per year / per family.
 Procedures –1,027 medical and surgical treatment procedures,

154 specialized procedures, 154 follow up procedures, 38 standalone
diagnostic procedures, 424 PMJAY procedures and 8 high end procedures
are covered under this scheme
 Migrant labourers certified by Labour Department who reside for more

than six months in the State are included under the scheme.
 Orphans as defined by the State Government are also covered under the
scheme.
 CMCHIS health insurance card is used for claims processing and the
same can be downloaded and printed from CMCHIS website.
 The Aadhaar linking with CMCHIS is being carried out.
 The scheme mandates NABH entry-level accreditation/NQAS for all

empanelled hospitals including the Government Hospitals.
102
 Minimal Electronic Health Record are available for beneficiaries
fromwebsite.
 At present, 977 hospitals (244 Government Hospitals and 733 Private

Hospitals) are empanelled under the scheme.
Grievance Redressal: There is a well established grievance redressal

mechanism, including online tracking and SMS acknowledgement.
Public can also contact 24 x 7 toll free No.1800 425 3993 for any details of the
scheme and to register complaints. A State and District Monitoring and
Grievance Committee are available to redress grievances.
108- Emergency Ambulance Services
“108” Ambulance Service is being operated in Tamil Nadu through a single Toll
Free number and the services are available 24x7 free to the public.
This program is implemented through a Public Private Partnership between
Government of Tamil Nadu and GVK EMRI. Each ambulance with a Pilot
(driver) has one fully trained Emergency Medical Technician (EMT) who
provides pre-hospital care to the patient.
Free Hearse Service: The Indian Red Cross Society is running the
programme under the MOU with Tamil Nadu Health System Project. Under this
programme the deceased are transported to the place of funeral or home free
of cost irrespective of the distance within the State. The attenders of the
deceased or the Chief Medical Officer of the Government hospital can contact
the Central Response Centre by dialing 155377 which is functioning round the
clock. This service also renders support during major accidents, natural
calamities and disasters by transporting the deceased to the Government
Hospitals for autopsy and then to their destination. So far, 6,35,569 cases
have been transported through this service since launch. The cases requiring
transportation beyond 300 kms are arranged through railways. Presently, the
number of vehicles is 153 which will be increased to 180 this year.
103

Health Report 1

Uploaded by

Copyright:

Available Formats

Health Report 1

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Health Report 1

Uploaded by

Copyright:

Available Formats

HEALTH & FAMILY WELFARE

S.No. CHAPTER PAGE

2. Directorate of Medical Education 04 – 14

8. Drugs Control Administration 61 – 70

Tamil Nadu State Health Transport

11. Tamil Nadu Urban Health Care Project 80 – 81

Tamil Nadu Medical Services Corporation

13. Tamil Nadu State AIDS Control Society 87 – 94

14. Tamil Nadu State Blindness Control Society 95 – 101

15. Miscellaneous 102 - 103

Citizens’ charter of Health and Family Welfare Department seeks to

The details of various Directorates functioning under Health and Family

162, EVR Periyar 044-2836 4501

No.417, Pantheon 044-2819 1891

Directorate of State Health Guindy, 044-2436 1108

Tamil Nadu State Egmore, 044-2852 6873

No.417, Pantheon 044-2818 0261

To enhance the interaction with public using modern technology and to

2. Some of the interactive facilities such as “Bulletin Board” where people

3. The information about the Government Hospitals, Medical Colleges

DIRECTORATE OF MEDICAL EDUCATION

Introduction: The Directorate of Medical Education has been functioning as

This Directorate is providing State-of-Art health care services with

A Selection Committee is in place to process admissions to various

Hospital Management Information System (HMIS), an online system, is

1. Vision and Mission of the Organization.

Providing quality health care with State-of-Art Facilities and

The other aspect of vision is in the area of ‘Innovations in medical

Mission: The mission of the Directorate is to provide the following modern

i. Providing Quality health care/ Tertiary Care services

ii. Providing preventive and curative health care services

iii. Control of non Communicable diseases

iv. Prevention of HIV / AIDS

v. Reduction in Infant Mortality Rate (IMR)

vi. Reduction in Maternal Mortality Ratio (MMR)

vii. Improving Maternal and Child Health

viii. De-addiction centres

ix. Skill Centres

x. Establishment of Burn and Trauma Centres

xi. Establishment of National Ageing Centre

xii. Prevention and Control of Cancer, Diabetics, and Cardio Vascular

xiii. Innovative and Research activities in the field of medical education

xiv. Cadaveric Organ Transplantation

xv. Transgender clinic established in Rajiv Gandhi Government General

NUMBER OF GOVT. COLLEGES, HOSPITALS AND DISPENSARIES

UNDER THE CONTROL OF THE DIRECTORATE OF MEDICAL EDUCATION

Govt. Medical Colleges 24

PERFORMANCE OF THE MEDICAL COLLEGE HOSPITALS FOR THE

Outpatients / Per Day 86199

Sl. Name of the Course Number of

Name of the No.of Number of

The details of Post Graduates and Speciality courses available in the

Number of Total intake

3. Details of Citizen or ‘Clients’: Every Citizen of the country is treated

4. Statement of services including standard quality time frame etc.,

1. Laboratory services with 9. Ventilator facility

i. OP and IP services in all Specialities

ii. Exclusive Neonatal and Paediatric Services through the Children

iii. Neonatal and Paediatric Services available in all Government

iv. Quality Maternity Services provided through CEmONC centre in all