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Bio Medical Waste Management


Bio Medical Waste Management
Major Activities:

  1. State level committee formed under the chairmainship of DPH(Odisha), with members from all health directorates, SPCB, NHM and Finance for effective management of bio medical wastes in the state.
  2. Monitoring format developed and circulated to all the CDMOs regarding, TOR of Outsourcing, Effective Utilization of Funds, Training and Sensitization of staffs, etc.
  3. Fresh guidelines on Bio Medical Waste Management prepared and circulated to all the CDMOs.
  4. Strengthening tie up with Urban Local Bodies.
  5. RKS funds are explored for General Sanitation and Cleanliness of Hospitals.
  6. More funds are being placed from NHM to RKS for all these activities.
  7. Govt. has also provided funds for Bio Medical Waste Management activities.

Material Procurement and Outsourcing:

  1. Guidelines have been issued along with fund released for logistic procurement.
  2. Districts have been instructed to float fresh tender for engagement of outsourcing agencies along with draft tender document.
  3. ADMO(Med)s have been appointed as Nodal Officer for the DHH and ADMO(PH)s have been entrusted with the bio-medical waste management activities of the periphery institutions in the districts.

Training/ Sensitization:

  1. Hospital Managers and ADMOs sensitized at state level.
  2. District level training programmes are carried out in regular intervals.
  3. Exclusive training material on biomedical waste management is under progress and likely to be published and circulated soon.

Waste Management Committee:

  1. Waste Management Committee/ Sanitation Committee has been formed in all the DHHs under the chairmanship of CDMOs and in periphery hospitals under the chairmanship of concerned MO(I/c)s with the following members.
  2. ADMO(Med) and ADMO(PH) are both responsible for DHH and Periphery hospitals respectively.
  3. Hospital Managers to provide full support in implementation.
  4. BPO/BADA/Sr.Clerk� to provide full support in planning, monitoring, reporting and procurement.
  5. Unit/ Department heads/ Sr. Nursing personnels/LT/RT/ Sanitary Inspector and One Group D worker shall be member of the committee.
  6. Two members from the RKS(Nominated).
  7. Representative from ULBs.
  8. Representative from RPCB.
  9. The committee will support in monitoring, reporting and on job training.

Effluent Treatment Plant:

  1. The State has released funds for establishment of Effluent Treatment Plants in three Govt. Medical College & Hospitals, SVPPGIP Cuttack and Capital Hospital Bhubaneswar.
  2. Out of these all, in VSSMCH Burla, SVPPGIP Cuttack and in Capital Hospital Bhubaneswar it is completed and functional. In SCBMCH Cuttack and MKCGMCH Berhampur, it is still in progress.

Equipments:

  1. State has floated tender for procuring Autoclave with inbuilt Shredders for all big hospitals including Medical College & Hospitals, Capital Hospital BBSR, RGH Rourkela , 11 DHHs and all 27 SDHs.
  2. The tender is under evaluation and within next few days the process will be over.
  3. Most of the districts in the state has procured coloured bins for segregation, wheel barrows and other consumable items� required for daily process of treatment and disposal of the biomedical wastes.

Mental Health Programme
Background:
The National Mental Health Programme is operational in Odisha, with the State Institute of Mental Health located at SCB Medical College being the Nodal Institution. The district mental health programme component is implemented in eight districts of Odisha. The nearest Medical Colleges to the district are their referral centre and provide technical support to the district.
Table:

Nodal Institution

Districts covered

SCB MCH, Cuttack

Khurda, Puri,k Dhenkanal, Mayurbhanj, Keonjhar, Balasore

MKCGMCH, Berhampur

Koraput, Kandhamal, Rayagada, Gajapati

VSSMCH, Burla

Bolangir, Kalahandi

Major Activities:
Centre of Excellence in Mental Health:- the state institute of mental health, SCB Medical College is being upgraded to Centre of Excellence with financial assistance from Govt. of India.
Strengthening, upgrading the Psychiatry wing of the medical colleges were also part of the Mental Health Programme.
Mental Health Institutions in the State:

  1. Mental Health Institute, SCB Medical College, Cuttack
  2. MKCG Medical College, Berhampur
  3. VSS Medical College, Burla
  4. Mental Health Institute, SCB Medical College, Cuttack:

The erstwhile Mental Hospital of 1961 was converted to Mental Health Institute in 1996. Now it is being converted to Centre of Excellence in the year 2010 with the following inputs:

  1. 60 bedded hospitals converted to 120 beds.
  2. Six special units like Paediatrics, Adolescent, Geriatric, Emergency, Forensic, de-Addiction units are added.
  3. With expansion of two units of Psychiatry, new teaching department in clinical psychology, psychiatric social work and psychiatric nursing.

Infrastructure Development:

  1. OPD Expansion and renovation done.
  2. Extended academic blocks created.
  3. 20 bedded new indoor block commissioned.
  4. 50 bedded old indoor block renovated.
  5. With an expenditure of 1.51 Crore.

Service:

  1. 6 day OPD from 9 to 5 PM.
  2. Round the clock and Sunday emergency service 24/7.
  3. Liasioning service on call to attend.
  4. Community clinics, disability camps and clinical support to mental health NGOs.
  5. Drug deaddiction and child guidance clinics.

In service training:

  1. 6 days training to GDMOs from District Mental Health Programme covered districts.

Teaching:

  1. UG/PG in Psychiatry.
  2. Diploma BSc, MSc Nursing, Psysiotherapy and Occupational Therapy, MPhil Students from General Colleges and Universities.
  3. MKCG Medical College & Hospital, Berhampur
  4. 20 bedded unit with UG teaching and other camp services.
  5. VSS Medical College & Hospital, Burla
  6. 20 bedded unit with UG teaching and other camp services.
  7. Received a grant of Rs.50 Lakhs during 10th plan for up gradation.

Ongoing activity:

  1. Four new districts have been included this year namely, Kalahandi, Rayagada, Gajapati and Balasore under the National Mental Health Programme.
  2. Four districts have Psychiatrists ( Dhenkanal, Bolangir, Mayurbhanj, Khurda), others managed by Medicine Specialists.
  3. Daily OPD service.
  4. 10(5 Male + 5 Female) bedded indoor service provision in all 8 districts. Drugs and equipments ECT, Boyles� apparatus, Ambu bag, Oxygen cylinder available.
  5. One month drug is provided to each Psychiatric patient from district level.
  6. Referral service and follow up service.

Activities planned and being Implemented:

  1. Doctors and the Clinical Psychologist/ Community Nurse, Staff Nurse, Psychiatric Social Worker of Khurda, Puri, Dhenkanal, Bolangir, Keonjhar have undergone 1 to 3 months training.
  2. Prototype of IEC messages have been prepared & provided to the districts for display & distribution among the community.

 

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