Andhra Pradesh Health and Social Care

Andhra Pradesh Health and Social Care Introduction: The health and social care arena is facing some of the biggest challenges for decades. Demographically this is because more people are falling prey to changing environment, deprived economy, social factors, increased population, life style changes, early mortality etc. The research has provided many benefits in discovery of new treatments and technologies used in health care. It can improve the health outcome to individuals which in turn reduces the burden on the health care. In 1953 Andhra Pradesh was first formed on a linguistic basis by carving it out from Madras area. In 1956 later it was merged with telugu speaking area of Hyderabad state to form a Andhra Pradesh State. In order to keep alive the interest of the Telegu people, Amarajeevi Potti Sriramulu kept pressure on the Madras Presidency government to give a ear to public demand for the separate Telugu speaking state (Rayalaseema and coastal Andhra) to form a new Andhra state. With unbreakable determination he went on a fast, and only stopped when prime minister Jawaharlal Nehru promised to form new Andhra State. On the midnight of 15 December (i.e. Early 16 December 1952), Potti Sriramulu died and sacrificed his life trying to achieve the state. In the history of this telugu state on the 18th Feb 2014 Lok Shabha of India approving the formation of Telangana with ten districts. In India, Andhra Pradesh is one of the populated state because of its growth and its geologically near the sea coast. In India, Andhra Pradesh is one of the populated state because of its growth and its geologically near the sea coast. The Census over the year has seen the state grow steadily in the terms of population. It is located in the southern region of the country, the state shares its boundaries with Orissa, Tamil Nadu and Karnataka. The capital of the state is the vibrant city of Hyderabad that has seen the rule of Nizams for a long time. Andhra Pradesh has been one of the oldest states in the country and finds its place in many ancient works of Literature. According to 2011 census, the population of Andhra Pradesh is 84 million. The growth rate of the population is about 11% which is below the national average. The state has seen the faster growth in the terms of Technological infrastructure, civil works and also developed in sectors like IT and Telecom. The state has tiled over an area of 275000 sq km and has many places of strategic and cultural evidence. It has contributed to have the important place for Worship such as World famous deity, Tirupati balaji. Andhra Pradesh has a population density of 308 which is below the national average. In 2011, the literacy rate is 67% while compared to national average of about 74% and a cause of interest is given. Andhra Pradesh have the best ports in the country with regards to Trade.     Ã‚   Population in Andhra Pradesh in 2011 According to Andhra Pradesh Census in 2011 the population has increased to 0.84(8.46 7.62 crore) when compared to census in 2001. The total population is 84,580,777 of which male and female were 42,442,146 and 42,138,631 respectively. Population Growth Rate in Andhra Pradesh The total population growth in this decade is 10.98% while in previous decade was 13.86%. The population of Andhra Pradesh forms 6.99% of India in 2011. Literacy Rate in Andhra Pradesh 2011 As per 2011 population census Literacy rate in Andhra Pradesh has been upward trend and is 67.02%. in which male literacy stands at 74.88% and female literacy is at 58.68%. The total literates in Andhra Pradesh stands at 50,556,760 of which male were 28,251,243 and female were 22,305,517 and in terms of percentage it stood at 60.47% of male and 71.16% of female respectively. Andhra Pradesh Density 2011 The total area of Andhra Pradesh in 275,045 sq km. Density of Andhra Pradesh is 308 Sq Km when compared to 277 sq km in 2001. Sex Ratio in Andhra Pradesh In Andhra Pradesh Sex Ratio is 993 for each 1000 male and female is 978 per 1000 males which is below national average of 940 as per census 2011. Description 2011 2001 Population 8,45,80,777(Approximate 8.45 crores) 7,62,10,077(Approximate 7.62 crores) Male 4,24,42,146 3,85,27,413 Female 4,21,38,631 3,76,82,594 Growth in Population 10.98% 13.86% Percentage of Population 6.99% 7.41% Sex Ratio 993 978 Child sex ratio 939 896 Density/km2 308 277 Area km2 2,75,045 2,75,045 Area mi2 1,06,195 1,06,196 Total Child population (0-6 Age) 91,42,802 1,01,71,857 Male population (0-6 Age) 47,14,950 51,87,321 Female population (0-6Age) 44,27,852 49,84,536 Literacy 67.02% 60.47% Male Literacy 74.88% 71.16% Female literacy 58.68% 50.29% Total literate 5,05,56,760 3,99,34,323 Male literate 2,82,51,243 2,34,44,788 Female literate 2,23,05,517 1,64,89,535 Rural Population in Andhra Pradesh 2011 In the total population of Andhra Pradesh 66.67% live in villages of rural areas. Males and females are 56,361,702 respectively. The population growth rate recorded for the decade was 66.64%. In rural regions of Andhra Pradesh state, female sex ratio per 1000 males was 996 and children below age of 6 was 941 girls per 1000 boys. In rural regions of Andhra Pradesh state, the literacy rate for males and females stood at 69.38% and 51.29% respectively. Description Rural Urban Total population 5,63,61,702 2,82,19,075 Male population 2,82,43,241 1,41,98,905 Female population 2,81,18,461 1,40,20,170 Population growth 1.73% 35.61% Sex ratio 996 987 Child sex ratio(0-6) 941 935 Child population(0-6) 61,52,022 29,90,780 Child percentage(0-6) 10.92% 10.60% Literates 3,03,51,065 2,02,05,695 Average literacy 60.45% 80.09% Male literacy 69.38% 85.79% Female literacy 51.29% 73.31% Estimated crude birth rates, crude death rates and infant mortality in Andhra Pradesh. S.No Particulars 2010 2011 Rural Urban Rural Urban 1 Crude birth rate per 1000 population 18.3 16.7 17.8 16.6 2 Crude death rate per 1000 population 8.6 5.4 8.5 5.2 3 Infant mortality rate per 1000 live births 51 33 47 31 Source: Sample registration system statistical reports, 2010 and SRS bulletin vol.47 No.2,Oct 2012 of office.Registrar general of india, Ministry of home affairs, Govt.of India, New Delhi. Hyderabad: It is the capital city of Andhra Pradesh and one of the largest state in India. The origin of the name Hyderabad came into picture when Muhammad Qulin Qutub founded the city and named after a nautch girl who got converted to Islam after marriage and adopted the title Hyder Mahal and in her honour the city was renamed as Hyderabad. Hyderabad is located in the north- western part of Andhra Pradesh and lies on the banks of Musi River in the northern part of the Deccan plateau in south India. Climate Hyderabad has a tropical wet and dry climate ranging from the scale of 21 – 32 degree Celsius. The Hyderabad Municipal Corporation was expanded in 2007 to form the greater Hyderabad Municipal Corporation. Hyderabad has paved in art, literature and cuisine. The city is also attracted with tourist destination such as Chowmahalla Palace, Charminar and Golkonda fort and joining hands with various interesting museums, bazaars, galleries, libraries, sports venues and other cultural institutions. Hyderabad is a shell for information technology, pharmaceutical and biotechnology industries. It is also a home for film industry, education and research having 13 universities and business schools.It became a tourist spot and hub of various cultures. According to 2011 Census Population in Hyderabad: Description 2011 2001 Population 39,43,323 38,29,753 Male 20,18,575 19,81,173 Female 19,24,748 18,48,580 Growth in Population 2.97% 21.74% Area-Sq.Km 217 217 Density/km2 18,172 17,649 Proportion to AP population 4.66% 5.03% Sex ratio(per 1000) 954 933 Child sex ratio(0-6 Age) 914 943 Average Literacy 83.25 78.80 Male literacy 86.99 83.74 Female literacy 79.35 73.50 Total child population(0-6 Age) 4,69,126 4,86,084 Male population(0-6 Age) 2,45,127 2,50,173 Female population(0-6 Age) 2,23,999 2,35,911 Literates 28,92,155 26,34,949 Male literates 15,42,688 14,49,602 Female literates 13,49,467 11,85,347 Proportion of child(0-6 Age) 11.90% 12.69% Proportion of boys(0-6 Age) 12.12% 12.63% Proportion of girls(0-6 Age) 11.64% 12.76% Healthcare The Andhra Pradesh Vaidya Vidhana Parishad, a department of the state government ,administers healthcare in Hyderabad. Medical services are provided by government hospitals, clinics, private hospitals and charities. In 2010-11 the city had 50 government hospitals, 300 private and charity hospitals and 194 nursing homes together having approximately 12000 hospital beds. The ratio for every 10000 people in the city there are 17.6 hospitals beds, 9 specialist doctors, 14 nurses and 6 physicians. The common people prefer private hospitals as they are standardized with good quality and advance treatment. According to the 2005 National Family Health Survey, 24% of Hyderabad’s households are covered by government health schemes or insurance. The city’s total fertility is 1.8 where only 61% of children has proved with all basic vaccines( BCG, measles and full courses of polio and DPT) . The infant mortality rate for children below age of five was 41 per 1,000 live births. According to one survey , about third of women and quarter of men and 20% of children are objected to overweight or obese while 49 % of children below 5 are anaemia. More than 2% of women and 3% of men are suffer from diabetes. Ethnic groups, language and religion Residents of Hyderabad are known as Hyderabadi. The majority speak Telugu followed by Urdu, Marathi. Minority language spoken are Kannada, Marwari, Bengali, Tamil, Malayali, Gujarati, Punjabi people. Religion in Hyderabad District- 2001 Religion Percent Hinduism 55% Islam 42% Christianity 2% Others 1% Economy Of all the cities of Andhra Pradesh, Hyderabad is the largest contributor to the state’s GDP, tax and other revenues. Its per capita annual income in 2011 was 44,300. Culture Hyderabad has North and South linguistic and cultural traits of Hindu and Muslim traditions. Festivals celebrated in Hyderabad include Ganesh Chaturthi, Diwali, Bonalu, Bathukamma, Eid ul-Fitr and Eid al-Adha. Hyderabad is the medical hub for Andhra Pradesh. While the Three Hospitals in Hyderabad i.e Omega Hospitals, Basavatarakam Indo American cancer institute and research Centre and MNJ institute of Oncology Regional Cancer Centre and patients with breast cancer have been selected for the present study. These three hospitals are specialized in cancer treatment and research. In this study only Breast Cancer patients are selected. Hyderabad is the medical hub for Andhra Pradesh. Omega Hospital Known for commitment and interest of a few doctors are the world’s best specialist for treating cancer patients in Andhra Pradesh. Omega Hospital has combined to bring the best in the field of Oncology. The NABH has credited as the first of its cancer care. The team is lead by Dr. Ch. Mohana Vamsy who is instrumental in bringing best cancer care to the state of Andhrapradesh. The hospital was promoted in the year 2010 and started its operation from 2 of July 2010. On the first day the hospital had 100 OP registrations which reflects its popularity and confidence that patients have towards the hospital and the team. Vision To create a world-class integrated healthcare delivery system in India, entailing the finest medical skills combined with compassionate care. Mission: â€Å"In Life we believe† Our mission is to protect and provide advance facilities to cure by latest treatment and research.Omega Hospital is a 175 bedded Multi Specialty Hospital located in MLA colony, Road No:12, Banjara hills Hyderabad . The hospital is fostered with few doctors who come from highly experience of surgical oncologists, state-of-the-art operation theaters, anesthetic , critical care units, top-class radiology facilities including CT/PET-CT scanner, dedicated pathology, microbiology laboratory and dynamic medical oncology departments in one roof. Dr. Mohana Vamsy, Chief surgical oncologist and Managing director of OMEGA HOSPITALS and come from an experience of 20 years in treating cancer patients along with a dedicated team to work hand-in-hand for best recovery. Omega ha the latest laparoscopic equipment and expertise to perform all major oncologic abdomino-pelvic surgeries. It also has the latest surgical equipment to perform head and neck surgeries with quick recovery. Basavatarakam Indo- American Cancer Hospital and Research Centre This hospital was started with a dream of late Smt. Nandanuri Basava Taraka Rama Rao wife of late Chief Minister Sri N T Rama rao who herself was succumbed to the deadly disease. The late Chief Minister and several philanthropists, scients and physians from India and USA created the Basavatarakam Indo- American Cancer Hospital and Research Centre in Hyderabad. Today, it is a non-profit making organization, bestows care and treatment on par with stands of excellence and affordable price. It is run by two trustees, one based in India and other from United States of America, this institute meet different phase of patients fighting from Cancer. Today it stand proud saving the lives from this killer disease. Mission: Provide quality cancer treatment at affordable cost. Vision: Main Vision is to develop BIACH and RI as a premier institution for the Cancer Research and treatment in the country. It has 500 bed with advanced diagnostic and treatment facilities at affordable cost. It has MRI, Multiple Slice spiral CT, Conventional CT, Mammography unit, IMRT, IGRT, SRT, PET CT, Radio Idonine Thyroid Ward, Bone Scan, Muga Scan, Blood Bank Etc. Basavatarakam’s mobile unit work to reach adults (18 years and older) living in villages and small towns in Andhra Pradesh. The unit is equipped wirg a mammogram unit, x-ray and ultrasound facilities, mobile unit services offered Breast Health, Cervical health, Oral health, Prostate health, Skin health, Cancer education, Nutrition, Physical activity, brast Self Examination, Oral Self Examination, Tabacco Cessation. Facility for out-station patients Parents and families who come from long distance seek affordable and advanced health care facilities. The Hospital has come forward in providing comfort, reassurance, affordable and effortless Dormitory/ Guest House with A/c and non- A/c Rooms to nigh the patients. MNJ Institute of Oncology Regional Cancer Centre, Hyderabad The MNJ Institute of Oncology Regional Cancer Centre is a 40 bedded hospital established by Nawab Mehdi Nawaj Jung and inaugurated by the first Prime Minister of India Pundit Jawaharlal Nehru on 8 of December 1955. It was the first centre to provide cancer care.on march 1996, it was adwarded the status of Regional Cancer Centre. At present it has 250 bedded serving Andhra Pradesh and neighbouring states. The MNJ Institute of Oncology Regional Cancer Centre is the third cancer centre in the India. It takes pride for the fact of growth. This hospital provides free treatment to approximately to 10,000 new patients and 50,000 follow-up patients every year. Surgery, Radiotherapy and Chemotherapy is provided free of cost to all the patients below poverty line. The departments in MNJ Institute of Oncology Regional cancer centre are Radiation Oncology, Surgical Oncology, Plastic Reconstructive surgery, Medical Oncology, Nuclear Medicine, Pathology, Palliative Medicine, Biochemistry, Gynecological Oncology, Tobbaco cessation clinic etc.