Tuesday, July 5, 2016

క్లస్టర్ వ్యవస్థ ఏర్పాటుకు గతములో ఇచ్చిన అన్ని జి .ఓ లను రద్దు చేసి ఎక్కడ నుంచి వచ్చిన పోస్టులు అక్కడికే బదలాయిస్తూ జి .ఓ 78 విడుదల చేసిన ఆరోగ్యశాఖ ప్రిన్సిపల్ సెక్రటరీ.

క్లస్టర్ వ్యవస్థ ఏర్పర్చి ప్రభుత్వ ము  నిర్దేశించిన   లక్షాలను  సాధించడం లో  CHNC లు 

విపలము అందుకే రద్దు చేసినట్లు  ప్రభుత్వ జి .ఓ  

GOVERNMENT OF ANDHRA PRADESH
A B S T R A C T
HM & FW Dept., - Modification of the administrative structure – Withdrawal of the G.O.Ms.No.209, HM & FW (F1) Dept., Dt.18-08-2010 and
G.O.Ms.No.06, HM & FW (F1) Dept., dt.06-01-2011 and all the related G.O.s thereon – Utilization of existing specialists/doctors/other staff services in CHNCs in Clinical Services – Orders - Issued.
HEALTH MEDICAL AND FAMILY WELFARE (D2) DEPARTMENT
G.O.MS.No. 78
Dated: 05-07-2016

Read the following
1.G.O.Ms.No.92, HM&FW(F1) Department, dt:23-04-2010.
2.G.O.Ms.No.209, HM&FW(F1) Department, dt:18.08.2010.
3.G.O.Ms.No.06, HM&FW(F1) Department, dt:06.01.2011.
4.G.O.Ms.No.07, HM&FW(F1) Department, dt:06.01.2011.
5.G.O.Ms.No.15, HM&FW(F1) Department, dt:17.01.2011.
6.G.O.Ms.No.41, HM&FW(F1) Department, dt:03-03.2011.
7.G.O.Rt.No.941, HM&FW(D) Department, dt:16-12-2014.
8.G.O.Rt.No.598, HM&FW(D) Department, dt:24-09-2015
9.From the Commissioner of Health & Family Welfare, A.P. Hyderabad. Lr. Rc. No.152/E1C/2015, dt:07.06.2016.
****
O R D E R:
In the G.O.2nd read above, 360 Community Health and Nutrition Centres (CHNCs) were established in the combined State of Andhra Pradesh to strengthen preventive, promotive, curative and referral health services through rational deployment of human, material and infrastructure resources available within CHNC area. The CHNC is headed by a Dy.Civil Surgeon and they were designated as Senior Public Health Officer (SPHO) they were coordinate the above said functions and they strengthen the services that are being rendered to the public. The SPHO is supported by one Community Health Officer (CHO), Deputy Para Medical Officer-Leprosy(DPMO), Public Health Nurse (PHN), Health Educator (HE), MPHEO/Sub Unit Officer (Malaria) Ophthalmic Officer, LD Computer, and one Senior Assistant.
2.Accordingly, 82 Dy.Civil surgeons were lifted and deployed along with posts from A.P. Vaidya Vidhana Parishad, hospitals and 142 Dy.Civil Surgeons from the Directorate of health Institutions as SPHOs in Public Health system and other staff are deployed from the neighboring PHCs and positioned to the concerned CHNCs as per the Government Order vide G.O.Ms.No.06, HM & FW (F1) Dept., dt.06-01-2011 for immediate operationalization of the CHNCs in the Residual Andhra Pradesh.
3.The Commissioner of Health and Family Welfare in the letter 9th read above, has informed that in order to conduct an in-depth study of the system and functioning of the CHNCs and to review the system of CHNCs, a committee was constituted with the Commissioner, Health and Family Welfare as Chairperson, and the Director of Public Health and Family Welfare / the Commissioner of A.P Vaidya Vidhana Parishad as Members.
4.The Committee went through the existing CHNC system and opined as follows:-
i)The performance of SPHOs/Deputy District Medical & Health Officers is not to the expected objectives.
(P.T.O)
::2::
ii)The Specialty services to the Community are deprived as the Deputy Civil Surgeon posts were lifted from the Secondary care Hospitals of APVVP and relocated to SPHO system, thereby they are neither offering specialist services in the system nor performing the administrative duties to the expected objectives. Similarly the relocating of other staff from PHCs to CHNCs also has weakened the services in CHCs/PHCs.
iii)Therefore the objective to establish an effective planning, coordination, facilitation, mentoring and monitoring system is not fulfilled. As there is dearth of specialists already in the health care system and hence for optimal utilization of the services of the specialists, the entire system of CHNCs to be revisited for the modification of the administrative structure for effective, supportive supervision in the Public Health system.
5.Government after careful examination of the matter and in public interest to improve delivery of health services hereby cancels the orders issued in the G.Os 1 to 8 read above and all other related G.Os issued thereon with regard to CHNCs and also orders to relocate back the posts along with staff from the CHNCs to the original places from where the posts were located earlier, and also to utilize the services of existing specialist services / doctors and other staff working in CHNCs in Clinical Services.
6.The Commissioner, of Health and Family Welfare, A.P. Hyderabad/ the Director of Public Health and Family Welfare, A.P. Hyderabad / the Commissioner A.P. Vaidya Vidhana Parishad, A.P, Hyderabad/the Director of Medical Education, AP, Hyderabad shall take necessary action accordingly.
(BY ORDER AND IN THE NAME OF THE GOVERNOT OF ANDHRA PRADESH)
POONAM MALAKONDAIAH
PRINCIPAL SECRETARY TO GOVERNEMNT
To
The Commissioner, of Health and Family Welfare, A.P. Hyderabad
The Director of Public Health and Family Welfare, A.P. Hyderabad The Commissioner A.P. Vaidya Vidhana Parishad, A.P, Hyderabad The Director of Medical Education, A.P, Hyderabad.
Sf/Sc.
//FORWARDED ::BY ORDER //
SECTION OFFICER

 అనంతపురము జిల్లా వైద్య మరియు ఆరోగ్య శాఖాధిఖారిగా రెగ్యులర్ పోస్ట్ నందు 

నియమితులైన డాక్టర్ వెంకట రమణ గారిని కలిసి శుభకాంక్షలు తెలిపిన  మలేరియా 

సబ్ యూనిట్ అధికారులు. 

అనంతపురము జిల్లా మలేరియా  శాఖాధిఖారిగా 

నియమితులైన శ్రీ దోసా  రెడ్డి  గారిని కలిసి శుభకాంక్షలు తెలిపిన  మలేరియా 

సబ్ యూనిట్ అధికారులు. 



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