Karnataka > Medical and Public Health Service in Karnataka
Consequent on the Reorganisation of States, the newly integrated areas of Karnataka state were lacking in medical and health service facilities especially, in rural and border areas of the state. To overcome this, the State Government rigorously started implementing various national and state health programmes to improve the prevailing health services in the state in a short span. The policy of expansion and successful implementation of comprehensive public health service schemes has enabled the state to occupy a unique place in the country. During (1993-94) the state had an extensive network of 293 (176 Government) hospitals, 1,297 Primary Health Centres, 622 Primary Health Units/dispensaries and 7,793 Sub-centres. At present (2002-03), there are 177 Hospitals, 1,677 Primary Health Centres, 582 Primary Health Units, 149 Family Welfare Centres, and 8,143 Sub centres with more than 50,000 bed strength functioning in the state.
Departmental Setup: The Medical department came into existence in the erstwhile Mysore State in 1884. A Senior Medical Officer renamed as Senior Surgeon was made as the head of the department. He was looking after the administration of all the Medical Institutions of the State and was also made the ex-officio Sanitary Commissioner. Later on, the Medical department was separated from the Sanitary Department in order to give more importance to public health. In 1929 the Sanitary Department was renamed as public Health Department. The arrangements from the integrated areas with erstwhile Mysore in 1956 were fitted into this setup. The two departments so formed existed till 1965. A single line of command for both curative and preventive medicines was instituted as per the recommendations of the Health Survey and Development Committee Report in 1945 and the Director of public Health and Directorate of Medical Services were merged to form one Directorate of Health and Family Welfare Services in 1965. Again in 1978, the department was bifurcated into two Directorates viz., Directorate of Health and Family Welfare Service and Directorate of Medical Education. The Directorate of Health and Family Welfare Services is providing comprehensive health care and services to the people of the state through its network.
At the divisional level there are four Joint Directors of Health and Family Welfare Services stationed at Bangalore, Belgaum, Gulbarga and Mysore. At the district level the District Surgeons, as well as the District Health and Family Welfare Officers are responsible for providing curative and promotive services including referral services apart from over all supervision of all the Health and Medical Institutions under them. In all the academic matters pertaining to medical education, Rajiv Gandhi University of Health Sciences, Bangalore is co-ordinating Medical Education Department besides, Medical Council of India, Dental Council of India and Nursing Council of India. Vital Statistics: The Director of Economics and Statistics is the Chief Registrar of Births and Deaths. The Joint Director, the Deputy Director and Assistant Directors are in charge of Vital Statistics, as the Joint Chief Registrars. The Registration of Births and Deaths Rules 1970 came into effect from 1971 in the State. The Chief Registrar is the Chief Executive Authority in the State for implementing the Act.
The total number of births and deaths, are 7,80,496 and 209,873, respectively in 1990-91. And in 1998 the total number of births and deaths is 11,07,096 and 4,11,700 respectively. The crude birth and death rates for the year 1990-91: 27.9 and 8.7 for 1991-92: 27.8and8.1; for 1992-93: 26.8 and 9,0; and for 1993-94: 26.8 and 9.0, respectively, and the infant mortality
rate for the same period was 80, 71, 77, 77 (for 1000 infants). For 1998-99 and 1999-2000 the crude birth and death rates are 22, 7.9 and 21.5, 7.5 respectively and the infant mortality rates are 58 and 50 respectively.
Related Information of Medical Services of Karnataka, India Indian System of Medicine
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Specialised Institutions
Family Welfare Services
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