Public Health and Preventive Medicine

The Directorate of Public Health and Preventive Medicine was formed during the year 1923 in Tamilnadu with the main objectives of provision of maternal and child health care to the Rural and Urban people and for the prevention and control of Communicable and non Communicable Disease.

Public Health Act 1939 is the legal instrument enacted before the independence of the country which empowers the Health Officers to enforce the Public Health Law to safe guard the health of the people.

For the administrative convenience Pudukottai District has 2 divisions named as Health Unit Districts one in Pudukottai (HUD) and other in Aranthangi(HUD). The Pudukottai HUD has 40 Primary Health centres and 125 Health Sub Centres and Aranthangi HUD has 31 Primary Health Centres and 117 Health Sub Centres. All the PHCS are 24*7 functional to provide Primary Health care Service to the People. Also in Pudukottai Urban there are 2 Urban Primary Health Centres and in Aranthangi Urban there is 1 Urban Primary Health Centre. In each PHC there are Medical Officers and field level functionaries at all levels are playing a vital role in empowering the Public Health Act to provide the public a Health standards of life. In all Primary Health Centres, in-patients, outpatients and Ante natal pregnant mothers are treated and given primary and obstetric care. The PHCs have been expanded with additional young generation Medical Officers, Staff Nurses, new PHCs have been created and infrastructure has been vastly improved, vehicle facilities have been provided and the Department has been far and widely developed by attracting the public towards Primary Health care.

GENERAL INFORMATION
SL.NO	DETAILS	PUDUKKOTTAI HUD	ARANTHANGI HUD	TOTAL
1	Population	933220	752425	1685645
2	Rural	771396	710486	1481882
3	Urban	161824	41939	203763
4	No. of Blocks	7	6	13
5	No. of Primary Health Centers	40	31	71
6	No. of Health Sub Centers	125	117	242
7	30 Bedded UGPHC Primary Health Centers	7	5	12
8	BEeMONC PHCs	7	6	13
9	Urban PHCs	2	1	3
10	Blood Storage Centre	3	5	8

Primary Health Care provided at PHCs

Mother & Child Health Services: Ante natal checkup, Ultrasonogram, Glucose Tolerance Test for Pregnant Mothers, control of anemia, Immunisation to pregnant mothers. delivery services are provided to the public round the clock, Transfusion of blood to severe anemic mothers, referral facility to Tertiary care institution
Inpatient, Out patient, Delivery services, Obstretric care, Treatment and referral of High Risk Pregnant mothers
Fever management, Lab services, New born Care, Immunisation, Family welfare Services, Operation Theatres to perform Family Welfare Sterlisation and Abortion
Ambulance services, 108 available round the clock.
Communicable Disease Control:

Control & management of Dengue fever, Out breaks of Diarrhoea, Measles, Chickenpox, Dogbite, Snake bite.

Non Communicable Disease Control:

Screening of all persons aged above 30 years, for Diabetic Mellitus and Hypertension, women aged above 30 years are Screened for Cancer Cervix, Cancer Breast, and referral to higher institutions for treatment and follow up.

All Primary Health Care Services are being provided at the door steps of the community.

Immunization Schedule -Tamil Nadu for Under 1 year and above 1 year children
Age	Vaccines	Dose	Route	Site
At Birth	BCG	0.1 ml	Intra dermal	Left upper arm
At Birth	OPV Zero dose	2 drops	Oral	Oral
At Birth	Hep B birth dose(within 24 hours)	0.5 ml	Intra muscular	Antero-lateralaspect of the Mid thigh
6th week	Penta-1	0.5 ml	Intra muscular	Antero-lateralaspect of the Mid thigh
6th week	OPV-1	2 drops	Oral	Oral
6th week	IPV-1	0.1 ml	Intra dermal	Right upper arm
10th week	Penta-2	0.5 ml	Intra muscular	Antero-lateralaspect of the Mid thigh
10th week	OPV-2	2 drops	Oral	Oral
14th week	Penta-3	0.5 ml	Intra muscular	Antero-lateralaspect of the Mid thigh
14th week	OPV-3	2 drops	Oral	Oral
14th week	IPV-2	0.1 ml	Intra dermal	Right upper arm
9 months (After 270 days)	MR 1st dose	0.5 ml	Subcutaneous	Right upper arm
9 months (After 270 days)	JE 1 (in selected districts)	0.5 ml	Subcutaneous	Left upper arm
16-24 months	DPT 1st booster	0.5 ml	Intra muscular	Antero-lateralaspect of the Mid thigh
16-24 months	OPV booster	2 drops	Oral	Oral
16-24 months	MR 2nd dose	0.5 ml	Subcutaneous	Right upper arm
16-24 months	JE 2 (in selected districts)	0.5 ml	Subcutaneous	Left upper arm
5-6 Years	DPT 2nd booster	0.5 ml	Intra muscular	Upper arm
10th Year	TT single dose	0.5 ml	Intra muscular	Upper arm
16th Year	TT single dose	0.5 ml	Intra muscular	Upper arm
Pregnant Mothers	TT1 Early in pregnancy	0.5 ml	Intra muscular	Upper arm
Pregnant Mothers	TT2 Four weeks after TT1	0.5 ml	Intra muscular	Upper arm
Pregnant Mothers	TT Booster If received 2 TT doses in a pregnancy within the last 3 years	0.5 ml	Intra muscular	Upper arm

Dr. Muthulakshmi Reddy Maternity Benefit Assistance

Enhancement of Rs.12,000/- to Rs.18,000/-G.O.(Ms) No.118, Health and Family Welfare (P2) Department Dated: 02.04.2018.

Dr Muthulakshmi Reddy Maternity Benefit Scheme provided assistance to poor Pregnant women a cash assistance of Rs.18,000, based on certain conditionalities to compensate the wage loss and to provide a nutritional support during their pregnant period and after delivery in 5 iinstalments. Only for two deliveries all the installments including two nutrition kits are provided, subject to the conditionalities.

However on certain conditionalities, HOB mothers are also eligible for first and fifth instalments and for both the Nutrition kits.

VHN / UHN should certify the economic status in PICME 2.0 and the pregnancy mother has to register herself with the VHN in her resident area and obtain a RCHID which will be given by registering her online in PICME software. Also her child will be given Birth Certificate only if she has an RCHID. The mother has to avail the services in a Government Institution for getting the above benefits.

Amma Baby Care Kit

A pregnant mother who is having her delivery in an Government Hospital or a Primary Health Centre will be provided the Amma Baby Care kit which has nutritional items for the medical care for the new born and the mother. Staff nurses are working in shift basis in all PHCs to provide delivery services round the clock.

PICME Software

All the Eligible couples and pregnant mothers are registered in revamped PICME 2.0 online software and the VHNs are registering the services provided to the mother and child then and there in the software and it is monitored at all levels. The pregnant can also register themselves through online in public portal https://picme.tn.gov.in/picme_public, and through Common service centres in villages and through 104 toll free call centres and obtain their 12 digit RCH ID.

Diet for Ante natal and Post Natal mothers.

During every Tuesday which is a Antenatal clinic day in all Primary Health Centres, all pregnant mothers are provided a nutritious diet free of cost. A mother who gets delivered in a PHC and who undergoes Family Welfare sterilization is also provided 3 meals per day during her stayal in the PHC as inpatient.

Sanitary Napkins for Adolescent School going and non-school Girls

All adolescent girls in Schools and non school going girls in village areas are given Sanitary napkins though Angadiwadi Centres free of cost as per need Sanitary Napkins are also provided to Delivered mothers in all Primary Health Centres.

Registration of Births and Deaths

All Primary Health Centres, Government Hospitals and Medical College Hospitals (in Village Panchayats) are functioning as Births and Death Registration Units and Health Inspectors are appointed as Birth and Death Registrars.

In all Government Institutions Birth Certificates are issues ffree of cost as per Sec(12), to the delivered mother before discharge of the mother from the institution.

Registration of Births and Deaths:

In all Government Institutions Birth Certificates are issues ffree of cost as per Sec(12), to the delivered mother before discharge of the mother from the institution.

The following Departments are involved in Birth and Death Registration work

Municipal Administration
Town Panchayats
Revenue Administration
Corporation and Public Health Department

Time period prescribed for registering the event

The normal period of 21 days (from the date of occurrence) has been prescribed for reporting the birth, death and still birth events.

Fee for registration of births and deaths

If any event of a birth or death is reported for registration to the prescribed authority within the normal period of 21days, no fee would be charged.

Registration can be made after the normal period of reporting

If any event of birth or death is not reported for registration within 21 days, the same can be reported any time under the Delayed Registration provisions prescribed under Section 13 of the Act with payment of fee prescribed.

S.NO	Period from the date of occurrence	Late fee and permission order
1	21 Days to 30 Days	Rs. 100/-
2	After 30 Days to 1 year	Written permission of the Officer prescribed and on payment of late fee of Rs. 200/-
3	After 1 year	Any birth or death which has not been registered within one year of its occurrence shall be registered by an order of the Executive Magistrate not below the rank of a Revenue Divisional Officer and on payment of late fee of Rs. 500/-.

The Government have ordered the revision of fee in G.O.Ms.No.360 Health and Family welfare (AB2) Department, Dated 12.10.2017 is detailed below.

Revision of Fee
S.NO	Sec	Rule	Sub Rule	Item	Revision Ordered in G.O.Ms.No.360 Health dt. 12.10.2017 Rs.
1	13	9	9(1) 9(2) 9(3)	DELAYED REGISTRATION 1. Within 30 days of its occurrence 2. After 30 days but within one year 3. Above one year	100/- 200/- 500/-
2	14	10	10(a)	NAME REGISTRATION Registration of name of the Child after 12 months if the register is in his possession enter the name in the relevant column on payment of late fee.	Rs.200 /-
3	14	10	10(b)	NAME REGISTRATION Registration of name of the Child after 12 months if the register is not in his possession enter the name in the relevant column on payment of late fee.	200/-
4	17	13	13(1)(a) 13(1)(b) 13(1)(c) 13(1)(c) 13(1)(d)	SEARCH FEE Search for a single entry in the 1st year for which the search in made For every additional year for which the search is continued For granting extract relating to each birth or death For additional copies For granting Non-availability Certificate	100/- 100/- 200/- 200/- 100/-

Whom to approach for registration

The events of birth and death are registered at the place of occurrence of the event i.e. where the event took place. Under the provision of Section 7 of the RBD Act, the Registrars of Births and Deaths are appointed for each local area comprising the area within the jurisdiction of the Municipality,Panchayat or other local authority.

Registrars
Area	Registrars
Corporation	Sanitary Inspector
Municipality, Township	Sanitary Inspector
Town Panchayats	Executive Officer/ Sanitary Inspector
Village Panchayats	Village Administrative Officer
Primary Health Centres	Health Inspector
Government Institutions located in Village Panchayats	Multi Purpose Health Supervisor (Male)
Cantonment	Sanitary Inspector
Estates / Plantations	Manager

How many copies of birth or death certificate can be obtained

One free copy of birth / death certificate is issued to the informant under Section 12 of the RBD Act. Under the provision of Section 17 of the Act, any number of copies can be obtained by any one after paying the prescribed fee.

Name Registration of the Child

Name of the child shall be registered by the Parents within one year from the date of registration of the birth without any late fee.

If the Child Name has not been registered within one year, the same may be done after 1 year but within 15 years from the date of registration with a late fee of Rs. 200/-.

Extension of Time Limit for Name registration of the Child

a)For the birth registered prior to 01.01.2000 without name, the name of the child shall be registered upto 31.12.2019.

Search and Grant of Extract under section 17

Any person can apply either for a search of an event alone or for both search and issue of extract. The fees payable for search to be made, extract and non-availability certificate shall be as follows:

For granting extract relating to each Birth or Death – Rs.200/-
Search for single entry for each year – Rs.100/-
For every Additional year for which the search is continued Rs.100/-
Granting Non Availability certificate of Birth or Death -Rs.100/-

Intensified National Pulse Polio Immunisation Days

In order to eradicate the wild polio virus from the community, The NPPI mass campaigns are conducted every year in 2 rounds, and all children under 5 years are immunised with 2 drops of polio vaccine orally on a single day.

Rashtriya Bal Swasthya Karyakram (RBSK)

All new Born children to 18 years of children are screened through RBSK, in delivery points, Anganwadi Centres & schools to identify Defects, Delay in developments, deficiency, abnormalities and childhood Diseases are identified at the early stage and they are rectified before the child attains 20 years of age. The children are referred to District Early intervention centres for correction surgeries, medical treatment and followup.

Vector Borne Disease Control

Integrated control measures for vector borne diseases
National Malaria Eradication Programme:

Early diagnose and prompt treatment at Government Hospitals, PHCs
Draining and filling water stagnating drainage and pits.
Introducing larvivorous fishes
Appilication of Insecticides
Personal protection, using mosquito net, repellents
Health Education

Prevention of Dengue

Early diagnose and prompt treatment at Government Hospitals, PHCs

Removal of discarded Artificial Condainers
Clining of water storage, Cement Tank, Drum,etc., at least weekly once
Using Mosquito net, repellents

Prevention of Japanese Encephalitis