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WELFARE DEPARTMENTS
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MEDICAL DEPARTMENT
Organisation.
THE MEDICAL ORGANISATION in the district is essentially a hospital
organisation designed to render medical relief to the general population.
The Civil Hospital, Jalgaon, is the main Government Hospital. It is owned, staffed, financed and controlled by Government. There are also a number of Government-aided hospitals and dispensaries, which are scattered throughout the district and are doing good work in their respective areas. The aided hospitals
and dispensaries are mostly owned and managed by the municipalities and Jalgaon District Local Board, Jalgaon. Under the respective Acts, the responsibility for the provision of medical relief is laid on the local bodies of the various areas. Government have prescribed that municipalities and local boards must devote at least four per cent and ten per cent respectively of their annual incomes towards medical relief. Reports are submitted each year to Government showing how far this obligation is carried out.
The medical officers in charge of the municipal and district local board dispensaries are Government servants who draw their pay and pensions directly from Government. The local bodies pay contribution to Government at the rate of Rs. 431 per month for a Maharashtra Medical Service Class II Officer, and Rs. 196 per month for Maharashtra Medical Service Class III Officer and Rs. 152-5-0 per month for Maharashtra Medical Service Class III (Ayurvedic) Officer and Government pays them an equivalent grant-in-aid. These hospitals and dispensaries are governed according to the Rules for the Regulation of Government-aided Charitable Dispensaries, 1928, whereby, among other things, the medical officers are required to perform the post-mortem and medicolegal work. The institutions are under the management of the local bodies, concerned and the affairs of the institutions are supervised by a dispensary committee appointed by the District Local Board or the municipality as the case may be. In the case of hospitals and despensaries maintained by private bodies, grants equal to 1/4 of their approved expenditure or equal to the actual deficit whichever is less are sanctioned from time to time as funds 'permit.
Civil Surgeon.
The Civil Surgeon, Jalgaon, who is a Maharashtra Medical Service
Class I Officer, is in charge of the civil hospital and is the administrative bead of the medical organisation in the district. He is directly subordinate to the Surgeon-General under the Government of Maharashtra. He is in charge of the medical arrangements of the civil hospital and exercises complete control over the medical officers in the district. He is also the head of the Government medical officers in the district and is responsible for their efficiency and discipline and proper performance by them of their duties. He is in addition, the inspecting officer of all Government-aided hospitals and dispensaries and subsidised medical practitioner centres in the district, is required to supervise the administration of the grant-in-aid dispensaries and hospitals in the district and has to take active part in the sanitary and public health matters affecting the district in collaboration with the Health Officers of the district. He has under him, inclusive of the institutions in the district, a medical staff of 24 graduates, 19 licentiates and 58 Vaidyas.
Civil Hospital, Jalgon.
The Civil Hospital, Jalgaon, is a general hospital, which provides
for treatment of almost all the diseases. It is a 87-bed hospital
with an out-patient department, T. B. Clinic, Leprosy Clinic, V. D.
Clinic, Midwifery, Ophthalmic Department, Dental Department,
Laboratory and X-Ray Department. Major and minor operations are performed at this hospital, with the help of the Honorary Surgeon and other medical officers at the hospital. It is fairly well-equipped. The public of Jalgaon and the surrounding towns and villages takes advantage of tbe facilities provided in the hospital. During 1958, the total number of indoor patients treated in this hospital was 3,301 and of outdoor patients 20,525 and the daily average was 9.04 and 56.23 respectively. The expenditure on the Civil Hospital, Jalgaon. in 1958 was Rs. 2,32,616.
There is an advisory committee attached to this hospital, composed of the Civil Surgeon as the Chairman and six other members. The functions of this committee arc to help the management of the hospital by keeping the authorities informed as to the needs of the hospital as viewed by the public and advising the medical officer in charge of all measures of reforms to be carried out in connection with the welfare of the patients. The Departmental rules provide for the election to the committee of representatives from the District Local Board and Jalgaon Municipality and also for nomination of two ladies.
The present paid staff of the hospital consists of the Civil Surgeon (M. M. S. Class I), three M. M. S. Class III Officers and an Honorary Medical Officer. The Civil Surgeon assigns duties to these officers but has no power to punish them and must report to the Surgeon-General cases requiring disciplinary action.
In addition to the Civil Hospital, Jalgaon, there are dispensaries located at Bhusawal. Yawal, Chopda, Amalner, Erandol, Bhadgaon, Pachora, Jamner, Edlabad, Chalisgaon, Parola and Raver.
Training School for Nurses.
At the Civil Hospital, Jalgaon, there is a training school for
general nursing and midwifery.
Cottage Hospital.
A cottage hospital was recently started at Chopda in the district.
A M.M.S. Class II Officer is in charge of the hospital. The
hospital provides about 20 to 25 indoor beds with facility for outpatients.
Mobile Dispensary.
A Government Mobile Dispensary was started since 18th April
1959. It has been provided with a mobile van fully equipped with medicines and an adequate staff. The mobile dispensary has visited most of the villages in deep forest areas of the Satpuda Hills, of the four talukas of Raver, Yawal, Chopda and Edlabad and rendered medical aid to scheduled tribe areas.
Rural Medical Relief.
There are 23 Subsidised Medical Practitioner centres in the
district located at Shrisal, Ainpur, Vidhoda, Ghodgaon, Chandsar.
Kasoda, Vaghali, Kanalda, Antugi. Lasur, Betawad, Kurhad, Gorad, Lonaji. Kingaon. Tamaswadi, Shelave. Lohare, Bhokar, Nimkhed, Virwade, Salve and Amalgaon.
This scheme was introduced in 1936 to induce qualified medical practitioners to settle in rural areas. Under this scheme the practitioners receive a monthly subsidy and travelling allowance
and limited supply of medicines. An Allopathic Subsidised Medical Practitioner gets Rs. 80 per month. Travelling allowance is paid at the rate of Rs. 37-8-0 per month to all the Subsidised Medical Practitioners. Allopathic Subsidised Medical Practitioners are supplied with medicines worth Rs. 500 per year and Ayurvedic Subsidised Medical Practitioners are supplied with medicines worth Rs. 300 per year. Four-fifths of the expenditure is borne by Government and one-fifth by the District Local Board.
Village aid Centres.
There are 48 village aid centres in the district. Under this
scheme. Government gives an honorarium of Rs. 10 per month to
a school teacher of a primary school who is trained in first-aid. A grant of Rs. 100 is given for the supply of medicines. The village aid worker is required to give first-aid and treat common ailments like malaria, scabies, worms, cough, etc., at the centre only. He is not required to tour the villages as a Subsidised Medical Practitioner.
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