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Saturday, February 27, 2016
Thursday, February 25, 2016
Employees Health scheme and Medical Reimbursement system under APIMA Rules 1972 – Further extension -GO.Rt.No.84-Issued
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GOVERNMENT OF ANDHRA
PRADESH
ABSTRACT
Health, Medical & Family welfare –
Employees Health scheme and Medical Reimbursement system under APIMA Rules 1972 – Further
extension – Orders – Issued.
HEALTH MEDICAL AND
FAMILY WELFARE (I.1) DEPARTMENT
G.O.Rt.No.84 Dated:25-02-2015
Read the following:
1. G.O.Ms.No.159, HM&FW(I.) Dept.,
dt.22-12-2014.
2. G.O.Rt.No.367, HM&FW(I.) Dept.,
dt.06-07-2015
3. Representation from the President,
Andhra Pradesh Secretariat Association.
4. Representation from the President,
JAC, Andhra Pradesh dt:29.12.2015.
5. Minutes of the CM Meeting held on
13.01.2016
-oSo-
ORDER:
In the Government order 2nd
read above, government have extended the medical reimbursement facility under
APMIA Rules till 31.12.2015 along with Employees Health Scheme in parallel.
2. In the letters 3rd & 4th
read above the President, Andhra Pradesh
Secretariat Association and the President, JAC, Andhra Pradesh have requested
the Government to extend the above provision along with Employees Health Scheme
in parallel.
3. Government after careful examination
hereby extend the reimbursement facility as indicated para 3 of (v) in the G.O.
1st read above upto 31-03-2016.
4. All concerned are requested to take necessary action accordingly.
5. This order issues with the concurrence
of the Finance (FMU-HM&FW Department) vide their
U.O.No.42028/33/2016-FMU-HM&FW-Finance, dt:18.02.2016.
(BY ORDER AND IN THE NAME OF THE GOVERNOR OF ANDHRA
PRADESH)
Dr. POONAM MALAKONDAIAH
PRINCIPAL SECRETARY TO
GOVERNMENT
To
The Chief
Executive Officer, DR.NTR Vaidya Seva Trust, AP, Hyderabad.
The ASHA
through CEO, Dr. NTR VST., AP, Hyderabad.
Copy to:
The Finance
(FMU,HM&FW) Department.
The General Administration (Ser.Welfare)
Department.
The
Accountant General (A&E), AP, Hyderabad
The Director
of Treasuries and Accounts, AP, Hyderabad.
The PAO, AP,
Hyderabad.
All the
District Collectors .
All Heads of
the Department.
The Principal
Secretary to C.M
OSD to M
(HM&FW)
All the
Special Chief Secretaries to Government /Prl. Secretaries/ Secretaries in Secretariat, AP, Hyderabad
All the
employees and pensioners associations through GA (Services Welfare) Department,
AP, Secretariat, Hyderabad.
Sf/Sc
// FORWARDED :: BY
ORDER//
SECTION OFFICER
Employees Health Scheme and Medical Reimbursement system under APIMA Rules 1972 – Reviewed the Scheme - GO Rt.No83 – Issued.
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GOVERNMENT OF ANDHRA
PRADESH
A B S T R A C T
Health,
Medical & Family welfare – Employees Health Scheme and Medical
Reimbursement system under APIMA Rules 1972 – Reviewed the Scheme and arrival of certain decisions -
Orders – Issued.
HEALTH MEDICAL AND FAMILY WELFARE (I.1) DEPARTMENT
Read the following:
1.
G.O.Ms.No.174,
HM&FW(M2) Dept., 1-11-2013
2.
G.O.Ms.No.134,HM&FW(I.1)
Dept., dt.29-10-2014.
3.
G.O.Ms.No.159,HM&FW(I.1)
Dept., dated.22-12-2014
4.
G.O.Rt.No.367,
HM&FW(I.1) Dept., dt.06-07-2015.
5.
Representations
received from the President, Andhra Pradesh Secretariat Association,
Dt.10-12-2015.
6.
Representation from the President, JAC, AP, dt.29-12-2015.
7. Minutes of the meeting held on 13-1-2016
-oSo-
O R
D E R:
In the Government orders 1st and 2nd read above, orders were issued for
implementing Employees Health Scheme to
provide cashless treatment to the State Government employees, pensioners and
their eligible dependent family members
in replacement of the medical reimbursement system under APIMA Rules, 1972.
2. The grievances of employees
associations on implementation of the Scheme has been reviewed in detail on
13-1-2016 and certain decisions have been taken for effective of implementation
of scheme.
3. Government after careful examination
hereby issue the following orders for effective implementation of Employees
Health Scheme.
a)
The
total project cost to implement the Employees Health Scheme works out to Rs.400
Crs. per annum. The Employees Unions have agreed to contribute
50% (Rs.200 Crs) towards this.
b)
The
representatives of ASHA and CEO, NTR Vaidya Seva Trust shall work out revised
package rates under Employees Health
Scheme which is reasonable, just and
mutually agreeable. The entire exercise shall be completed within six weeks and
the advice of the Advisor to Govt. Medical & Health and other experts
shall also be taken in this regard.
c)
The ASHA shall issue directions to the network
hospitals to implement the Employees Health Scheme with immediate effect. The
package rates at commencement of the scheme
shall be as per the revised rates
to be finalized by the CEO., Dr. NTR
Vaidya Seva Trust. The employees share of 50% shall also commence with the
onset of the scheme.
d)
The contribution of the employees under the
Employees Health Scheme shall be parked
with the NTR Vaidya Seva Trust in an account
created exclusively for this purpose.
:: 2::
e)
The
recoveries from the employees and pensioners made by the DTA, PAO and other
agencies etc., shall be transferred to the Dr.NTR Vaidya Seva Trust by 15th of every month by
respective agency.
f)
The Finance Dept., shall issues necessary
instructions to ensure that the operation of PD account for the EHS., is
simplified such that the payments can be made to the Hospitals within a
fortnight of the submission of scrutinized bills.
g)
The
Share of Government shall be released
quarterly by the Finance Dept., to the Dr.NTR Vaidya Seva Trust and also
transfer the presently available amount with Finance Dept., to the Trust with
immediate effect.
h)
The
Finance Department shall give access data of all eligible employees and
pensioners and also data relating to Teachers of Municipal Corporations of
Visakhapatnam and Kurnool to Dr.NTR Vaidya Seva Trust by Finance Department
with immediate effect.
i)
A separate Management Committee within the NTR
Vaidya Seva Trust shall be constituted
to monitor the implementation of the Employee Health Scheme which will have
representatives from the recognized employees unions. The GA (Ser. Welfare)
Dept., shall issue separate orders accordingly.
j)
The
steering committee shall review the scheme from time to time and ensure its effective implementation.
4. This order issues with the concurrence
of the Finance (FMU-HM&FW Department) vide their
U.O.No.42028/33/2016-FMU-HM&FW-Finance, dt:18.02.2016.
(BY ORDER AND IN THE NAME OF THE GOVERNOR OF
ANDHRA PRADESH)
Dr. POONAM MALAKONDAIAH
PRINCIPAL SECRETARY TO GOVERNMENT
To
The Chief Executive Officer, DR.NTR Vaidya
Seva Trust, AP, Hyderabad.
The ASHA through CEO, Dr. NTR VST., AP,
Hyderabad.
Copy
to:
The Finance (FMU,HM&FW) Department.
The
General Administration (Ser.Welfare) Department.
The Accountant General (A&E), AP,
Hyderabad
The Director of Treasuries and Accounts, AP,
Hyderabad.
The PAO, AP, Hyderabad
All the District Collectors .
All Heads of the Department.
The Principal Secretary to C.M
OSD to M (HM&FW)
All the Special Chief Secretaries to
Government /Prl. Secretaries/ Secretaries
in Secretariat, AP, Hyderabad
All the employees and pensioners associations
through GA (Services Welfare) Department, AP, Secretariat, Hyderabad.
Sf/Sc
// FORWARDED :: BY ORDER//
SECTION OFFICER
Tuesday, February 23, 2016
Sunday, February 21, 2016
Friday, February 19, 2016
Wednesday, February 17, 2016
Tuesday, February 16, 2016
Thursday, February 11, 2016
DA GO released
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DA @3.14% from 01-01-2015 Sanctioned GO No 18 Finance Department(PC.1) Dated 10-02-2016 Released
DA @3.14% from 01-01-2015 Sanctioned GO No 18 Finance Department(PC.1) Dated 10-02-2016 Released
Wednesday, February 10, 2016
Sunday, February 7, 2016
Guidelines for De-worming Day on 10.02.2015
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Rastriya Bala Swasthya
Karyakramam(RBSK) - Andhra Pradesh.
Guidelines for De-worming
Day on 10.02.2016
Activities at the District level to be taken up by DMHO:
o
Conduct district coordination meeting under the chairmanship of
District Collector with all line departments on 6/02/2016.
o
Allot areas of supervision to all program officers as it is being
done in the case of PPI program to monitor the Deworming program,
o Conduct press meets along with DEOs, PO
(SSA) and PO (ICDS) involving print and electronic media to brief the
importance of the de-worming day before and after the event.
o Officers to be attended for coordination meeting Involved: Commissioners of Municipal
Corporation/ Municipalities, CEO-ZP,PD-DRDA,PD-ICDS, DEO, PO-SSA, DCHS,
Superintendent of Medical Colleges, All Program Officers, 104,108 Coordinators,
RBSK-Coordinators,Municipal Health Officers, JD SW, DD (TW), DD(BCW), AD
Disabled Welfare, Minorities Welfare, Dy EOs, & Sectoral Officer’s of SSA
MPDOs and Mandal/CHNC Special Officers( if identified).
o The DM&HOs are
requested to meet the District Collector
along with DEO, PO(SSA)after preparing Action Plan in this regard for making
this program an objective oriented.
o Awareness activities shall be
carried out from district to villages by rallies, banners , posters and media
briefings
o Wide range of awareness
activities at school level by conducting drawing competitions and essay writing
competitions on sanitation and importance of deworming shall be conducted.
o Arrange to launch the
programme on 10th February 2016 after miday meals at district level
by Honble Ministersand also involving ZP chairperson, members of
parliament(MP), Local MLA, Municipal chairperson(Local body public
representative) and district collector.
o The programme may be launched
by honourable MLAs/MLCs/MPP/ZPTC and involving mandal level officers at mandal
level duly following the protocols. Mandal special officers may coordinate the programme.
o The programme may be launched
at village level by Panchayat Sarpanchas involving SMC members, parents and
other dignitaries.
o
Provide mobility budget
from available RBSK to PHC/UPHC Medical Officer.
o
Ensure distribution of drugs as per the requirement to all
PHC/UPHCs and to the Anganwadi centres and schools/junior colleges.
o
Ensure coordination between MO-PHC/UPHCs and MEOs/CDPOs of the
mandal for proper distribution of the drugs and IEC material in the mandal.
2. Activities at CHNC level to be
taken up by Dy DMHO
o To
prepare Cluster level action plan for distribution of drugs/Planning &
Monitoring to conduct the Deworming Day. Dy DMHO and Supervisory staff of Health &
ICDS
3. Activities at Mandallevel
to be taken up by PHC medical officers
o To prepare Mandal level
action plan for distribution of drugs and to conduct the Deworming Day.
Instruct MPDOs to supervise the deworming program in the mandal. Instruct
MPDOs to coordinate/converge with all line departments for effective
implementation of the program in the Mandal.
.
4. At Village / Habitation:
(a)At AngawadiCenters:Administering
the Albendazole syrup to the age group of 1 to 5
years ( 5 ml to 1 to 2 years and 10 ml
to 2 to 5 years) and 400 mg Albendazole tablets
(chewable)to out of school children
(b)At
School/Junior college: 1st class to 12th
standard. Government & Aided
Institutions only administering400 mg Albendazole
tablets (chewable) and to organize de-worming
day in their school /college
Certain Important instructions
to Medical Officers:
1. Medical officers are instructed to
prepare school wise student list in coordination with CDPO,MEO/CRP & IERTs
for proper distribution of Drugs.
2. Medical officers of the PHC/UPHC
have to place indent in E aushadhi to draw the required quantity of Albendazole
syrup and tablets for further distribution to Anganwadi centres and schools in
their jurisdiction through ANMs and ASHAs.
3. Medical officers have to supply
sufficient number of CPM/Cetrizine and Prednisolone tablets to all paramedical
staff to treat
any emergency cases along with De-worming drugs,
4. Budget will be provided to DM&HO
for mobility of MO and his team to utilize on the national
de worming day
of drug administration and MO is instructed to keep emergency drugs and IV fluids with
him/her.
5. MOs have to supervise the program
and also to attend any emergency.
6. MOs are instructed to inform to 104
and 108 coordinators regarding this program and to take their support.
7. If any adverse reactions, need to
have coordinated approach should be established between Health, Education &
WCD (ICDS) Departments. The roles and responsibilities of these three primary departments
in adverse events managements are detailed below.
Managing Adverse Events on
Deworming
o
One
the day of the de-worming, Principals,teachers and Anganwadi workers should be
prepared for any Adverse Event or Severe Adverse event by having read through
the Adverse Event Protocol/ Guidelines in advance, and ensure that protocol and
emergency numbers are on hand.
o
All
the teachers and AWWs should clearly understand that children who are sick on
the day of De-worming should not be given the De-worming tablet.
o
Teachers
and Anganwadi workers MUST administer Albendazole tablet under their direct
supervision in schools and Anganwadi on De-worming and Mop up Day. The tablet
must not be handed over to the child or their family for consumption later at
home.
Mild Adverse reaction
o
Events
such as nausea, Mild abdominal pain, vomiting, diarrhea and fatigue may occur
among children especially those with high worm infestations.These side effects
are transient and do not require hospitalization.
o
What should the teacher /
Principal /AWWs do when mild adverse event at school or Anganwadi centers
happens?
o
Children
with any side effects should be taken to an open shady place and allowed to lie
down and rest. They should be provided with clean drinking water.
o
Teachers,
AWWs and parents should be prepared for these events and take immediate action
in case that they occur.
o
Children
should remain at school or Anganwadi till at least 2 hours after treatment.
Severe Adverse Events (SAE)
o
A
Severe Adverse Events (SAE) is fatal, life-threatening, disabling, or
incapacitating or that results in hospitalization after drug intake.Choking
hazard/asphyxia is caused during a severe adverse event,which needs to be
responded immediately.
o
Separate
theaffected child from other children and stop de-worming activities.
o
School
Principal should immediately call the help line number as per shared details by
PHC medical officer.
o
The
School Principal should use information cascade.
o
If
Ambulance services are available, immediate alert to the Ambulance should be
given for the transport of the child nearest Government Hospital.
o
The
Child’s parents should be informed immediately.
o
Immediate
treatment should be provided to the child by health personnel for Medical
treatment due to adverse reaction (Annexure 8, Section 6: Guidelines for
emergency response team).
o
The
ANM should inform the Medical Officer who should complete an incident report in
form(Annexure 4) and submit it to Civil Surgeon the same day.
o
Once
the report form is received, further notification for the next level must be made as per
cascade of information flow
o
The
designated Officer will sign / confirm the reports, and determine if further
investigation is needed and submit the report to the Commissioner Health and Family
Welfare immediately. TheCommissioner Health and Family Welfare or the
designated Officer will be the spokesperson.
Management of SAE after De-Worming
Day
Teachers,
AWWs, Parents, health facilities and all health officials and providers,
including ANMs must be vigilant for such incidents in the area and elevate
immediately to the information cascade.
Responsibilities
after De-Worming day
WHO
|
WHAT
|
Parents
|
Should
be informed that though mild AEs are expected and severe events are likely to
be unrelated to the drugs,, they are encouraged to report the incident at the
earliest to ANM ASHA or school principal if they are very worried about the
health of their child.
|
Teachers/AWWS/ASHAs
|
Should
investigate absenteeism more carefully after deworming day and encourage any
sick children to seek treatment or inform an ANM if they are worried.
|
ANMs
|
To
report any case brought into notice to the District Civil Surgeon or Chief
Medical Officer through Block Medical Officer or directly as feasible.
|
Do’s and Don’ts for school and
Anganwadi to avoid any SAE:
DO
|
DON’T
|
·
Keep
telephone numbers for helpline and the nearest health center and / or
providers such as ANM and MOIC handy.
·
Always
direct the children to CHEW the medicine to avoid choking.
·
Administer
the tablet under your direct supervision.
·
For
younger children at anganwadi, crush the tablet first and then administer.
|
·
Do
not administer medicine to a sick child.
·
Do
not instruct children to swallow the medicine without chewing first.
·
Do
not hand over medicine to parents/ children for consumption at home.
|
Recording and reporting formats.
o
On
De-worming Day – National Deworming day(10th Feb 2016) and Mop Up
day(15th feb 2016)
o
Anganwadi
Teachers will record number of enrolled children dewormed in the school.
o
Anganwadi
workers will record number of registered, unregistered & out of going
school children dewormed in AWC’s.
o
ASHA
will record number of non-enrolled and out of school children dewormed inAWC’s
in order to receive her incentives.
o
ANM
will compile the reports received from all schools /AWC’s.
At schools level
o
Teachers
will record number of enrolled children dewormed in the class attendance
register.
o
For
every enrolled student dewormed on NDD: a single tick (
) mark next to the name of dewormed student in
the attendance register.
o
For
every dewormed student on NDD: a double tick (
) mark next to the name of dewormed student in
the attendance register.
o
At
the end teacher will count the single tick marks & double tick marks in the
attendance register, separately for both NDD & MUD and will report to the
nodal teacher / principal at school.
Commissioner
of Health and Family Welfare
To
The District
Medical & Health Officers in AP State to instruct all concerned to implement
the programme as per guidelines communicated
The District
Education Officers in AP State to instruct all concerned to implement the
programme as per guidelines communicated
The Project
Officer, SSA in AP State to instruct all concerned to implement the programme
as per guidelines communicated
The Project
Director, ICDS in AP State to instruct all concerned to implement the programme
as per guidelines communicated
Copy To
The Director of
Medical Education AP Hyderabad
The Director of
Public Health & Family Welfare AP Hyderabad
The Commissioner
of VidhyaVidhanParishad AP Hyderabad
The Collector
& District Magistrate in AP State
The Director of
Women Development & Child Welfare in AP Hyderabad
The State
Project Director, SarvaSikshaAbhiyan, AP Hyderabad
The Director of
Tribal Welfare, AP Hyderabad
The Commissioner
of Intermediate Education AP Hyderabad
The Commissioner
& Director of School Education AP Hyderabad
The
StateProgramme Manager – NHM O/o CH&FW AP Hyderabad
All Joint
Directors O/o CH&FW AP Hyderabad
The Peshi O/o
CH&FW AP Hyderabad for information
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