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SRINAGAR: Directorate of Health Services, Kashmir (DHSK) in an effort to handle cardiac emergencies at peripheral hospitals have performed thrombolysis on routine basis across Kashmir Division since 2016. Thrombolysis is the breakdown of blood clots formed in blood vessels, using medication. It is used in ST elevation myocardial infarction, stroke, and very large pulmonary embolisms. 

The department under its gap analysis initiative has been working on capacity & skill development programmes under which establishment of Kashmir Skills & Simulation Centre, Orientation of Doctors by conducting routine trainings on medical emergencies & establishment of Emergency Rooms (ERs) was possible.  Timely thrombolysis in case of STEMI (Heart Attack) patients is of utmost significance and DHSK till now have performed 200 thrombolysis in various Emergency Rooms of peripheral hospitals which includes 115 at District Hospital Anantnag, 43 at District Hospital Pulwama, 25 at District Hospital Baramulla & 12 at District Hospital Leh under the supervision of well-trained ER staff. 

In order to extend the level of cardiac emergency care to remote areas DHSK has launched "Save Heart Initiative" which aims to minimise loss of time in STEMI patients and encourage timely  thrombolysis even at the distant area and at Sub District Hospital(SDH) levels so that myocardium is saved and post MI(Heart Attack) complications and deaths are reduced.  The initiative has started imparted training, sensitising and confidence building of medical officers so that they can handle cardiac emergencies without delays, hence saving precious lives. This initiative has linked via network most of the specialists in Health Services and Cardiac Experts of tertiary care centres who are accessible for opinions and advise in complicated scenarios 24x7.In addition the department under this initiative is helping to treat many fatal cardiac disorders and arrhythmias in all districts and remote hospitals. 

The directorate under this initiative has started performing thrombolysis at SDH level also which in itself is a big achievement. Since its launch, thrombolysis have now been performed at DH Bandipora, DH Handwara, DH Shopian, SDH Pampore, SDH Sopore and will include all major & select SDH institutes in Phase 1 of initiative.  It is pertinent to mention that Kashmir Skills and Simulation Centre (KSSC)-Trauma and Emergency management program was adjudged as one of the best practice nationally at 4th National Summit on Good, Replicable and Innovative Practices in Public Healthcare System in India, Indore, MP dated July 07/2017 and Ministry of Health & Family Welfare, Government of India(MoHFW,GoI). MoHFW has already directed various states to visit Kashmir so to inculcate this Trauma/Cardiac Emergency Programme in their peripheral & rural hospitals.

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SRINAGAR: Doctors Association Kashmir (DAK) on Tuesday has sought a transparent procedure for the appointment of director health services Kashmir. “That would open doors for deserving and meritorious candidates,” said DAK President  Dr Nisar ul Hassan. “The process of selection should include advertising of the post that would bring transparency and openness in the selection process. A team of experts in the field should assess the eligible candidates and choose the best,” he said.

“But, that is not happening,” DAK President said.  He said instead, the whole selection process is kept hidden and secret, which is unfair, non-transparent and thus manipulative. This paves the way for picking up a favorite blocking opportunities of aspirants who are not even considered for the post. The person who is favored instead of focusing on his/her job remains at the beck and call of those who have favored him/her.

 Dr Nisar said the practice of favoritism has ruined the health department which is in a sorry state of affairs. It has been plagued by lobbyism and indiscipline. There is no work culture and patient care is a forgotten entity.  He said the peripheral health care is in complete mess due to “mismanagement” and patients suffer the consequences. Patients end up going to teriary care hospitals even for basic health needs.

“While in other parts, primary health care has reduced sickness and fatalities, but in Kashmir it has failed to deliver and meet patients’ needs,” said Dr Nisar.  He said we still have outbreaks of infective diseases like typhoid, cholera and hepatitis due to disorganized peripheral health system. The deliveries in peripheries are conducted in extremely unhygienic conditions which is responsible for high maternal and infant mortality.There is epidemic of hypertension, diabetes and cancer because of non-implementation of concept of population-centric primary care.

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  • Takes marathon review of facilities in SSHJ

 

JAMMU: Minister for Health & Medical Education, Bali Bhagat today said that the functioning of the Government Super Specialty Hospital (SSH), Jammu will be further revamped and made more vibrant to ensure best possible services to the patients. During a marathon review meeting that was held in the Super Specialty Hospital this evening, the Minister said that Government will enthuse new energy in the functioning of this important institution by adding more services to achieve the objective of specialized  healthcare center. He called upon the management of the SSH to come up with the road map to launch the services like multi-transplantation of organs.

 

He directed the Principal GMC and other concerned Heads of Department (HoDs) to work out a detailed plan of things related to the establishment of multi-transplant units like Eye Bank, Renal transplantation Unit, Blood Bank, up-gradation of theatres, Dialysis Unit and other requisite infrastructure to run these services and submit the same to the Government to accord necessary approval for the same. He stressed for a coordinated efforts to translate things into reality within a shortest possible time. He said the objective of the SSH was to make available all specialized services to the patients, including transplantation of body organs, specialized surgeries at the doorstep of the patients, but the institution could not flourish as per its character and capacity, with the result the patients are still relying on the outside institutions to avail such services.

Urging the Principal GMCJ and HoDs to maintain close synergy  in achieving the common goal of providing quality services to the people, the Minister said that they must bring innovation to further improve the services with joint efforts and pursuing the proposals at the appropriate level to get the issues addressed in a time bound manner.  He also called upon the HoDs and other doctors to make optimum use of social, electronic and print media to highlight their achievements to spread the message among the masses about the specialized services, rare surgeries so that the people can avail these services.

A threadbare discussion was also held on varied issues relating to the functioning of the SSH and HoDs freely shared their views and provided valuable inputs to improve the functioning. They also shared their difficulties being faced in rendering their duties vis-à-vis paucity of requisite equipment, blood bank, labs, inadequate manpower including doctors and trained para-medics and urged for attending these on priority to improve the overall scenario in the SSH.

The Minister maintained that Government is at the back and call of the doctors and take all necessary steps to improve the working environment in the SSH. He also assured to fill all vacant positions on priority through the concerned recruitment authorities. He also directed for close coordination between the GMC, SSH and J&K Medical Supplies Corporation to facilitate the timely procurement of equipment and medicines as per the annual budgetary provisions.

 

Principal Secretary Health & Medical Education, Dr. Pawan Kotwal, Principal GMCJ, Dr. Sunanda Raina,  Director Finance, H&ME, Mohammad Rafique, MD J&K Medical Supplies Corporation, Inderjeet Bhagat, Additional Secretaries H&ME, K.S. Chib, Naseer Ahmed Wani, Joint Director Planning, Madan Lal, Medical Superintendent, SSH, Dr. Arun Sharma and several HoDs of SSH were present in the meeting.