Prevention and Control of Diseases Programme
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Item Performance Audit of Prevention and Control of Diseases Programme in Assam (1996-2001)(CAG of India, 2002) CAG of IndiaPerformance Audit of Prevention and Control of Diseases Programme in Assam fort he period 1996-97 to 2000-2001 revealed following main findings with reference to National Programme for Control of Blindness: 1. Central grant of Rs.1.57 crore out of Rs. 1.59 crore remained unutilised during 1996-97 to 2000-2001 besides non-utilisation of Rs.86.57 lakh out of the grants of Rs.1.57 crore released by Government of India during 1992-93 to 1995-96. 2. Funds provided during 1996-2001 by Government of India for development of district hospitals, PHCs, Mobile Ophthalmic Units and construction of eye wards (Rs.16 lakh), operation theatres (Rs. 60 lakh) in the districts, IEC (Rs.19 lakh); Renovations and Furnishing (Rs. 18 lakh) were not utilised for the purpose. 3. Records showing number of cases where vision was restored/not restored after surgery, screening of patients for refractive errors, provision for spectacles and rehabilitation of incurably blind were not maintained. Similarly, this performance audit revealed following main findings with reference to National Programme for Control of National Tuberculosis Control Programme: 1. Out of Rs. 2.54 crore provided by Government of India in cash during 1997-98 to 2000-2001 the department had not released Rs. 0.70 crore indicating that funds were diverted for other purposes instead of utilisation on the programme. 2. The department spent Rs.0.13 crore in excess of ceiling of funds for purchase of anti TB drugs during 2000-2001. 3. Targets and achievements for setting up TB units, TB dispensaries/chest clinics and microscopy centres during 1996-97 to 2000-2001 were not on record. 4. In 17 District Tuberculosis Centres 8 posts of Medical Officers and 52 posts of paramedical staff were lying vacant. Besides, there was no record of utilisation of 656 TB beds in government hospitals between 1996-97 and 2000-2001. 5. Contrary to Government of India orders (January 1999) the DHS had purchased Rifampicine Capsules and Pyrazinamide tablets valued at Rs. 0.54 crore during January 1999 to October 2000 out of the grants received from Government of India. In DTC Karbi - Anglong out of 3 lakh Rifampicine capsules received in October 1995 against indents placed by DGHS, shelf life of 1.07 lakh capsules valued at Rs.6.42 lakh expired in October 1996 due to their supply in excess of requirement. 6. Though the cure rate under NTCP was between 17 and 29 per cent during 1996-97 to 2000-2001 against the cure rate of over 85 per cent envisaged under RNTCP, in 22 out of 23 districts the Programme has not been proposed for switch over to RNTCP in these districts. The percentage of defaulters in continued treatment steadily increased from 15 per cent in 1997-98 to 29 per cent in 2000-2001. The department had not analysed the reason for dismal cure rate and increasing trend of defaulters nor had taken any remedial measures to improve the position.Item Performance Audit of Prevention and Control of Diseases Programme in Goa(CAG of India, 2002) CAG of IndiaNational Tuberculosis Programme National Tuberculosis Control Programme introduced in Goa since 1963 and implemented as a 100 per cent centrally sponsored scheme. The state had not spent Rs.66.34 lakh received as grant during 1996-97 to 2000-01. The targets prescribed were unrealistic and not based on survey/prevalence of disease. About 70 beds in T B Hospital, Margao were utilised against 160 bed strength available during 1996-2001. The percentage of T B patients discontinuing regular treatment was extremely high and the expenditure of Rs. 3.82 crore (approx.) on these patients was infructuous. Evaluation of the programme was not carried out to ensure effective implementation. National Programme for Control of Blindness The National Programme for Control of Blindness (NPCB) was introduced in Goa in 1981, as a 100 per cent centrally sponsored scheme. The targets prescribed were not realistic and based on assessment/survey during 1996- 2001. The programme did not cover a population of 1.63 lakh due to shortage of staff. NPCB training was not given to the ophthalmic staff during 1996- 2001. Evaluation of the programme was not carried out to ensure effective implementation.Item Performance Audit of Prevention and Control of Diseases Programme in Gujarat(CAG of India, 2002) CAG of IndiaTo combat the diseases like Tuberculosis, Blindness, Leprosy and AIDS causing major global health problems Government of India introduced various schemes to control and prevent such diseases, from time to time. This performance review of these four schemes in Gujarat during 1996-2001, revealed that patients discontinuing Tuberculosis treatment vis-à-vis patients put on treatment ranged between 56 per cent and 74 per cent and expected cure rate of 85 per cent and sputum conversion rate of 90 per cent was not achieved. Prevalence rate of blindness reached 1.07 per cent (10 persons per 1,000 population; (1998)) against target of 0.3 per cent (3 persons per 1,000 population) by end of 2000. Prevalence rate of Leprosy remained higher in six tribal districts. Forty one per cent key posts remained vacant. Confirmed AIDS cases increased by 864 per cent during 1996 to 2000 and Human Immuno Deficiency Virus (HIV) positive cases by 3097 per cent during 1991 to 2000.Item Performance Audit of Prevention and Control of Diseases Programme in Kerala(CAG of India, 2002) CAG of IndiaAs part of Health Care Services, the State Department of Health Services is implementing four National Programmes, viz. National Tuberculosis Control Programme, National Programme for Control of Blindness, National AIDS Control Programme and National Leprosy Eradication Programme. A review of the implementation of these programmes except National AIDS Control Programme was featured in the Report of the Comptroller and Auditor General of India for the year ended March 1987 (Civil), Government of Kerala. This Performance Audit covers implementation of these four programmes during the period 1996-97 to 2000-01.Item Performance Audit of Prevention and Control of Diseases Programme in Meghalaya(CAG of India, 2002) CAG of IndiaThis performance audit of implementation of Prevention and Control of Diseases Programme in Meghalaya during the period 1996-97 to 2000-01 revealed that the coverage of various components under the programme were incomplete/ inadequate and as a result the prevention/ control of the diseases was yet to be achieved.Item Performance Audit of Prevention and Control of Diseases Programme in Mizoram(CAG of India, 2002) CAG of IndiaThe National AIDS Control Programme came into effect in 1987 with assistance from World Bank. In the first phase, the programme was initially launched for a period of 5 years starting from September 1992 to September 1997. But due to slow utilisation of the fund in the first two years of its implementation, it was extended till March 1999. The Government of India (GOI), in March 1999, launched Phase II of the Programme for a period of another five years upto the end of October 2004; The National Leprosy Control Programme was launched in the country by GOI in 1954-55 and subsequently, it was re-designated as NLEP and came into effect in the year 1983; The NPCB was launched by GOI in the year 1976 and the NTBCP was launched by GOI in 1962. In 1992, this programme was reviewed by a Committee of experts and based on the report of the review committee, a revised strategy for NTBCP was evolved and the GOI decided to extend the programme throughout the country in a phased manner. The performance audit of Prevention and Control of Diseases Programme in Mizoram for the period 1996-97 to 2000-01 highlighted failure of the state government to obtain and utilise the full amount of sanctioned grant of Rs.712.41 lakh from the Government of India during the years 1996-1997 to 2000-2001 under the National AIDS Control Programme, lack of proper monitoring in respect of National Leprosy Eradication Programme (NLEP), National Programme for Control of Blindness and National TB Control Programme for effective implementation of these programmes and shortfall in achievement of targets fixed for different components of these programmes.