(c)

(c) Diseases Common to the District

(i) Fevers. – Fevers are the main cause of deaths. They include ordinary fevers, typhoid, influenza and other seasonal fevers, including malaria. These fevers are the result of infections, unhealthy living and imbalanced diet, leading to low resistance. These fevers have become almost chronic and it is extremely difficult to eradicate them totally. In the past, these fevers were cured with various medicines, including quinine. But, at present, the sulpha drugs and antibiotics are becoming popular, as they are found to be very effective.

Owing to effective measures employed to prevent fever, there are now less deaths as compared to past. As compared to 3,880 deaths due to fever in1977, there were only 29 deaths in 1984 in the district. However, 1,311 deaths took place in 1989 in the district.

(ii) Respiratory Diseases. – Respiratory diseases, which are next in importance only to fevers, are also responsible for deaths in the district. These are caused by different types of smokes, fumes, vapours of chemical gases released by the burning of charcoal, coke, etc. These gases pollute the surrounding atmosphere all the time, thus affecting the health of the people. Smoke irritates the eyes, the throat and the lungs constantly. The insanitary conditions in the slums also cause the outbreak of these diseases.

In order to check the spread of such diseases, the Factories Act, 1948, lays down that there should be proper disposal of gases entering the atmosphere and any harmful effluent should be removed to far-off places, so that they do not adversely affect the health of the people.

The diseases are also on the decrease owing to better and modern medical treatment available in the district. As compared to 907 death cases due to respiratory diseases in the district in 1977, there were only 515 cases in 1985 and 614 in 1989. This comparison clearly illustrates that modern system of medicine has been able to control these diseased to large extent.

(iii) Malaria. – This epidemic develops during the years of excessive wet monsoon when a large number of stagnant pools are formed. Malaria is caused by a blood parasite called ‘Plasmedium’ which is present in a malaria patient’s blood. It was a dreadful disease for years together and took heavy toll of lives in the district. Quinine was distributed in the rural areas through many agencies. It, no doubt, lowered the incidence, but it could not eradicate the disease totally. It was only after the Independence that steps were taken in control and completely eradicate malaria.

In the year 1980, Anti Larval Scheme was incorporated in the Malaria programme at Bathinda town to minimize the disease by attacking the larvae of the mosquito. The town was divided into two sectors and each sector was subdivided into 8 wards. The scheme is under the control of the District Epidomiologist and is manned by two Senior Malaria Inspectors, 16 Field Supervisors and 48 Field Workers.

For malaria purposes, Civil Surgeon, Bathinda is head of the district. At district headquarters, he is assisted by District Health Officer, District Epidomiologist and Assistant Malaria Officer. There is also a Malaria Laboratory at district headquarters for examination of fever patient’s slides, examination of back-log of slides from primary health centers, preparation of stains used in examination of slides and distribution of the same to all primary health centers. The Senior Laboratory Technician checks the laboratory work at the primary health centers and guides the laboratory staff in the maintenance of records and confirmation of doubtful slides.

Malaria Clinics.- There are 19 malaria clinics in the district. The blood slide of every fever case is prepared and is examined immediately. If found positive for the presence of malaria parasite, then radical treatment is given immediately on the same day. Data regarding surveillance and spray for the years 1979 to 1989 is given below.

________________________________________________________________________

Year Blood slides collected Found positive

and examined ____________________________________

P. Vivex P. Faleiparum Total

________________________________________________________________________

1979 2,09,655 14,633 18 14,651

1980 1,97,566 9,302 12 9,314

1981 1,90,331 9,332 16 9,348

1982 2,04,975 7,537 397 7,934

1983 2,66,720 11,352 2,971 14,323

1984 3,46,603 17,526 5,393 22,919

1985 3,42,606 23,368 2,307 12,675

1986 2,35,846 11,788 786 12,574

________________________________________________________________________

Year Blood slides collected Found positive

and examined ____________________________________

P. Vivex P. Faleiparum Total

________________________________________________________________________

1987 1,82,017 6,234 73 12,574

1988 1,43,478 1,501 1 6,307

1989 1,28,127 767 3 770

_______________________________________________________________________

(Source : Director, Health and Family Welfare, Punjab and Malaria Officer, Bathinda)

(iv) Communicable Diseases. – Cholera, plague and small-pox are regarded as the main communicable diseases. Due to improvement of medical system, all these diseases have been completely eradicated in the district. Not a single case of cholera, small-pox and plague has been reported in the district since 1977.

Tuberculosis. – Tuberculosis is a very serious disease and government have been making all-out efforts to control it. The B.C.G. is an effective vaccination against tuberculosis.

The District T.B. Officer supervises the whole set-up to eradicate tuberculosis from the district. There are 9 X-Ray Centres, 30 Microscopic Centres and 162 Referal Centres in Bathinda District which give treatment to T.B. patients and distribute anti T.B. drugs free of cost. All cases having cough/fever for more than 15 days are examined in these centres. During 1989, there were 1,799 T.B. patients under treatment in the district.

The District T.B. Association, Bathinda also plays an important role in preventing the spread of tuberculosis in the district. Mass meeting are held to apprise the people of the ill effects of this disease. Masses are also advised to take necessary precautions to prevent this dangerous disease. The Association also makes arrangements for supply of medicine to T.B. patients.

(d) Medical and Public Health Services

Previously, medical services were divided into two wings, viz. medical and health. The Civil Surgeon was responsible for the functioning of hospitals and dispensaries, medical and surgical work in the district, besides being government medico-legal expert. The District Medical and Health Officer was in charge of the health wing and was responsible for sanitation, prevention of diseases and health promotion services in the district. He was also to advise the municipalities on public health matters. Both the wings worked under the administrative control of the Director of Health Services, Punjab, Chandigarh.

In April 1964, the two wings of the health and medical services were merged and the Chief Medical Officer was made in charge of both these wings. The post of Chief Medical Officer was redesignated as Civil Surgeon in June 1974. The Medical Officer and the staff employed by the Zila Parishad, Bathinda also work under his control, but they draw their salaries from the Zila Parishad.

On the health side, Malaria Officer, Vaccinators and Medical Officers (in charge of dispensaries) also assist the Civil Surgeon. Similar functions are performed by the zila parishad dispensaries. The municipalities also assist the Civil Surgeon in the public health field. In order to check the adulteration of foodstuffs, the Civil Surgeon has delegated powers to the Medical Officer of hospitals/dispensaries for taking sampled of the foodstuffs.

Hospitals, Primary Health Centres, Dispensaries, etc.

The expenditure incurred by the State Government on Allopathic hospitals, health centres, dispensaries and other health services in the district, during 1988-89, was Rs. 4,64,85,801.

Allopathic Medical Institutions. – As on 1 April 1989, there were 175 medical institutions in the district. Their tahsil-wise and area-wise break-up is given below :

________________________________________________________________________

Tahsil Rural Urban Total

________________________________________________________________________

Bathinda 51 18 69

Mansa 54 5 59

Rampura Phul 23 5 28

Talwandi Sabo 15 4 19

_______________________________________________________________________

District Bathinda 143 32 175

_______________________________________________________________________

(Source : Civil Surgeon, Bathinda)

A list of hospitals, primary health centres and dispensaries in the district is given in Appendix II of page 455-460.

The particulars regarding the family planning units/clinics in the district is given Appendix III on page 461.

Ayurvedic and Unani Medical Institutions. – As on 1 April 1989, there were 38 Ayurvedic and 2 Unani dispensaries in the district. Out of these, 8 were functioning in urban areas, while the remaining 32 in rural areas. Their tahsil-wise and area-wise break-up is given below :

________________________________________________________________________

Tahsil Rural Urban Total

________________________________________________________________________

Bathinda 7 2 9

Talwandi Sabo 8 3 11

Rampura Phul 7 1 8

Mansa 10 2 12

_______________________________________________________________________

District Bathinda 32 8 40

_______________________________________________________________________

(Source : Directory, Ayurvedic, Punjab, Chandigarh)

All these institutions are managed by the government. Their detailed list is given in Appendix IV on page 462-463.

Homoeopathic Medical Institutions. – As on 1 April 1989, there were 7 Homoeopathic dispensaries in the district, one each at Bathinda, Bhokhra, Phul, Mansa, Goniana, Jalal and Ghonda Bana. These dispensaries are functioning under the administrative control of the Joint Secretary, Health who is head of the Homoeopathic Department, Punjab. In each of these dispensaries, there is one physician incharge, one Dispenser and one Dai, besides Class IV staff. During the year 1988, the number of patients given treatment in these dispensaries was 32,243.

(a) Government and Private Hospitals

Civil Hospitals, Bathinda. – The hospital was opened in 1988 near the Railway Station, Bathinda. Later on, the town developed and expanded at a fast rate on, the town developed and expanded at a fast rate. The old building of the hospital could not accommodate the rush of patients and there was no space available for expansion at the site. So a new site opposite to the Police Lines was selected for the hospital. The new hospital was inaugurated on 8 August 1975. It is located in a three-storey building and has 14 special wards. The hospital has 100 beds, 60 for females and 40 for males.

The hospital provides surgical, medical, paediatrics, gynaecological obstetric, eye and ENT, dental, X-ray, blood transfusion, E.C.G. and physiotheraphy and MCH Services is also attached to the hospital.

The hospital is manned by 1 Senior Medical Officer, 1 Gynaecologist, 1 Medical Specialist, 1 eye Specialist, 1 Paediatician, 1 Radiologist, 1 Anaesthetist, 1 Blood Transfusion Officer, 3 Emergency Medical Officers, 2 Medical Officers (P.P. Unit), 1 Matron, 2 Nursing Sisters, 21 Staff Nurses, 1 Superintendent, 1 Dark Room Assistant, 1 Optholomasic Assistant, 1 Assistant Dential Mechanic, 2 Auxiliary Nurse Midwives, 1 Chief Pharmacist, 4 Pharmacists, 3 Laboratory Technicians Grade I, 2 Laboratory Assistants Grade II, 1 Radiographer, besides other allied and miscellaneous Class IV staff.

District T.B. Hospital, Bathinda. – The hospital has 25 isolation beds. It was opened in 1965 and is situated in the Old Civil Hospital Complex. It is manned by 1 District T.B. Officer who is in charge of the hospital and National T.B. Control Programme. He is assisted by 1 Medical Officer, 1 Nursing Sister, 1 Staff Nurse, 1 Senior Laboratory Technician, 1 Laboratory Technician, 2 Pharmacists, 1 Radiographer, 2 T.B. Health Visitors, 2 Statistical Clerks, besides miscellaneous Class IV staff. An X-ray plant has been installed for the T.B. patients. Facilities for laboratory examination are also available.

Civil Hospital, Mansa. – The hospital has 100 beds. It is manned by 1 Senior Medical Officer, 11 Medical Officers, 1 Dental Surgeon, 1 Matron, 2 Staff Nurses, 2 Laboratory Assistants, 5 Pharmacists, 2 Nursing Sisters, 1 Radiographer, 1 Superintendent, 1 Assistant, 7 Clerks, besides other allied and miscellaneous Class IV staff. The hospital provides medical, surgical, gynaecological and obstetric, eye and ENT, dental, X-ray, laboratory and blood transfusion facilities. There is also a blood bank in the hospital. During 1984, a post-partum unit was also established in the hospital.

Civil Hospital, Maur. – The hospital has 25 beds. It is manned by 1 Senior Medical Officer, 1 Medical Officer, 1 Radiographer, 1 Laboratory Assistant, 1 Nursing Sister, 3 Staff Nurses, 3 Pharmacists and 1 Clerk, besides other allied and miscellaneous Class IV staff. It provided medical, surgical, X-ray and laboratory facilities.

Civil Hospital, Rampura Phul. – The hospital has 50 beds. It is manned by 1 Senior Medical Officer, 8 Medical Officers, 1 Dental surgeon, 3 Pharmacists, 12 Staff Nurses, 1 Laboratory Assistant, 1 Radiographer, 3 Clerks, besides other allied Class IV employees.

Facilities for X-ray, laboratory work and blood transfusion area available in the hospital.

Civil Hospital, Raman. – The hospital is manned by 1 Senior Medical Officer, 3 Medical officers, 1 Staff Nurse, 1 Pharmacist, 1 Clerk and a Driver. ENT and X-ray facilities are also available in this hospital. It has 10 beds.

S.D. Mahavir Dal Hospital, Bathinda is the only leading private hospital in the district. A brief description of the hospital is given hereunder :

S.D. Mahavir Dal Hospital, Bathinda. – The hospital was established in 1974. It is situated near the old Bus Stand, Bathinda. It is manned by 3 doctors and 12 nurses. Medical facilities are provided to the indoor and outdoor patients. Food is given free to the indoor needy patients.

The expenditure incurred on the hospital is met by S.D. Mahavir Dal, Bathinda. The number of indoor and outdoor patients treated in the hospital during 1988-89 and 1,485 and 32,000, respectively.

(b) Blood Banks

The use of blood as a therapeutic measure is on the increase in all branches of medicine and surgery. A blood bank is functioning in Civil Hospital, Bathinda. Blood donation camps are organised in the district and people are persuaded to donate blood liberally for the suffering humanity. A blood bank grid has been built and is being run by the District Red Cross Society, Bathinda.

(c) Prevention of Adulteration of Foodstuffs

The Punjab Government passed the Prevention of the Food Adulteration Act in 1954 for checking the adulteration of foodstuffs. This Act replaced the Punjab Pure Food Act, 1929. The concerns dealing in sale, stock and preparation of edible articles are subject to inspection by the Food Inspectors, Medical Officers and Civil Surgeon. In order to ensure preparation and sale of pure foodstuffs, edibles and drinks, special powers have been entrusted to the inspecting staff to seize samples. These samples are sent to the Food and Health Laboratory at Chandigarh for chemical examination and analysis. Those found guilty of adulteration are prosecuted.

In the Bathinda District, the number of samples seized during 1989 was 260. The number of prosecutions launched in this behalf during the year was 16.

(e) Sanitation

(i) Public Health and Sanitation in Urban Areas. – Public Health services are rendered in two ways. Firstly, it is incumbent on the District Health Officer to take preventive measures to check the occurrence and reoccurrence of epidemics and seasonal fevers. Secondly, the functions performed by the Public Health Department, municipalities and zila parishad are directed to promote the well-being of the people, there by preventing the outbreak of diseases.

Water-supply schemes have been introduced in many of the towns of Bathinda District. The municipal committees have kept tractors-trollies and refuse carts to remove the rubbish. Besides, they have engaged a number of sewage, etc.

(ii) Rural Sanitation and Water Supply. – In the second decade of the present century, rural sanitation in the district was in deplorable condition. Consequent upon the poor sanitation, epidemics appeared and spread. These epidemics were considered to be either the wrath or the acts of God. Occurrence of small-pox was considered as appearance of Goddess Sitla. The occurrence of such diseases was kept secret. It was in the beginning of the third decade of the present century that the Health Department started making extensive propaganda and publicity through the audio-visual aids regarding rural sanitation, disposal of refuse and sewage in the manure pits and dumping debris-grounds. The people were vigorously persuaded for vaccination against small-pox. These efforts did not achieve desirable ends. The opening of maternity centres in the rural areas helped in reducing infantile mortality. The preventive measures taken by the Health Department considerably decreased the occurrence of infectious diseases like plague, cholera and small-pox.

After Independence, considerable progress has been made in the improvement of rural sanitation. The people have become conscious of personal hygiene. In most of the villages of the district, streets and lanes have been paved and drains constructed for the disposal of rain and sullage water. The houses, which are now constructed, are well ventilated and sunny.

The panchayats look after the sanitation of the villages. The zila parishad gives 50 per cent grant-in-aid to those panchayats who engage regular scavenging staff for cleanliness in the villages. The panchayats disinfect the drinking water wells, whenever necessary.

1. Water Supply

With a view to improving the environmental sanitation, the Government of Indian launched a National Water Supply and Sanitation Programme in 1954. This programme caters to the needs of the rural as well as urban areas. In the case of rural water supply schemes, entire cost of these is met by the government and the beneficiaries have to provide land free of cost required for the requisite scheme. In Bathinda District, there are 517 villages having a population of 8.40 lakhs where the underground water contains a high concentration of flourides and other salts. This spoils the teeth of people in young age. In many cases, there is a complaint of stiffness of the back and difficulty in performing natural movements. Out of 517 villages, 501 villages in the district have been given the benefit of safe drinking water upto 31 March 1990. Now, there are 12 problem villages (2 have been vacated for the establishment of cantonment and 2 have been covered by the municipal limits) and these will be provided potable water supply facilities by 31 March 1991.

APPENDIX II

List of Hospitals/Primary Health Centres/Community Health Centres/

Health Centres/Sub-Health Centres/Dispensaries/Clinics in the

Bathinda District as on 1 April 1989

(Vide page 448)

____________________________________________________________________________________

Sr. Name of the Institutions Tahsil No. of beds Rural/ Type

No. ___________ Urban of

Male Female Manage-

ment

______________________________________________________________________________________

1 2 3 4 5 6 7

______________________________________________________________________________________

1. Shaheed Bhai Mani Singh Bathinda 40 60 Urban State

Civil Hospital, Bathinda Public

2. Children Hospital, Bathinda Do 50 50 Do Do

3. Dr Inderjit Singh Gill Mansa 50 50 Do Do

Memorial Government

Civil Hospital, Mansa

4. Women Hospital, Mansa Do 1 12 Do Do

5. Civil Hospital/C.H.C., Rampura 40 10 Do Do

Rampura Phul Phul

6. Women Hospital, Phul Mandi Do -- 6 Do Do

7. Civil Hospital, Maur Talwandi 15 10 Do Do

Mandi Sabo

8. Women Hospital, Raman Do -- 10 Do Do

Mandi

9. Urban Slum Area Dispensary, Bathinda 2 2 Do Do

Basti Ganeshan, Bathinda

10. Urban Slum Area Dispensary Do 2 2 Do Do

Basti Ganeshan, Bathinda

11. Urban Slum Area Town Do 2 2 Do Do

Dispensary, Bathinda

12. School Health Clinic, Do -- -- Do Do

Bathinda

13. T.B. Clinic, Bathinda Do 15 10 Do Do

14. Civil Dispensary, Do 2 2 Do Do

Bucho Mandi

15. Civil Hospital, Phul Mandi Rampura 2 2 Do Do

Phul

16. Urban Slum Area Dispensary, Do 2 2 Do Do

Rampura Phul

17. Urban Slum Area Dispensary, Do 2 2 Do Do

Rampura Mandi

18. Civil Dispensary, Talwandi 9 3 Do Do

Raman Mandi Sabo

19. Urban Slum Area Dispensary, Do 2 2 Do Do

Maur Mandi

20. Railway Hospital, Bathinda Bathinda 4 -- Do State

Special

______________________________________________________________________________________

1 2 3 4 5 6 7

______________________________________________________________________________________

21. E.S.I. Dispensary No. I, Bathinda -- -- Urban State

Special

22. E.S.I. Dispensary No. II, Do -- -- Do Do

Bathinda

23. E.S.I. Dispensary No. III, Do -- -- Do Do

Bathinda

24. Jail Dispensary Bathinda Do 10 -- Do Do

25. Guru Nanak Dev Thermal Do -- -- Do Do

Plant Dispensary, Bathinda

26. Canal Dispensayr, Bathinda Do -- -- Do Do

27. S.D. Mahavir Dal Eye Do 40 25 Do Vol.

Hospital, Bathinda Org

Block Bathinda

28. Rural Hospital, Wirk Kalan Bathinda -- -- Rural State

Public

29. P.H.C., Goniana Do 4 4 Urban Do

30. P.H.C., Shamir Do 2 2 Rural Do

31. S.H.C., Jandanwala Do 2 2 Do Do

32. P.H.C.,Baluana Do 2 2 Do Do

33. S.H.C., Baho Sibbian Do 2 2 Do Do

34. S.H.C., Behmin Diwana Do 2 2 Do Do

35. S.H.C., Bir bahman Do 2 2 Do Do

36. S.H.C., Burj Bahman Do 2 2 Do Do

37. S.H.C., Jassi Pauhuwali Do 2 2 Do Do

38. S.H.C., Deor Do 2 2 Do Do

39. S.H.C., Ganga Do 2 2 Do Do

40. S.H.C., Gulabgarh Do 2 2 Do Do

41. S.H.C., Aklia Kalan Do 2 2 Do Do

42. P.H.C., Jeeda Do 2 2 Do Do

43. S.H.C., Maihma Sawai Do 2 2 Do Do

44. S.H.C., Khemuana Do 2 2 Do Do

45. S.H.C., Ablu Do 2 2 Do Do

46. S.H.C., Sardargarh Do 2 2 Do Do

47. S.H.C., Nahianawala Do 2 2 Do Do

48. S.H.C., Baho Jatri Do 2 2 Do Do

49. S.H.C., Naruana Do 2 2 Do Do

50. P.H.C., Teona Do 2 2 Do Do

______________________________________________________________________________________

1 2 3 4 5 6 7

______________________________________________________________________________________

a.

b.

c. Block Sangat

51. Rural Hospital, Chak Atar Bathinda 15 10 Rural State

Singhwala Public

52. P.H.C., Sangat Do 4 4 Urban Do

53. P.H.C., Bandi Do 2 2 Rural Do

54. S.H.C., Chak Atar Do 2 2 Do Do

Singhwala

55. S.H.C., Chak Ruldu Do 2 2 Do Do

Singhwala

56. S.H.C., Jai Singhwala Do 2 2 Rural State

Public

57. P.H.C., Ghudda Do 2 2 Do Do

58. S.H.C., Kot Bakhtu Do 2 2 Do Do

59. S.H.C., Pakka Kalan Do 2 2 Do Do

60. S.H.C., Raika Kalan Do 2 2 Do Do

61. S.H.C., Sekho Do 2 2 Do Do

62. S.H.C., Sukhladi Do 2 2 Do Do

63. S.H.C., Bagga Ruldu Do 2 2 Do Do

64. S.H.C., Pathrala Do 2 2 Do Do

d. Block Talwandi Sabo

65. Community Health Centre, Talwandi 15 15 Rural State

Talwandi Sabo Sabo Public

66. P.H.C., Talwandi Sabo Do -- -- Do Do

67. P.H.C., Maisar Khana Do 2 2 Do Do

68. P.H.C., Nathea Do 2 2 Do Do

69. P.H.C., Jodhpur Pakhar Do 2 2 Do Do

70. S.H.C., Kalawala Do 2 2 Do Do

71. S.H.C., Kot Bhara Do 2 2 Do Do

72. S.H.C., Dhana Singh Wala Do 2 2 Do Do

73. S.H.C., Malkon Do 2 2 Do Do

74. S.H.C., Ram Nagar Do 2 2 Do Do

75. S.H.C., Sheikh Pura Do 2 2 Do Do

76. S.H.C., Jiwansinghwal Do 2 2 Do Do

77. S.H.C., Ghaso Khana Do 2 2 Do Do

78. S.H.C., Singo Do 2 2 Do Do

79. S.H.C., Teona Purarain Do 2 2 Do Do

______________________________________________________________________________________

1 2 3 4 5 6 7

______________________________________________________________________________________

i. Block Nathana

80. Rural Hospital, Nathana Bathinda 15 15 Rural State

Public

81. C.H.C., Nathana Do -- -- Do Do

82. P.H.C., Mehraj Do 2 2 Do Do

83. S.H.C., Fateh Singhwala Do 2 2 Do Do

84. S.H.C., Ganga Do 2 2 Do Do

85. S.H.C., Gobindpura Do 2 2 Do Do

86. S.H.C., Bhucho Kalan Do 2 2 Do Do

87. S.H.C., Bhucho Khurd Do 2 2 Do Do

88. S.H.C., Kaliyan Sukha Do 2 2 Do Do

89. P.H.C., Lehra Mohabbat Do 2 2 Do Do

90. S.H.C., Lahra Khana Do 2 2 Do Do

91. S.H.C., Bajuana Do 2 2 Do Do

92. S.H.C., Lahra Sondna Do 2 2 Do Do

93. S.H.C., Sema Do 2 2 Do Do

94. S.H.C., Baini Do 2 2 Do Do

95. S.H.C., Tungwali Do 2 2 Do Do

Block Budhlada

96. C.H.C., Budhlada Mansa 15 15 Urban State

Public

97. Rural Hospital Bareta Do 15 10 Do Do

98. P.H.C., Budhlada Do -- -- Do Do

99. P.H.C., Boha Do 2 2 Rural Do

100. S.H.C., Bichhawana Do 2 2 Do Do

101. S.H.C., Bareh Do 2 2 Do Do

102. S.H.C., Bakshiwala Do 2 2 Do Do

103. S.H.C., Borawala Do 2 2 Do Do

104. S.H.C., Dhadra Do 2 2 Do Do

105. P.H.C., Biroke Kalan Do 2 2 Do Do

106. S.H.C., Ailmpura Mandran Do 2 2 Do Do

107. S.H.C., Datewas Do 2 2 Do Do

108. S.H.C., Gobindpur Do 2 2 Do Do

109. S.H.C., Guraddi Do 2 2 Do Do

110. S.H.C., Kahanjarh Chohan Do 2 2 Do Do

111. S.H.C., Kanakwal Do 2 2 Do Do

112. P.H.C., Kulriam Do 2 2 Do Do

______________________________________________________________________________________

1 2 3 4 5 6 7

______________________________________________________________________________________

113. S.H.C., Maghanian Mansa 2 2 Rural State

Public

114. P.H.C., Rangharial Do 2 2 Do Do

e. Block Jhuner

115. C.H.C., Sardulgarh Mansa 15 15 Rural State

Public

116. P.H.C., Sardulgarh Do -- -- Do Do

117. P.H.C., Jhuner Do 2 2 Do Do

118. S.H.C., Bajewala Do 2 2 Do Do

119. P.H.C., Behniwala Do 2 2 Do Do

120. S.H.C., Dhamakalan Do 2 2 Do Do

121. S.H.C., Dalewala Do 2 2 Do Do

122. S.H.C., Fatta Maluka Do 2 2 Do Do

123. P.H.C., Jaurkin Do 2 2 Do Do

124. S.H.C., Ahlupur Do 2 2 Do Do

125. P.H.C., Karandi Do 2 2 Do Do

126. S.H.C., Kusla Do 2 2 Do Do

127. S.H.C., Makhewala Do 2 2 Do Do

128. S.H.C., Mofar Do 2 2 Do Do

129. S.H.C., Sangha Do 2 2 Do Do

Block Mansa

130. Rural Hospital, Bhikhi Mansa 15 10 Rural State

Public

131. Bhai Behlo Government Do 15 10 Do Do

Rural Hospital, Phaphre Bhaike

132. P.H.C., Khiala Kalan Do 4 4 Do Do

133. P.H.C., Dhatai Do 2 2 Do Do

134. S.H.C., Barnala Do 2 2 Do Do

135. S.H.C., Makha Do 2 2 Do Do

136. S.H.C., Bhaini Bagha Do 2 2 Do Do

137. S.H.C., Dalel Singhwala Do 2 2 Do Do

138. S.H.C., Aklia Do 2 2 Do Do

139. S.H.C., Dhalewan Do 2 2 Do Do

140. S.H.C., Gehla Do 2 2 Do Do

141. S.H.C., Sheron Kalan Do 2 2 Do Do

142. S.H.C., Hodla Do 2 2 Do Do

143. S.H.C., Jassarwal Do 2 2 Do Do

Moharsinghwala

______________________________________________________________________________________

1 2 3 4 5 6 7

______________________________________________________________________________________

144. P.H.C., Joga Do 2 2 Do Do

145. S.H.C., Khokhar Kalan Do 2 2 Do Do

146. S.H.C., Pharwain (Kishangarh) Do 2 2 Do Do

147. S.H.C., Kotli Kalan Do 2 2 Do Do

148. S.H.C., Musa Do 2 2 Do Do

149. P.H.C., Nangal Kalan Do 2 2 Do Do

150. S.H.C., Ralla Do 2 2 Do Do

151. S.H.C., Maujo Do 2 2 Do Do

152. P.H.C., Ubbah Burj Dhilwan Do 2 2 Do Do

(d) Block Rampura

153. Rural Hospital, Badiala Rampura 15 10 Rural State

Phul Public

154. P.H.C., Balianwali Do 5 5 Do Do

155. P.H.C., Kararwala Do 2 2 Do Do

156. S.H.C., Baini Chuhar Do 2 2 Do Do

157. S.H.C., Bhunder Do 2 2 Do Do

158. S.H.C., Dhade Do 2 2 Do Do

159. S.H.C., Chaoke Do 2 2 Do Do

160. P.H.C., Mandi Kalan Do 2 2 Do Do

161. S.H.C., Ballo Do 2 2 Do Do

162. S.H.C., Pitho Do 2 2 Do Do

163. S.H.C., Jethuke Do 2 2 Do Do

(e) Block Phul

164. C.H.C., Bhagta Rampura 15 15 Rural State

Phul Public

165. P.H.C., Bhagta Do -- -- Do Do

166. P.H.C., Bhai Rupa Do 2 2 Do Do

167. P.H.C., Dhapali Do 2 2 Do Do

168. P.H.C., Bhodipura Do 2 2 Do Do

169. S.H.C., Maluka Do 2 2 Do Do

170. S.H.C., Raya Do 2 2 Do Do

171. S.H.C., Selbrah Do 2 2 Do Do

172. S.H.C., Jalal Do 2 2 Do Do

173. S.H.C., Dialpura Mirja Do 2 2 Do Do

174. S.H.C., Salabatpura Do 2 2 Do Do

175. S.H.C., Gumti Kalan Do 2 2 Do Do

______________________________________________________________________________________

(Driectory of Medical Institutions in Punjab, Publications No. 23, pp 29-34)

APPENDIX III

Family Planning Cinics in the Bathinda District as on 1 Aril 1989

________________________________________________________________________

Sr. Name of Institution and location Rural/ Type of Tahsil

No. Urban management

________________________________________________________________________

1. Family Welfare Centre, Shaheed Urban State Bathinda

Bhai Mani Singh Civil Hospital,

Bathinda

2. Family Welfare Centre, Goniana Rural Do Do

3. Family Welfare Centre, Sangat Do Do Do

4. Family Welfare Centre, Nathana Do Do Do

5. Family Welfare Centre, Mansa Urban Do Mansa

6. Family Welfare Centre, Budhlada Rural Do Do

7. Family Welfare Centre, Sardulgarh Do Do Do

8. Family Welfare Centre, Khiala Do Do Do

9. Family Welfare Centre, Civil Urban Do Rampura

Hospital, Rampura Phul Phul

10. Family Welfare Centre, Bhagta Rural Do Do

11. Family Welfare Centre, Balianwali Do Do Do

12. Family Welfare Centre, Do Do Talwandi

Talwandi Sabo Sabo

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(Director of Medical Institutions in Punjab State Publication No. 23, p. 89)