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| J&K asked to implement free drug policy, submit pending audit reports | | Now, centre talks of NRHM | | Syed Junaid Hashmi
Early Times Report
Jammu, Mar 11: Union Ministry of Health and Family Welfare has directed Jammu and Kashmir government to implement free essential drugs policy at public health facilities to minimize out of pocket expenditure on health care
This direction has been issued after a team of central officers in their Common Review Mission Report (CRMR) found shortcomings in the implementation of National Rural Health Mission (NRHM) in Jammu and Kashmir. They were appalled at the lackadaisical attitude of the health machinery of the state and had sought a serious review of the scheme while asking the government not to only implement the free essential drug policy in the state but to ensure that drugs are available in all the medical care institutions of the state.
Taking strong note of the shortage of drugs, Union Health Ministry has asked the state government to ensure regular supplies of essential medicines under RMNCH+A through timely procurement besides ensuring that essential RMNCH+A drugs including IFA, Vitamin A, Paediatric co-trimoxazole are available at the sub-centres and all facility levels. They have pointedly said that these medicines were missing from the institutes visited by them.
They have further said that shortage of medicine should be regularly checked and it should be ensured that drugs are available in plenty. The ministry has further called for operationalization of emergency response and patient transport system as per guidelines especially in Kashmir division to ensure free patient transport. They have sought drafting of comprehensive human resource policy to ensure attraction, recruitment and retention of skilled professionals in rural and remote areas.
Facilities having USG need to be registered under PC-PNDT Act especially at PHC and CHC level, the ministry has said while adding that bio-medical medical waste management needs to be improved across the State. They have demanded establishing sub-centres within reasonable reach to improve accessibility and availability of primary health care services. Areas of responsibilities between two ANMs posted at a sub- centre should be clearly demarcated to maximize utilization of HR and providing outreach services.
In the CRM report which has been reviewed by the ministry, it has been recommended that keeping in view the higher caseload and situation at district head quarter, the SDHs in remote areas should also be designated as District Hospital with full staff and resources being made available especially a SNCU with dedicated paediatrician. They have sought displaying of Information, Education and Communication (IEC) material in regional languages like Urdu/ Hindi and also ensure availability of implementable IEC action plan.
The State and the District should ensure that the Concurrent Audit Report should be prepared as per the guidelines and should contain financial statements and the observations of the auditors. The State should submit the Statutory Audit Report timely, CRM report has demanded. Ministry has said that state should properly implement customized Tally ERP9 for generation of financial reports. They have pointed out that RKS is a registered society; it needs to be audited separately as per statutory compliance under Societies act. |
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