A C H I E V E M E N T S                            
 
















               The real wealth of Sikkim is its human resource i.e. the people and the basic purpose of development is to create an enabling environment for its people to enjoy long, healthy and creative lives. The vision of the State of  Sikkim in the area of health sector is to foster a healthy society through provision of quality health care, services for all general population from womb to tomb and to make all health care services accessible for people living even in the remotest village of Sikkim. With the objective of realizing this vision, the Department of Health Care, Human Services and Family Welfare, like in the previous years continue to forge ahead witnessing vigorous implementation of various National centrally sponsored and State sector Programmes and policy initiatives to improving and creating quality health care facilities for all general public in the State. As the Deptt has already set up physical infrastructures as per national norms priority during the year under report was accorded on consolidating, strengthening, modernizing the existing health care infrastructures and also upgrading technical skills of Medical, Paramedics, Nursing Personnels and other Non-Medical Officers of the departments by exposing them to workshops, seminars, reorientation training Programmes, sponsoring  doctors for higher Medical education, etc..

                The Department is instrumental and responsible for implementation of various National Programmes in the areas of health care and family welfare as well as prevention and control of communicable diseases in the State. All National Programmes & schemes related to health care and family welfare sector are being implemented  in the rural areas of  the State through a network of 147 Primary Health Sub Centres (PHSC), 24 Primary Health Centres(PHC), 4 Community Health Centre and one 300 bedded State Referral Hospital(STNM) at the State Capital , Gangtok. Such PHSCs have been set up for every 3000 population and PHCs for every 20,000 population throughout the State as per National Norms. In the urban areas, health programmes are being implemented through 4 CHC-cum-Distt. Hospital located at the Distt Headquarters at Singtam for East Distt, Mangan for North Distt, Namchi for South Distt. At the State level, all health programmes are being implemented through the State Referral Hospital-cum- Medical College set up in collaboration with the Manipal Pai Foundation Group under Private management has also been functioning in the State for the last few years.

                 The Department has made rapid progress in expanding overall infrastructures as well as trained manpower in the State. The Department headed by a full fledged Secretary to the Government is manned by 255 doctors including Consultants and specialists in different Medical Science, 26 Dentists, 670 Nursing Personnels, 439 Paramedicals. Besides the above 29 Non-Medical Officers from various Cadres have been posted in the Department. Out of the 255 doctors and dentists, 132 doctors in the West District, 15 Doctors in the North District and 38 doctors in the South District. 28 doctors have been assigned in charge of administration of the department and Programme Officers of various national programmes.

                       The technological advances and improved quality and coverage of health care resulted in a rapid fall in Crude Death Rate(CDR) from 7.5 in 1991 to 4.9 in 2004. There is considerable improvement in the Infant Mortality Rate which decreased from 51/1000 Live Births in 1997 to 32/1000 Live Births in 2004. In the case of contraceptive Prevalence Rate, significant improvement is noticed in the NFHS-II report. The CPR SRS in 1993 was 21.70% improved to 53.8% in 1998-99. In contrast to steep fall in Death Rate, the decline in CBR has been less steep from 22.5 in 1991 to 19.5 in 2004. Statistics on population per Doctor, Nurses, Health Assistant, Health Workers and Lab Technicians as also the ratio of bed-doctor, bed - Nurse indicate that they are are well within the suggested National norms as on 31.03.2006. Despite such significant achievements, a lot more is still needed to be done to improve Contraceptive Prevalence Rate and deliveries assisted by Health Professional in which the State is lagging much behind the National Average Rate.

                        The financial outlay under the Health Sector have been increasing over the successive Five Year Plans. While the investment which was just Rs.60.00 crores in the Ninth Plan(1997-2002) has enhanced to Rs.80.00 crores in the 10th Plan(2002-2006). During the year under report, an investment of Rs.1971.15 lakhs under the State Plan and Rs.3133.86 lakhs under the Non Plan were made as against the expenditure of Rs.2198.80 lakhs under State Plan and Rs.2622.88 lakhs under Non-Plan in 2004-05. In addition to this investment Rs.594.97 lakhs was made under 100% centrally sponsored Scheme(CSS) as against Rs.508.63 lakhs in 2004-05. Further to this, a grant of Rs.621.84 lakhs was directly received from the Government of India to various Societies viz State AIDS Control Society, RCH & Family Welfare, State Tuberculosis Society and State Blood Transfusion Council.

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