MEDICAL AND PUBLIC HEALTH SERVICES

HOSPITALS AND DISPENSARIES

Medical and public health facilities are the primary needs of individuals as members of the social organisation. The public health of the district is looked after by three agencies, viz.. the State Government, local bodies like Zilla Parishad and Village Panchayats and Municipalities. The activities of these agencies may be divided into (1) medical (curative) and (2) public health (preventive).

The growth of health services in this district has been rapid during the past few years. Besides the Ahmadnagar civil hospital established in 1882. the district had three grant-in-aid dispensaries situated at Sangamner. Nevasa and Shevgaon in which 27,765 out-patients and 393 in-patients were treated at a cost of Rs. 12,140 The Ahmadnagar civil hospital has a building of its own. In 1882, 46 major surgical operations were performed, including six amputations and three lithotomies. 14,757 out-door and 303 in-door patients were treated at a cost of Rs. 8,730.

Table No. 10 shows the number of hospitals and dispensaries and patients treated in the district since 1893 till 1922.

The civil hospital is now called the General Hospital and is managed by Government. The Civil Surgeon is the head of the hospital working directly under the Director of Health Services, Government of Maharashtra, with head-quarters at Bombay. The Cottage Hospital, Sangamner, is attached to the Civil Hospital. A new building with all facilities has been constructed recently where the hospital will be shortly shifted. It has out-patient and in-patient wards and a maternity ward as well. There is an advisory committee which looks after the management of the hospital. There is a T. B. sanatorium at Arangaon in Ahmadnagar taluka, which is well-equipped with X-ray, blood transfusion and other laboratory apparatus. It has accommodation for 110 patients.

Besides the civil hospital, there are two ayurvedic hospitals conducted by private organisations as also two other hospitals conducted by American Missions which together provide medical and hospital facilities in Ahmadnagar.

TABLE No. 9—VACCINATION IN AHMADNAGAR DISTRICT SINCE 1893-94 TO 1966

Particulars

 

1893-94

1894-95

1895-96

1896-97

Successful vaccinations

Urban

2,000

2,238

2,029

1,896

Rural

28,707

27,198

27,872

28,488

District

30,707

29,436

29,901

30,384

Successful re-vaccinations

Urban*

407

337

425

333

Rural

134

126

107

325

District

541

463

532

658

Number of successful vaccinations per 1,000 of the population of the respective areas.

Urban*

48.19

50.07

47.72

43.35

Rural

34.44

32.63

33.41

34.42

District

35.16

33.64

34.24

34.97

TABLE No. 9contd.

1897-98

1898-99

1899-1900

1900-01

1901-02

1902-03

1,852

1,967

2,176

1,739

1,810

1,750

26,813

25,791

28,662

25,069

19,186

21,861

28,665

27,758

30,838

26,808

20,996

23,611

375

712

1,045

745

433

207

181

215

344

1,613

657

275

556

927

1,389

2,358

1,090

482

43.31

52.09

62.63

48.31

42.28

36.89

32.23

31.42

34.64

31.87

25.29

28.21

32.88

32.03

36.26

32.82

26.37

28.77

TABLE No. 9contd.

Particulars

 

1903-04

1904-05

1905-06

1906-07

Successful vaccinations

Urban

2,728

1,753

1,729

1,743

Rural

20,102

21,933

20,834

21,769

District

22,830

23,686

22,563

23,512

Successful re-vaccinations

Urban*

343

275

405

128

Rural

181

194

126

139

District

524

469

531

267

Number of successful vaccinations per 1,000 of the population of the respective areas.

Urban*

57.40

38.23

40.23

35.27

Rural

25.85

28.20

26.71

27.92

District

27.88

28.84

27.57

28.39

TABLE No. 9contd.

1907-08

1908-09

1909-10

1910-11

1911-12

1912-13

1,825

1,631

1,930

1,504

1,754

1,926

22,014

22,506

23,818

22,825

23,492

24,201

23,839

24,137

25,748

24,329

25,245

26,127

616

533

278

78

1,050

1,299

123

160

134

88

80

249

739

693

412

166

185

1,548

46.02

40.80

41.63

29.82

32.49

56.37

28.21

28.89

30.53

29.20

26.88

27.53

29.34

29.64

31.23

29.24

26.96

29.28

TABLE No. 9contd.

Particulars

 

1913-14

1914-15

1915-16

1916-17

Successful vaccinations

Urban

1,642

1,651

1,729

1,186

Rural

24,207

24,400

25,148

22,435

District

25,849

26,051

26,877

23,621

Successful re-vaccinations

Urban*

321

28

6

15

Rural

540

210

54

64

District

861

244

60

79

Number of successful vaccinations per 1,000 of the population of the respective areas.

Urban*

34.31

29.35

30.33

20.99

Rural

27.87

27.72

28.38

25.33

District

28.26

27.82

28.50

25.07

TABLE No. 9contd.

1917-18

1918-19

1919-20

1920-21

1921-22

1922-23

1,329

1,207

951

N. A.

974

1,579

24,699

20,589

22,269

--

20,014

19,005

26,028

21,796

23,220

--

20,988

20,584

234

301

122

--

60

307

137

62

87

--

70

93

371

363

209

--

130

400

27.32

26.36

18.76

--

18.07

32.47

27.97

23.25

25.17

--

22.61

27.96

27.93

23.44

24.78

--

22.34

28.31

*Ahmadnagar town, Sangamner town and Ahmadnagar Cantonment between 1901-02 and 1921-22.

N. A. = Not available.

TABLE No. 9contd.

Particulars

1929

1930

1934

1935

1937

Successful vaccinations

28,600

27,223

35,923

37,366

35,964

Successful re-vaccinations

9,535

15,835

15,001

11,348

4,010

Number of successful vaccinations per 1,000 of the population of the respective areas.

N.A.

N.A.

N.A.

N.A.

N.A.

TABLE No. 9contd.

1938

1939

1940

1945

1950

1951

1952

39,219

37,396

36,615

39,131

38,855

38,742

43,504

17,174

22,494

44,086

56,124

1,46,119

61,850

3,39,633

N. A.

N. A.

N. A.

N. A.

N. A.

N. A.

N. A.

TABLE No. 9contd.

Particulars

1953

1954

1955

|956

1957

Successful vaccinations

40,512

49,769

53,371

41,899

49,570

Successful re-vaccinations

53,857

1,69,836

2,19,490

2,36,192

1,89,380

Number of successful vaccinations per 1,000 of the population of the respective areas.

N.A.

N.A.

N.A.

N.A.

N.A.

N.A.= Not available.

1958

1961

1963

1964

1965

1966

52,833

72,174

72,174

83,604

62,990

75,384

3,49,055

2,56,812

4,73,879

9,15,548

4,35,771

3,04,224

N. A.

N. A.

N. A.

N. A.

N. A.

N. A.

N.A.= Not available.

TABLE No. 10- HOSPITALS AND DISPENSARIES IN AHMADNAGAR DISTRICT

Name

When opened

 

Number of patients treated during the Year

1893

1894

1895

Ripon Hospital, Ahmadnagar.

1889

In-door

533

362

324

Out-door

12,226

11,463

10,154

Dispensaries

 

Sangamner

1889

In-door

39

32

33

Out-door

7,648

8,389

8,01 6

Newasa

1878

In-door

17

19

24

Out-door

3,729

4,779

3,751

Shevgaon

1878

In-door

12

8

9

Out-door

2,479

2,456

2,207

Parner

1887

In-door

49

31

25

Out-door

4,496

5,294

4,913

Akola

1888

In-door

37

31

29

Out-door

2,533

2,438

3,062

Mirajgaon

1890

In-door

22

19

4

Out-door

4,404

4,467

4,411

Jamkhed

1902

In-door

--

--

--

Out-door

--

--

--

American Mission, Rahuri.

1880

In-door

--

--

--

Out-door

--

--

--

Prabhakar Dispensary, Kopargaon.

1904

In-door

--

--

--

Out-door

--

--

--

TABLE No. 10 contd.

Number of patients treated during the Year

1896

1897

1898

1899

1900

1901

1902

313

383

482

830

522

510

464

10,358

7,733

5,064

5,862

8,097

9,143

9,938

32

24

17

38

27

30

24

6,166

7,001

5,063

5,830

9,001

8,682

7,695

17

23

27

6

25

51

26

2,497

1,688

2,159

2,258

2,167

2,168

3,182

11

19

18

20

40

87

30

2,446

4,810

3,818

3,380

2,526

4,266

4,058

19

31

22

23

63

64

23

4,595

3,866

3,291

3,503

3,684

3,894

3,471

29

46

39

28

2

12

40

3,172

5,027

2,785

2,883

955

4,006

3,912

11

15

16

31

24

30

24

4,030

3,365

3,907

4,207

3,687

4,826

5,039

--

--

--

--

--

--

2

--

--

--

--

--

--

805

--

--

--

--

--

--

--

--

--

--

--

3,112

3,560

3,522

--

--

--

--

--

--

--

--

--

--

--

1,607

2,075

2,360

TABLE No. 10—contd.

Name

When opened

 

Number of patients treated during the year

1903

1904

1905

1906

Ripon Hospital, Ahmadnagar.

1889

In-door

477

454

406

454

Out-door

9,296

10,038

10,595

10,696

Dispensaries

 

Sangamner

1889

In-door

30

30

50

2 1

Out-door

7,588

7,121

7,924

6,399

Newasa

1878

In-door

24

21

13

11

Out-door

3,282

3,654

5,342

5,455

Shevgaon

1878

In-door

21

14

28

27

Out-door

3,788

3,519

4,931

4,465

Parner

1887

In-door

18

16

21

28

Out-door

3,569

4,397

3,437

3,340

Akola

1888

In-door

40

15

14

19

Out-door

3,495

2,251

3,885

3,617

Mirajgaon

1890

In-door

128

60

8

235

Out-door

21,856

24,440

23,535

17,031

Jamkhed

1902

In-door

9

15

21

15

Out-door

2,589

3,272

3,042

2,892

American Mission, Rahuri.

1880

In-door

--

--

--

--

Out-door

5,472

7,035

7,300

3,650

Prabhakar Dispensary, Kopargaon.

1904

In-door

N.A.

N.A.

N.A.

N.A.

Out-door

1,613

4,449

3,955

3,055

TABLE No. 10—contd.

Number of patients treated during the year

1907

1908

1909

1910

1911

1912

506

553

459

504

504

387

9,281

10,213

10,027

9,000

7,295

7,192

25

38

38

40

29

34

5,877

9,095

8,725

9,267

8,606

7,064

10

12

15

14

20

20

4,470

3,884

3,779

4,269

4,150

3,260

23

32

15

19

12

28

4,274

4,370

3,884

3,268

2,709

4,468

22

18

16

15

25

23

3,682

3,576

3,554

1,883

3,866

4,281

7

24

19

7

38

38

3,136

2,865

2,811

3,708

4,405

4,917

132

35

415

41

19

5

24,775

18,374

18,983

7,131

3,841

3,694

13

12

14

10

11

23

2,884

3,247

3,116

2,383

3,617

3,921

N.A.

N.A

N.A.

N.A.

N.A.

N.A.

6,250

4,745

5,110

5,130

--

--

N.A.

N.A.

N.A.

11

14

24

3,351

3,178

4,708

3,409

3,065

3,659

TABLE No. 10contd.

Name

When opened

 

Number of patients treated during the year

1913

1914

1915

Ripon Hospital, Ahmadnagar.

1889

In-door

403

398

453

Out-door

7,671

9,069

12,825

Dispensaries

 

Sangamner

1889

In-door

33

73

63

Out-door

7,976

8,041

6,752

Newasa

1878

In-door

24

18

22

Out-door

3,601

5,608

4,738

Shevgaon

1878

In-door

36

42

33

Out-door

4,539

4,282

4,500

Parner

1887

In-door

25

19

43

Out-door

4,357

4,966

6,309

Akola

1888

In-door

27

21

23

Out-door

4,806

4,392

4,735

Mirajgaon

1890

In-door

11

11

5

Out-door

2,66.3

2,799

2,737

Jamkhed

1902

In-door

7

11

12

Out-door

3,811

3,614

3,798

American Mission, Rahuri

1880

In-door

N.A.

N.A.

N.A.

Out-door

--

--

--

Prabhakar Dispensary, Kopargaon.

1904

In-door

29

34

34

Out-door

7,639

8,289

7,491

TABLE No. 10contd.

Number of patients treated during the year

1916

1917

1918

1919

1920

1921

1922

490

454

576

501

537

773

509

12,069

15,817

13,571

11,647

11,366

1,18,855

13,316

44

60

38

36

64

37

33

5,001

5,995

4,455

5,840

4,902

5,346

5,690

9

25

38

41

36

39

4

3,320

3,393

3,148

2,973

3,164

4,395

4,740

38

55

49

17

36

62

31

4,656

5,120

4,883

3,432

5,821

4,803

3,853

31

28

28

33

20

45

49

6,841

7,625

7,170

4,964

4,777

5,492

4,077

19

13

33

42

42

35

18

4,991

5,820

6,131

5,760

4,607

4,178

4,256

12

15

8

20

8

8

10

3,259

3,810

2,972

3,183

2,931

3,440

3,843

9

3

2

6

7

22

13

1,375

3,706

3,309

2,640

2,167

2,781

3,075

N.A.

N.A.

NA.

N.A.

N.A.

N.A.

N.A.

--

--

--

--

--

--

5,680

17

20

28

15

23

24

11

4,748

3,454

3,248

3,420

4,614

6,456

6,008

TABLE No. 10contd.

Name

When opened

 

Number of patients treated during year.

1893

1894

1895

Toka

1908

In-door

Not available.

Out-door

American Mission, Ahmadnagar.

1904

In-door

Out-door

Karjat Travelling

1907

Out-door

Akola Travelling

1907

Out-door

Shrigonda

1904

In-door

Out-door

Rahuri (L.B.)

1919

In-door

Out-door

TABLE No. 10contd.

Number of patients treated during year .

1896

1897

1898

1899

1900

1901

1902

1903

Not available

TABLE No. 10contd.

Name

When opened

 

Number of patients treated during the year

1904

1905

1906

Toka

1908

In-door

--

--

--

Out-door

--

--

--

American Mission, Ahmadnagar.

1904

In-door

--

--

--

Out-door

--

--

--

Karjat Travelling

1907

Out-door

--

--

--

Akola Travelling

1907

Out-door

--

--

--

Shrigonda

1904

In-door

--

--

--

Out-door

358

3,440

3,977

Rahuri (L. B.)

1919

In-door

--

--

--

Out-door

--

--

--

TABLE No. 10contd.

Number of patients treated during the year.

1907

1908

1909

1910

1911

1912

--

--

--

--

--

--

--

2,805

3,345

3,469

3,269

4,032

--

--

--

--

--

--

--

--

--

--

--

11,129

2,713

2,113

2,000

652

--

747

795

1,649

1,884

--

--

--

--

--

--

--

21

15

6,347

5,906

4,186

3,517

2,041

2,335

--

--

--

--

--

--

--

--

--

--

--

--

TABLE No. 10contd.

Name

When opened

 

Number of patients treated during the year

1913

1914

1915

Toka

1908

Indoor

--

17

3

Out-door

2,569

2,574

3,427

American Mission, Ahmadnagar.

1904

In-door

--

--

--

Out-door

8,871

12,404

12,792

Kaijat Travelling

1907

Out-door

821

963

1,036

Akola Travelling

1907

Out-door

--

--

--

Shrigonda

1904

In-door

8

28

12

Out-door

3,061

2,959

2,941

Rahuri (L. B.)

1919

In door

--

--

--

Out-door

--

--

--

TABLE No. 10contd.

Number of patients treated during the year

1916

1917

1918

1919

1920

1921

1922

5

4

4

5

2

5

1

2,633

2,224

2,156

2,271

2,845

2,946

3,689

--

--

--

--

--

--

--

11,250

11,886

16,287

8,843

6,479

9,341

9,213

1,020

866

755

747

660

721

1,050

--

--

--

--

1,177

824

1,164

--

28

37

27

18

26

28

3,261

3,456

2,776

2,108

2,934

2,700

2,720

--

--

--

--

3

9

9

--

--

--

--

3,580

4,109

4,282

Subsidiary to civil hospital are the Government-aided dispensaries which are scattered throughout the district. These are owned and managed either by municipalities or the Zilla Parishad.

The growth of the medical facilities in the district can be seen from the statement below which gives the number of Government and Government-aided hospitals and dispensaries:—

Year

Number of Government and Government-aided hospitals and dispensaries

Year

Number of Government and Government-aided hospitals and dispensaries

1951

16

1954

34

1952

25

1955

36

1953

34

1957

38

The number of Government and aided hospitals increased from 16 in 1951 to 38 in 1957, i.e., an increase of about 238 per cent. There was a provision of 165 beds in these 38 hospitals during 1957 and the number of patients treated was about 7 thousand in-door patients, and 2.15 lakhs out-door patients.

Table No. 11 gives the statistics regarding availability of medial facilities during the years 1961 and 1965.

At the end of 1965 there were three hospitals, thirteen dispensaries and seventeen primary health centres in the district. The number of doctors was 72 and vaidyas 2.

The existence of sufficient number of beds and the requisite appliances is a good indicator of availability of medical facilities in the district.

Table No. 12 shows the number of beds and patients treated in the district since 1945.

The total number of beds in all the Government medical institutions stood at 274 in 1961. It rose to 415 in 1965 and to 650 in 1970. The number of in-door patients treated had increased from 16,607 in 1961 to 20,143 in 1965 and 55,062 in 1970. The number of out-door patients treated, on the other hand, was 2,28,502, 2,77,088 and 4,27,407. respectively during the same years.

Primary Health Centres : The general aim of the health programme is to expand existing health services, to bring them increasingly within the reach of all the people and to promote a progressive improvement in the level of national health. For rendering integrated health services in Development Blocks, one primary health centre with three sub-centres is provided for each Development Block with a population of about 60,000 to 66,000.

The medical officer in charge of the primary health centre has the over-all responsibility for the centre and is responsible for providing both curative and preventive services to the people in the community development blocks. He is under the technical and administrative control of the District Health Officer. The health visitor or nurse works under the medical officer in charge of the primary health centre, and supervises the work of mid-wives, conducts ante-natal and post-natal clinics, and also takes active part in health propaganda. The Sanitary Inspector visits villages included in the block, attends to environmental sanitation and carries out vaccinations, disinfection of water-supplies inspection of sites etc.

The list of primary health centres with sub-centres in the Ahmadnagar district is given below:—

Primary Health Centre

Sub-centres

(1) Jeur

(1) Kaudgaon, (2) Walaki. (3) Chinchondi

(2) Talegaon

(1) Nimgaon Bhojpur. (2) Ashwi, (3) Nimgaon Bk.

(3) Sakur

(1) Shiblapur, (2) Warudipathar, (3) Ashwi, Kh.

(4) Kolgaon

(1) Deodaithan, (2) Ghogargaon, (3) Man-davgaon.

(5) Kashti

(1) Loni, (2) Adhalgaon. (3) Pedgaon.

(6) Tisgaon

(1) Miri. (2) Chinchpur. (3) Kharavandi, (4) Manikdandi.

(7) Rahata

(1) Yesgaon. (2) Puntamba. (3) Dahigaon Bolka.

(8) Chasnali

(1) Ranjangaon. (2) Pohegaon. (3) Brahmangaon.

(9) Taklidhokeshwar

(1) Alkuti, (2) Nighoj, (3) Kanhur.

(10) Loni

(1) Hanmangaon. (2) Pimpri. (3) Gallimb.

(11) Padhegaon

(1) Naur, (2) Bhokar, (3) Karegaon.

(12) Rashin

(1) Kombhli. (2) Kuldharan, (3) Mahijalgaon.

(13) Deolali

(1) Taharabad. (2) Songaon. (3) Manjri, (4) Brahmni.

(14) Dahigaon

(1) Dhorjalgaon, (2) Ghotan, (3) Bhodhegaon, (4) Akhegaon.

(15) Kukane

(1) Chanda, (2) Karajgaon. (3) Salabatpur. (4) Belpimpalgaon.

(16) Kharda

(1) Nannaj. (2) Ghodegaon, (3) Pimperkhed.

(17) Rajur

(1) Khirwire, (2) Kotul, (3) Brahmanwada, (4) Shendi.

In addition there are three Primary Health Units at Wari, Wambori and Pimpalgaon Pisa and two Medical Aid Centres at Bota and Belwandi and eleven dispensaries in the district.

TABLE No. 11— MEDICAL FACILITIES AVAILABLE THROUGH PUBLIC AND PUBLIC-AIDED BODIES IN EACH TALUKA OF AHMADNAGAR DISTRICT

Serial No.

District/Taluka

Year

Number of hospitals

Number
 of dispensaries

Number
of maternity homes

Number of health centres

 

District Total

1961

2

14

--

--

1965

3

13

--

4

1970

4

14

--

5

1

Kopargaon

1961

--

1

--

--

1965

--

1

--

1

2

Akola

1961

--

1

--

--

1965

--

1

--

1

3

Sangamner

1961

--

1

--

--

1965

1

--

--

--

4

Shrirampur

1961

--

1

--

--

1965

--

1

--

--

5

Rahuri

1961

--

1

--

--

1965

--

1

--

1

6

Newasa

1961

--

2

--

--

1965

--

2

--

--

7

Shevgaon

1961

--

1

--

--

1965

--

1

--

--

8

Parner

1961

--

1

--

--

1965

--

1

--

--

9

Ahmadnagar

1961

--

--

--

--

1965

2

--

--

--

10

Pathardi

1961

--

1

--

--

1965

--

1

--

--

11

Shrigonda

1961

--

1

--

--

1965

--

1

--

--

12

Karjat

1961

--

2

--

--

1965

--

2

--

--

13

Jamkhed

1961

--

1

--

--

1965

--

1

--

--

TABLE No. 11 contd.

Serial No.

District/Taluka

Year

Number of primary health centres

Number of doctors

Number of vaidyas

Number of nurses

 

District Total

1961

13

27

--

75

1965

17

72

2

155

1970

20

103

16

223

1

Kopargaon

1961

2

3

--

9

1965

2

4

--

10

2

Akola

1961

1

2

--

7

1965

1

3

--

6

3

Sangamner

1961

i2

3

--

5

1965

2

3

1

11

4

Shrirampur

1961

--

1

--

1

1965

2

3

--

9

5

Rahuri

1961

2

3

--

5

1965

1

3

--

7

6

Newasa

1961

--

2

--

2

1965

1

3

--

6

7

Shevgaon

1961

--

1

--

1

1965

1

2

--

6

8

Parner

1961

1

2

--

12

1965

1

2

--

5

9

Ahmadnagar

1961

2

2

--

12

1965

1

38

--

68

10

Patharch

1961

--

1

--

1

1965

1

2

--

6

11

Shrigonda

1961

1

2

--

6

1965

2

4

--

10

12

Karjat

1961

1

3

--

6

1965

1

3

--

6

13

Jamkhed

1961

1

2

--

8

1965

1

2

1

5

TABLE No. 12—NUMBER OF BEDS AND PATIENTS TREATED IN AHMADNAGAR DISTRICT SINCE 1945

Year

In-door patients

Out-door patients

Men

Women

Children

Total

Men

Women

Children

Total

1945

1,752

1,013

669

3,434

50,125

25,749

47,117

1,22,991

1948

1,717

1,183

865

3,765

61,343

33,052

52,404

1,46,799

1951

2,774

1,705

1,549

6,028

51,816

32,155

53,944

1,37,915

1954

1,494

2,823

1,615

5,932

56,215

37,863

63,281

1,57,309

1957

2,183

3,263

1,467

6,913

76,868

49,047

87,640

2,13,555

TABLE No. 12contd.

Year

Total in-door and out-door patients

Men

Women

Children

Total

1945

51,877

26,762

47,786

1,26,425

1948

63,060

34,235

53,269

1,50,564

1951

54,590

33,860

55,493

1,43,943

1954

57,709

40,696

64,896

1,63,291

1957

79,051

52,310

89,107

2,20,468

TABLE No. 12 —contd.

Year

Daily average number

Average daily attendance

Number of beds available

Men

Women

Children

Total

Men

Women

Children

Total

Men

Women

1945

66. 3

29.82

18.74

114.86

536

340

583

1,459

72

50

1948

56.59

34.90

19.40

110.89

678.65

433.55

779.00

1.891.2

73

52

1951

64.5

50.2

34.0

148.7

659.0

495.8

855. 1

2,009.9

73

59

1954

59.59

69.69

51.30

180.58

645.51

469.93

782.06

1,897.50

81

92

1957

74.92

78.71

52.59

206.22

717.95

512.06

862.26

2,092.27

86

79

The seventeen Primary Health Centres in the district covered a population of about 10,62,425 in 871 villages. In 1961, 17,71,066 patients were treated at these centres. These centres look after the Family Planning Scheme also. Besides, a Leprosy Control Unit has been established at each of these Primary Health Centres.

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