Health white paper

1

Report on the Sensitive Disease/Ailments cases

registered in the

State Hospitals, Municipal Hospitals and Municipal

Dispensaries across Mumbai

(April 2008 to March 2011)

June-2011

Supported by:

FORD FOUNDATION

2

Table of Content

Sr.

No. Title

Page

No.

Section

I Foreword 4

II City Statistics 5

III Ward Statistics 12

IV Working of Public Health Committee 24

Table

1 Table 1. Number of sensitive diseases registered in Mumbai across all

wards ( April 2008 to March 2011)

12

2 Table 2. Ward wise registered cases for Malaria


15

3 Table 3. Ward wise registered cases for Diarrhoea


17

4 Table 4. Ward wise registered cases for Hyper tension


19

5 Table 5. Ward wise registered cases for Tuberculosis


21

6 Table 6. Ward wise registered cases for Diabetes


23

7 Table 7. Attendance of Health committee members

( April 2008 to March 2009)

25

8 Table 8. Category wise percentage attendance


26



27



28



29



30

13 Table 13. Number of Question asked in Public Health Committee


31

14 Table 14. Category wise number of Question asked in Public Health

Committee (April 2008 to March 2009)

32



33

3



34



35



36

19 Table 19. Issues raised/Questions asked by Councillors in Health

Committee meeting (April 2008 to March 2011)

37

20 Table 20. Number of Question asked on Health issues in Ward


38

21 Table 21. Issues raised/Questions asked by Councillors in Ward


39

22 Table 22. List of State and BMC Hospitals 40

23 Table 23. List of Municipal Dispensaries 41

Graph

1 Graph 1. Number of Quarter wise Sensitive Diseases /Ailment

registered during April 2008 to March 2011

5

2 Graph 2. Top Five Sensitive Diseases

(State Hospital + Municipal Hospital + Municipal Dispensary)

6

3 Graph 3. Quarter wise registered cases for Malaria


7

4 Graph 4. Quarter wise registered cases for Diarrhoea

( April 2008 to March 2011)

8

5 Graph 5. Quarter wise registered cases for Hyper tension


9

6 Graph 6. Quarter wise registered cases for Tuberculosis


10

7 Graph 7. Quarter wise registered cases for Diabetes


11

8 Graph 8. Top five sensitive diseases across all wards


13

9 Graph 9. Quarter wise registered cases for Malaria


14

10 Graph 10. Quarter wise registered cases for Diarrhoea

(April 2008 to March 2011

16

11 Graph 11. Quarter wise registered cases for Hyper tension


18

12 Graph 12. Quarter wise registered cases for Tuberculosis


20

13 Graph 13. Quarter wise registered cases for Diabetes


22

4

I) FOREWORD

They say statistics do not lie. Indeed they don’t. Stats also depict a trend. And trends dictate our

actions. At least they ought to. Praja Foundation has collected data about 5 sensitive diseases

across the city of Mumbai from Municipal dispensaries and municipal hospitals all across the city

for the past three years, from 2008 to 2011. The five sensitive diseases as defined by World

Health Organisation are Malaria, Diarrhoea, Hypertension, Tuberculosis and Diabetes. The

trends that these data reveal are truly shocking.

Now consider this: Each year, from 2007-2008, incidences of sensitive diseases in Mumbai has

continued increasing. Malaria cases grow more than thrice in the last three years; in the

monsoon quarter (July to September) the same growth is more than four times; diarrhoea cases

grew by 70% in the last three years. The picture gets grimmer when one analyses data at the

ward level and that to only for the Municipal Dispensaries: total number of cases registered for

sensitive diseases grew by more than 100% in seven wards in the last three years and across all

wards by 69%; in the same time Malaria grew by 3.8 times, Diarrhoea by 57% and Diabetes by

76%; take the monsoon quarter and the rise in Malaria is 4.75 times; F/S ward the Headquarter

of Municipal Health Department has been the worst affected ward for all the last three years;

three out of seven wards where the increase is more than 100% are in South Mumbai (B, C & D).

Clearly, this reveals a dangerous trend and potential health hazard. Isn’t this a responsibility of

our civic body to ensure that the unabated trend of sensitive diseases is curtailed? If the civic

body and its custodians had kept proper track of such trends from way longer than the past

three years, perhaps pragmatic solutions might have emerged. What’s worse, the periodicity of

the diseases has also continued exactly in the same manner each year.

Another pertinent question that this White paper raises is the role of Municipal Elected

Representatives regarding the health issues plaguing our city. The Municipal Corporation has a

Public Health Committee with 36 elected corporators as its members. In 2008-09, 12 of these

members attended less than 60% of the meetings held by the Public Health Committee. Of those

who did, 23 members did not ask even a single question. In the last three years, 36 councillors

asked less than three questions per meeting; the highest questions being on cemeteries and

crematoriums (12 in the last year and overall 14) along with 14 on health infrastructure related.

There were no questions on epidemics or sensitive diseases in the first two years, in the last

year there were just four questions. The picture is even grimmer if you consider the questions

asked on health in the ward committees by the 227 councillors: councillors from 10 wards out of

24 wards did not even ask a single question on health during the last three years!

Will it then be too judgemental to infer that these 227 elected representatives are collectively

responsible for agony that Mumbaikars are facing today? Mumbai’s Health Budget for the 2008-

09 was Rs. 1529 crores, for 2010-11 it was Rs. 1890 crores and for 2011-12 is Rs. 2167 crores.

Where does all this money go? These data raise extremely pertinent questions about the

paucity of any foresight or planned strategy to safeguard the health of its citizen who are

dependent on municipal dispensaries and hospitals. More significantly, it reminds and rebukes

the elected representatives of our city custodians who seem to be failing in their job as the civic

custodians on behalf of its citizens.

- NITAI MEHTA, Managing Trustee, Praja Foundation

5

II) City Statistics

Graph 1. Number of Quarter wise Sensitive Diseases / Ailment

1 registered


Inference:

The above data presents quarter wise distribution of sensitive Diseases /Ailment registered in

25 Municipal Hospitals and 160 Municipal Dispensaries across Mumbai. Comparison is between

quarters of three year data on sensitive Diseases /Ailments registered cases from April 2008 to

March 2011.

The above graph shows highest number of 71,020 sensitive diseases cases registered in the

Municipal Dispensaries and 44,405 in the Municipal hospitals in the quarter July 2010 to

September 2010 and the previous year quarter July 2009 to September 2009 cases registered

were 51,473 in the Municipal dispensaries and 29,569 in the Municipal hospitals. In July 2008 to

September 2008 cases registered were 35,452 in the Municipal dispensaries and 27,621 in the

Municipal hospitals.

1 Sensitive diseases/ Aliments consist of Diarrhoea, Hyper Tension, Malaria, Tuberculosis, Diabetes, Typhoid, Hepatitis A, Hepatitis B, Dengue and Cholera.

The number of sensitive cases registered from July 2008 to September 2008 quarter to the

July 2010 to September 2010 quarter has grown by almost two times.

6

Graph 2. Top five Sensitive Diseases/ Ailments [State hospital, Municipal hospital and

Municipal Dispensaries (April 2008 to March 2011)]

Inference:

The above data presents diseases wise distribution of registered cases in 25 Municipal Hospitals

and 160 Municipal Dispensary across Mumbai. Comparison is between top five sensitive

Diseases /Ailment of three year data from April 2008 to March 2011.

The above graph shows highest number of 1, 25,999 Diarrhoea cases registered in the

Municipal dispensaries and the Municipal hospitals for the year April 2010 and March 2011 and

the previous year in April 2009 to March 2010 cases registered were 1, 16,295 and 81,321 in the

year April 2008 to March 2009. Malaria cases has registered the second highest with 78,448 in

year in the year April 2010 and March 2011, previous year of April 2009 to March 2010 cases

registered were 39,898 and in year April 2008 to March 2009 cases registered were 23,317.

The numbers of Malaria cases registered from April 2008 to March 2011 have grown by

more than three times.

7

Graph 3. Quarter wise registered cases for Malaria (April 2008 to March 2011)

Inference:

The above data presents quarter wise distribution of register cases for Malaria. Comparison is

between quarters of three year data on Malaria cases registered in the State Hospitals,

Municipal Hospitals and Municipal Dispensaries across Mumbai from April 2008 to March 2011.

The above graph shows highest number of 41,424 cases of Malaria registered in year quarter

July 2010 to September 2010 and the previous year quarter July 2009 to September 2010

registered cases were 15,149; in quarter July 2008 to September 2008 cases registered were

9,919. Second highest Malaria cases registered were 17,253 in quarter October 2010 to

December 2010.

The number of Malaria cases registered from July 2008 to September 2008 quarter to the

July 2010 to September 2010 quarter has grown by more than four times.

8

Graph 4. Quarter wise registered cases for Diarrhoea (April 2008 to March 2011)

Inference:

The above data presents quarter wise distribution of register cases for Diarrhoea. Comparison is

between quarters of three year data on Diarrhoea cases registered in the State Hospitals,


The above graph shows highest number of 45,509 cases of Diarrhoea registered in quarter July

2010 to September 2010 and the previous year quarter July 2009 to September 2009 registered

cases were 39,727; in quarter July 2008 to September 2008 cases registered were 26,907.

Second highest Diarrhoea cases registered were 29,638 in quarter October 2009 to December

2009.

The number of Diarrhoea cases registered from July 2008 to September 2008 quarter to the

July 2010 to September 2010 quarter has grown by almost 70%.

9

Graph 5. Quarter wise registered cases for Hyper tension (April 2008 to March 2011)

Inference:

The above data presents quarter wise distribution of register cases for Hyper tension.

Comparison is between quarters of three year data on Hyper tension cases registered in the

State Hospitals, Municipal Hospitals and Municipal Dispensaries across Mumbai from April 2008

to March 2011.

The above graph shows highest number of 11,564 cases of Hyper tension registered in quarter

January 2011 to March 2011 and the previous year quarter January 2010 to March 2010

registered cases were 8,063; in quarter January 2009 to march 2009 cases registered were 6936.

Second highest Hypertension cases registered were 9,737 in quarter October 2010 to December

2010.

The number of Hyper tension cases registered from January 2009 to March 2009 quarter to

the January 2011 to March 2011 quarter has grown by almost two times.

10

Graph 6. Quarter wise registered cases for Tuberculosis (April2008 to March 2011)

Inference:

The above data presents quarter wise distribution of register cases for Tuberculosis. Comparison

is between quarters of three year data on Tuberculosis cases registered in the State Hospitals,


The above graph shows highest number of 9,210 cases of Tuberculosis registered in quarter

April 2008 to June 2008 and the next year quarter April 2009 to June 2009 registered cases were

7,667; in quarter April 2010 to June 2010 cases registered were 7,303. Second highest

Tuberculosis cases registered were 8,548 in quarter October 2010 to December 2010.

11

Graph 7. Quarter wise registered cases for Diabetes (April 2008 to March 2011)

Inference:

The above data presents quarter wise distribution of register cases for Diabetes. Comparison is

between quarters of three year data on Diabetes cases registered in the State Hospitals,


The above graph shows highest number of 7,601 cases of Diabetes registered in quarter July

2009 to September 2009 and the next year quarter July 2010 to September 2010 registered

cases were 5,889; in quarter July 2008 to September 2008 cases registered were 6,017. Second

highest Diabetes cases registered were 6,797 in quarter April 2008 to June 2008.

12

III) Ward Statistics Table 1. Number of sensitive diseases/ Ailments registered in Mumbai across all wards


Ward

Number of cases registered

April'08 to March'09 April'09 to March'10 April'10 to March'11

A 4,245 3,966 4,645

B 2,261 3,295 5,017

C 2,068 2,587 4,310

D 3,033 6,507 7,297

E 7,874 10,724 12,987

F/N 6,208 10,476 11,147

F/S 9,314 13,373 16,030

G/N 4,992 6,454 9,214

G/S 9,682 12,703 13,694

H/E 4,535 7,403 8,425

H/W 4,787 4,999 8,696

K/E 10,496 12,223 15,610

K/W 5,369 5,552 7,293

L 6,866 14,593 16,219

M/E 2,753 4,728 7,083

M/W 4,680 6,080 6,944

N 3,820 7,701 9,919

P/N 2,799 3,480 3,537

P/S 1,043 1,812 1,649

R/C 4,139 3,949 3,325

R/N 1,226 1,376 1,375

R/S 4,343 5,182 3,954

S 3,586 6,098 8,304

T 1,846 2,694 2,601

Inference:

The above data presents ward wise division of Sensitive diseases/ Ailments registered in the

Municipal Dispensaries across all wards of Mumbai from April 2008 to March 2011.

The above table shows that F south ward is amongst top three wards for the maximum number

of cases registered for the all the last three years. Similarly G south is amongst the top three for

the year April 2008 to March 2009 and April 2009 to March 2010; K east for April 2008 to March

2009 and April 2010 to March 2011; and L ward for April 2009 to March 2010 to April 2010 to

March 2011.

The increase between Years April 2008 - March 2009 to April 2010 – March 2011 is

• More than 100% increase in seven wards.

• Overall increase is 69% for all wards

13

Graph 8. Top five Sensitive diseases/ Ailments across all wards

(April 2008 – March 2011)

Inference: The above data presents diseases wise distribution of registered cases in 160 Municipal

Dispensaries across all wards in Mumbai. Comparison is between top five Sensitive diseases/

Ailments of three year data from April 2008 to March 2011.

The above graph shows highest number of 1, 13,747 Diarrhoea cases registered in the Municipal

dispensaries for the year April 2010 and March 2011 and the previous year in April 2009 to

March 2010 cases registered were 1, 04,377 and 72,322 in the year April 2008 to March 2009.

Malaria cases has registered the second highest with 38,005 case in year in the year April 2010

and March 2011, previous year of April 2009 to March 2010 cases registered were 19,867 and in

year April 2008 to March 2009 cases registered were 10004.

The increase between Year April 2008 - March 2009 to April 2010 - March 2011 is

• 3.8 times increase for Malaria

• 57% increase for Diarrhoea

• 76 % increase for Diabetes

14

Graph 9 . Quarter wise registered cases of Malaria (April 2008 to March 2011)

Inference:

The above data presents quarter wise distribution of register cases for Malaria. Comparison is

between quarters of three year data on Malaria cases registered only in the Municipal

Dispensaries across Mumbai from April 2008 to March 2011.

The above graph shows highest number of 20,383 cases of Malaria registered in year quarter


registered cases were 7, 937; in quarter July 2008 to September 2008 cases registered were

4,287. Second highest Malaria cases registered were 7,937 in year quarter July 2009 to

September 2009.

The increase between quarter July 2008 – September 2008 to July 2010- September is 4.75

times increase for Malaria

15

Table 2. Ward wise registered cases of Malaria (April 2008 to March 2011)

Malaria

Ward

2008-09 2009-10 2010-11

Number of cases

registered

Number of cases

registered

Number of cases

registered

A 133 664 1221

B 274 552 1147

C 238 426 1532

D 940 1645 1774

E 750 756 2945

F/N 362 1365 2073

F/S 1644 2991 4499

G/N 490 1075 2088

G/S 711 2149 3115

H/E 124 442 804

H/W 1062 817 3360

K/E 747 1299 3687

K/W 652 1100 2524

L 376 832 1718

M/E 536 661 192

M/W 244 291 622

N 244 880 1909

P/N 67 220 385

P/S 92 150 251

R/C 61 129 334

R/N 12 79 83

R/S 101 170 417

S 99 677 1083

T 45 497 242

Inference:

The above data presents ward wise division of registered cases for Malaria registered in the

Municipal Dispensaries across all wards in Mumbai from April 2008 to March 2011.

The above table shows that F south ward has highest registered cases (1,644) for Malaria; H

west ward has second highest registered cases (1,062) and D ward has third highest registered

cases (940) for year April 2008 to March 2009. The next year April 2009 to March 2010 F south

ward has highest registered cases (2,991), G South ward has second highest registered cases

(2149) and D ward has third highest registered cases (1,645). In the year April 2010 to March

2011 F south ward has highest registered cases (4,499) for Malaria; K east has second highest

registered cases (3,687) and H west has third highest (3,360) registered cases.

16

Graph 10. Quarter wise registered cases of Diarrhoea (April 2008 to March 2011)

Inference:

The above data presents quarter wise distribution of register cases for Diarrhoea. Comparison is

between quarters of three year data on Diarrhoea cases registered in the Municipal

Dispensaries across all wards in the Mumbai from April 2008 to March 2011.

The above graph shows highest number of 40,985 cases of Diarrhoea registered in year quarter


registered cases were 34,731; in quarter July 2008 to September 2008 cases registered were

23,321. Second highest Diarrhoea cases registered were 26,650 in year quarter October 2009 to

December 2009.

17

Table 3. Ward wise registered cases of Diarrhoea (April 2008 to March 2011)

Diarrhoea

Ward

2008-09 2009-10 2010-11

Number of cases

registered

Number of cases

registered

Number of cases

registered

A 1213 1440 1522

B 1220 1654 1844

C 944 1309 2019

D 1175 3579 4536

E 5490 8147 8201

F/N 4063 5796 5295

F/S 4424 5824 7261

G/N 3431 4343 5849

G/S 6874 6776 7252

H/E 3442 5697 6041

H/W 2657 3338 3946

K/E 5997 7219 7885

K/W 3358 4042 4023

L 5379 11971 12588

M/E 1461 3769 6108

M/W 3715 4763 5083

N 3381 6636 7869

P/N 2104 2861 2741

P/S 804 1423 1062

R/C 2922 2686 1801

R/N 1011 1067 946

R/S 2920 3972 2657

S 2950 4445 5242

T 1387 1620 1976

Inference:

The above data presents ward wise division of registered cases for Diarrhoea in the Municipal

Dispensaries across all wards in Mumbai from April 2008 to March 2011.

The above table shows that G south ward has highest registered cases (6,874) for Diarrhoea, K

east has second highest registered cases (5,997) and E ward has third highest registered cases

(5,490) for year April 2008 to March 2009. The next year April 2009 to March 2010 L ward has

highest registered cases (11,971), E ward has second highest registered cases (8,174) and K east

ward has third highest registered cases (7,219). In the year April 2010 to March 2011 L ward has

highest registered cases (12,588) for Diarrhoea; E ward has second highest registered cases

(8,201) and K east has third highest registered cases (7,885).

18

Graph 11. Quarter wise registered cases of Hyper tension (April 2008 to March 2011)

Inference:

The above data presents quarter wise distribution of register cases for Hyper tension.

Comparison is between quarters of three year data on Hyper tension cases registered in the


The above graph shows highest number of 5,374 cases of Hyper tension registered in year

quarter January 2011 to March 2011 and the previous year quarter January 2010 to March 2010

registered cases were 4,959; in quarter January 2009 to March 2009 cases registered were

4,405. Second highest Hyper tension cases registered were 5,317 in year quarter July 2010 to

September 2010.

19

Table 4. Ward wise registered cases of Hyper tension (April 2008 to March 2011)

Hyper tension

Ward

2008-09 2009-10 2010-11

Number of cases registered Number of cases

registered

Number of cases

registered

A 2562 1369 1338

B 436 750 1353

C 641 653 599

D 532 949 686

E 866 1213 1154

F/N 575 972 1234

F/S 2649 3868 3586

G/N 341 548 746

G/S 1681 3241 2198

H/E 443 625 844

H/W 639 306 496

K/E 1319 1715 2241

K/W 693 0 174

L 251 502 580

M/E 379 142 392

M/W 321 529 709

N 50 41 24

P/N 405 172 282

P/S 49 132 155

R/C 915 839 890

R/N 62 94 249

R/S 679 184 201

S 75 214 308

T 75 160 176

Inference:

The above data presents ward wise division of registered cases for Hyper tension in the


The above table shows that F south ward has highest registered cases (2,649) for Hyper tension;

A ward has second highest registered cases (2,562) and G south has third highest registered

cases (1,618) for year April 2008 to March 2009. The next year April 2009 to March 2010 F south

ward has highest registered cases (3,868), G south ward has second highest Hyper tension

registered cases (3,241) and K east has third highest registered cases (1,715). In the year April

2010 to March 2011 F south ward has highest registered cases (3,586) for Hyper tension, K east

ward has second highest registered cases (2,241) and G south ward has third highest registered

cases (2,198).

20

Graph 12 . Quarter wise registered cases of Tuberculosis (April 2008 to March 2011)

Inference:

The above data presents quarter wise distribution of register cases for Tuberculosis. Comparison

is between quarters of three year data on Tuberculosis cases registered only in the Municipal


The above graph shows highest number of 2,938 cases of Tuberculosis registered in year quarter


registered cases were 2184; and next year quarter January 2011 To March 2011 cases

registered were 2,877. Second highest Tuberculosis cases registered were 2,923 in year quarter

April 2008 to June 2008.

21

Table 5. Ward wise registered cases of Tuberculosis (April 2008 to March 2011)

Tuberculosis

2008-09 2009-10 2010-11

Ward Number of cases

registered

Number of cases

registered

Number of cases

registered

A 292 438 461

B 100 155 160

C 156 133 131

D 378 265 246

E 592 516 417

F/N 858 1274 1332

F/S 577 573 600

G/N 714 404 417

G/S 276 221 361

H/E 444 503 518

H/W 275 250 226

K/E 2048 1391 1164

K/W 395 260 240

L 760 1118 1118

M/E 146 67 147

M/W 181 200 218

N 120 96 65

P/N 187 124 96

P/S 71 65 69

R/C 129 111 137

R/N 123 128 86

R/S 542 765 572

S 417 671 1551

T 334 393 191

Inference:

The above data presents ward wise division of registered cases for Tuberculosis in the Municipal


The above table shows that K east ward has highest registered cases (2,048) for Tuberculosis, F

north ward has second highest registered cases (858) and L ward has third highest registered

cases (760) for year April 2008 to March 2009. The next year April 2009 to March 2010 K east

ward has highest registered cases (1,391), F north ward has second highest Tuberculosis

registered cases (1,274) and L ward has third highest registered cases (1,118). In the year April

2010 to March 2011 S ward has highest registered cases (1,551) for Tuberculosis, F north ward

has second highest registered cases (1,332) and K east has third highest registered cases (1,164).

22

Graph 13. Quarter wise registered cases of Diabetes (April 2008 to March 2011)

Inference:

The above data presents quarter wise distribution of register cases for Diabetes. Comparison is

between quarters of three year data on Diabetes cases registered in the Municipal Dispensaries

across all wards in Mumbai from April 2008 to March 2011.

The above graph shows highest number of 1,439 cases of Diabetes registered in year quarter


registered cases were 1,194; and in the year quarter January 2009 to March 2009 cases

registered were 770. Second highest Diabetes cases registered were 1,124 in year quarter

October 2010 to December 2010.

23

Table 6. Ward wise registered cases of Diabetes (April 2008 to March 2011)

Diabetes

Ward

2008-09 2009-10 2010-11

Number of cases

registered

Number of cases

registered

Number of cases

registered

A 39 28 46

B 189 165 464

C 89 66 29

D 2 0 0

E 156 80 212

F/N 292 878 938

F/S 10 80 24

G/N 16 73 105

G/S 131 291 492

H/E 65 68 71

H/W 142 207 167

K/E 385 597 613

K/W 246 136 301

L 93 164 189

M/E 231 89 242

M/W 180 240 273

N 12 10 24

P/N 25 10 21

P/S 27 42 98

R/C 111 159 127

R/N 18 7 11

R/S 87 72 50

S 42 45 53

T 5 21 16

Inference:

The above data presents ward wise division of registered cases for Diabetes in the Municipal


The above table shows that K east ward has highest registered cases (385) for Diabetes; F north

ward has second highest registered cases (292) and K west ward has third highest registered

cases (246) for year April 2008 to March 2009. The next year April 2009 to March 2010 F north

ward has highest registered cases (878), K east ward has second highest Diabetes registered

cases (597) and G south ward has third highest registered cases (291). In the year April 2010 to

March 2011 F north ward has highest registered cases (938) for Diabetes; K east ward has

second highest registered cases (613) and G south ward has third highest registered cases (492).

24

IV) Working of Public Health Committee

Public Health Committee:

The Corporation under Section 38A (1) of the M.M.C. Act, appoint the Public Health Committee

out of their own body consisting of 36 members in their meeting after general election and

delegate any of their power and duties to such Committee and also define the sphere of

business of Committee so appointed and direct that all matters and questions included in any

such sphere shall be submitted to the Corporation with such Committee’s recommendation.

Conduct of Business

The Public Health Committee meets once in a month and such other times if find necessary {the

notice of meeting specifying the day, the time and the place at which such meeting is to be held

and the business to be transacted in the meeting (agenda and accompaniments) is prepared by

the Municipal Secretary and sent to the Committee members at their residential address}.

Sphere of Business:

"Sphere of Business of Special Committees defined by the Corporation vide Corporation

Resolution No.46, dated 11th May 1999 in exercise of the powers vested in them by Sub-Section

(1) of Section 38A of the Mumbai Municipal Corporation Act, 1888, as amended up to date.

All questions relating to the King Edward VII Memorial Hospital and the Seth Gordhandas

Sunderdas Medical College, Kasturba Hospital for infectious diseases, Medical Relief in the

Municipal outdoor dispensaries, Medical and Nursing assistance to the poor in their homes

Venereal Diseases Dispensaries, Anti Tuberculosis League and any Medical Institution to which

monetary assistance is given by the Corporation.

Health Department (including Street Cleaning, Conservancy, etc.) with the exception of

questions pertaining to the Mechanical Branch so far as they fall within the province of the

Works Committee. At present, there are 36 members in the Public Health Committee.

25

Table 7. Attendance of Health committee members (April 2008 to March 2009)

Corporators Name Attend Out of

Shubhada Gudhekar 16 16

Minal Juwatkar 11 16

Shazia Azmi Aslam 8 16

Shobha Ashar 14 16

Kashinath Karadkar 9 16

Rahebar Khan 6 16

Mangala Gaikwad 9 16

Sarika Gracious 9 16

Baliram Ghag 12 16

Prakash Chalke 10 16

Kashinath Tharli 10 16

Anjali Darade 5 16

Madhukar Dalvi 10 16

Parshuram Desai 14 16

Sandhya Doshi 15 16

Shantaram Naik (late) 4 5

Rajul Patel 12 16

Kokila Parmar 14 16

Supriya Pawar 12 16

Sangeeta Patil 6 16

Krishna Parkar 10 16

Manohar Panchal 5 16

Anuradha Pednekar 12 16

Yashodhar Fanse 13 16

Prakash Phaterperkar 13 16

Abdul Aziz Barudgar 4 16

Ramnarayan Barot 12 16

Ashwini Mate 13 16

Kisan Mistry 13 16

Anahita Mehta 14 16

Ajanta Yadav 14 16

Geeta Yadav 7 16

Sujata Waghmare 3 16

Pravin Shah 9 16

Nitin Salagre 10 16

Jayanti Siroya 12 16

26

Table 8. Category wise percentage attendance of Health committee members

(April 2008 - March 2009)

Category Number of Councillors

90% to 100% 2

75% to 89% 16

60% to 74% 6

59% and below 12

Inference:

The above data presents attendance of health committee member’s during April 2008 to March

2009.

The above table shows that two Councillors have attended 90% to 100% meetings and 12

Councillors have attended 59% and below percentage meetings out of 16 health committee

meetings.

27




Minal Juwatkar 7 12

Shazia Azmi Aslam 5 12

Shobha Ashar 8 12


Rahebar Khan 4 12


Baliram Ghag 7 12

Prakash Chalke 3 12


Anjali Darade 5 12

Madhukar Dalvi 9 12


Rajul Patel 9 12

Kokila Parmar 10 12

Supriya Pawar 8 12

Sangeeta Patil 5 12

Krishna Parkar 9 12







Ashwini Mate 8 12

Kisan Mistry 8 12

Anahita Mehta 6 12

Ajanta Yadav 8 12

Geeta Yadav 8 12


Pravin Shah 4 12

Nitin Salagre 6 12

Jayanti Siroya 6 12

Kamlakar Naik 8 12

Bhaskar Khursange 3 9

Rakhi Jadhav 0 9

28




90% to 100% 1

75% to 89% 8

60% to 74% 10

59% and below 17

Inference:


2010.

The above table shows that one Councillor have attended 90% to 100% meetings and 17


meetings.

29



Ashwini Mate 13 14


Shazia Aslam 4 14

Shobha Ashar 10 14


Rahebar Khan 3 14

Bhaskar Khursange 10 14



Baliram Ghag 9 14

Prakash Chalke 6 14

Rakhi Jadhav 3 14

Minal Juwatkar 10 14

Anjali Darade 4 14

Madhukar Dalvi 6 14


Kamlakar Naik 11 14

Kokila Parmar 12 14

Rajul Patel 6 14

Supriya Pawar 7 14

Sangeeta Patil 7 14

Krishna Parkar 7 14







Kisan Mistry 8 14

Anahita Mehta 9 14

Ajanta Yadav 10 14

Geeta Yadav 11 14


Nitin Salagre 8 14

Pravin Shah 6 14

Jayanti Siroya 6 14

30




90% to 100% 1

75% to 89% 4

60% to 74% 10

59% and below 21

Inference:


2011.

The above table shows that one Councillor have attended 90% to 100% percent meetings and 21


meetings.

31

Table 13. Number of Question asked in Public Health committee


Ward Political Party Councillors name

Question

Asked

D Indian National Congress Anahita Mehta 1

D Shiv Sena Minal Juwatkar 0

D Bharatiya Janata Party Kokila Parmar 0

F/S Shiv Sena Prakash Chalke 0

G/N Indian National Congress Mangala Gaikwad 1

G/S Shiv Sena Madhukar Dalvi 1

G/S Independent Parshuram Desai 0

H/E Shiv Sena Baliram Ghag 0

H/E Bharatiya Janata Party Krishna Parkar 0

H/W Independent Rahebar Khan 0

K/E Shiv Sena Manohar Panchal 0

K/E Indian National Congress Nitin Salagre 3

K/W Shiv Sena Yashodhar Fanse 6

K/W Shiv Sena Rajul Patel 6

K/W Indian National Congress Abdul Barudgar 0

K/W Indian National Congress Jayanti Siroya 0

L Samajwadi Party Shazia Azmi Aslam 0

L Shiv Sena Anuradha Pednekar 2

L Shiv Sena Shantaram Naik (late) 1

M/E Republican Party Of India (RPI) Sujata Waghmare 0

M/W Shiv Sena Prakash Phaterperkar 2

M/W Indian National Congress Kisan Mistry 1

N Bharatiya Janata Party Shobha Ashar 2

N Shiv Sena Kashinath Tharli 0

N Shiv Sena Ashwini Mate 0

P/N Maharashtra Navnirman Sena Supriya Pawar 0

P/N Bharatiya Janata Party Ramnarayan Barot 0

P/N Nationalist Congress Party Sarika Austin Gracious 0

R/C Bharatiya Janata Party Pravin Shah 0

R/C Nationalist Congress Party Sandhya Vipul Doshi (Sakre) 0

R/S Indian National Congress Ajanta Yadav 6

R/S Shiv Sena Shubhada Gudhekar 0

R/S Indian National Congress Geeta Yadav 0

S Indian National Congress Kashinath Karadkar 1

S Indian National Congress Anjali Darade 0

S Indian National Congress Sangeeta Patil 0

32

Table 14. Category wise number of Question asked in Public Health committee



Zero Questions asked 23

1 to 4 Questions asked 10

5 and above Questions asked 3

Inference:

Above data present the number of questions asked by Councillors in the Health Committee

meeting during the year April 2008 to March 2009.

The above data shows that three Councillors asked five and above questions, Ten Councillors

asked one to four questions and 23 Councillors asked no questions in the Health Committee

meetings.

33



Ward Political Party Councillors name Question

Asked



















L Shiv Sena Kamlakar Naik 2







N Nationalist Congress Party Rakhi Jadhav 0




R/C Nationalist Congress Party Bhaskar Khursange 1







34







Inference:


meeting during the year April 2009 to March 2010.

The above data shows that one Councillors asked five and above questions, 14 Councillors asked

one to four questions and 21 Councillors asked no questions in the Health Committee meetings.

35



Ward Political Party Councillors Name Question Asked



















L Shiv Sena Kamlakar Naik 11







N Nationalist Congress Party Rakhi Jadhav 0




R/C Nationalist Congress Party Bhaskar Khursange 5







36







Inference:


meeting during the year April 2010- March 2011.

The above data shows that three Councillors asked five and above questions, 16 Councillors

asked one to four questions and 17 Councillors asked no questions in the Health Committee

meetings.

37

Table 19. Issues raised/Questions asked by Councillors in Health Committee meeting

Issues 08 to 09 09 to 10 10 to 11

Private health services related 1 0 0

Govt. Health Services 3 3 4

Medical college 1 0 0

Medicines availability 4 1 0

Availability / attendance of Doctor 2 1 0

Appointment/ Temporary appointment of Doctors /Nurse 2 0 0

Up gradation Equipments 3 1 0

Health infrastructure Related 4 4 6

Medical Quacks 1 0 0

Public Health Centre 1 0 1

Staff behaviour 4 5 2

Fogging 1 2 1

MCGM Related 1 0 0

Unauthorized Construction / Development 1 0 0

License Related 1 1 5

Cemeteries /Crematorium related 1 1 12

Naming/Renaming of Crematorium 2 2 0

Health policies 0 2 2

Mortality related 0 1 0

Seat empty of medical staff 0 2 4

Appointment / resignation 0 1 0

Maternity homes 0 1 0

Government Land / Market Related 0 1 0

Accident 0 1 0


Epidemic/Sensitive Diseases Related 0 0 4

Treatment/Medicines Cost Related 0 0 1

Wrong Diagnosis / carelessness 0 0 1

Medical equipments related 0 0 3

Inference:

The above data presents issues raised in the Health committee meeting during the year April

2008 to March 2011, a total of 110 questions were asked in the Public Health Committee.

The above data shows that in 2008 -2009 the highest numbers of questions were asked on

Health infrastructure Related, in 2009-2010 highest numbers of questions were asked on Staff

behaviour (Medical/health services staff), in 2010-2011 highest numbers of questions were

asked on Cemeteries /Crematorium related.

Highest Number of question asked in

2008-09: on Health infrastructure Related Medicines availability and Staff behaviour

2009-10: on Staff behaviour

2010-11: on Cemeteries /Crematorium related

38

Table 20. Question asked on Health issues in Ward committee meetings

(April 2008-March 2011)

Ward 2008-09 2009-10

2010-11

A 0 0 0

B 0 0 0

C 0 0 0

D 1 0 0

E 0 0 0

F/N 0 2 0

F/S 0 1 1

G/N 0 0 1

G/S 0 2 3

H/E 0 0 0

H/W 0 0 0

K/E 0 0 4

K/W 0 0 0

L 1 1 0

M/E 2 0 0

M/W 1 0 1

N 2 2 2

P/N 0 0 0

P/S 0 0 0

R/C 0 1 0

R/N 0 0 0

R/S 1 0 1

S 0 0 1

T 1 0 0

Total 9 9 14

Inference:

Above data present the number of questions asked on health issues by Councillors in the ward

Committee meetings during the year April 2008 - March 2011.

The above data shows that Councillors from seven wards have asked seven questions during

2008-2009, Councillors from six wards asked nine questions in 2009-2010 and 14 questions

asked by Councillors from eight wards in 2010-2011.

Councillors from 17 wards In year 2008-09, 18 wards in 2009-10 and 16 wards in 2010-11

have not asked single question.

39

Table 21. Issues raised/Questions asked by Councillors in Ward Committee meeting

(April 2008-March 2011)

Issues 08 to 09 09 to 10 10 to 11

Malaria 2 0 4

Private Clinics 1 0 0

Maintenance Equipments 1 0 0

Health infrastructure Related 1 5 1

Health Services Related 1 0 1

Dengue 1 0 0


Medicines availability 1 0 0

Health Problem in Dispensary related 0 1 0

H1N1 0 1 0

Epidemic/Sensitive Diseases Related 0 1 3

Public Health Centre 0 1 0

Eradication programme 0 0 1

Private hospitals 0 0 1

Inference:

The above data presents issues raised on health issues in the Ward committee meeting during

the year April 2008 to March 2011, a total of 32 questions were asked in the Ward Committee.

The above data shows that in 2008 -2009 the two questions were asked on Malaria, in 2009-

2010 five questions were asked on Health infrastructure Related, in 2010-2011 four questions

were asked on Malaria.

40

Table 22. List of BMC AND STATE HOSPITALs

Sr.

No. List of BMC AND STATE HOSPITAL

1 Acworth Leprosy hospital, Near Wadala Church,

2 Bai Yamunabai, L. Nair Charitable Hospital Nair Road, Mumbai Central,

3 Cama And Albless Hospital (State Hosp.) Fort, Near CST Stn.

4 Centenary Hospital, Govandi (W)

5 Centenary Hospital, Kadivali,

6 Dr. R.N. Cooper Mun. Gen. Hospital Juhu (E)

7 Ear-Nose-Throat Hospital Napiar Road

8 Gokuldas Tejpal Hospital Near CST Stn. (State Hosp.) Near CST Stn.

9 Harilal Bhagwat Mun. Gen. Hospital, Borivali (W)

10 Kasturba Hospital for Infectious Diseases, Sane Guruji Nagar,

11 Khan Bahadur H.K. Bhabha Hospital,Kurla , Mumbai - 400 070

12 Khurshadji Bhabha Hospital,Waterfild Rd. Bandra

13 King Edward Memorial Hospital, K.E.M. Hospital & Seth G.S. Medical college)

14 Lokmanya Tilak Municipal Genral hospital sion Ambedkar Road

15 M.W. Desai Nemorial Mun. Gen. Hospital Malad (E)

16 Maa Hospital, Diwalabai Mohanlal Mehta Hospital Chembur,

17 Mahatma Jyotiba Phule Hospital, Vikhroli,

18 Municipal Group of T.B. Hospital, Sewree

19 Municiple Eye Hospital North Brook Garden, Kamtipura

20 S. V. D. Sawarkar Municipal Gen. Hospital, Mahatma Phule Rd, Mulud (E)

21 S.K Patil Hospital, Malad (East)

22 Sant Muktabai Mun. Gen. Hospital Ghatkoper (W)

23

Seth Wadilal Chaturbhai Gandhi J.P. & Seth Monji Aminadas Vora Mun. Gen.

Hospital Rajawadi, Ghatkopar.

24 Siddarth Nagar Hospital, Goregaon (W)

25 Sir JJ Hospital,( State Hosp.) Byculla (W)

26 Smt. Mansadevi T. Agaewal Mun. Gen. Hospital, Mulund (W),

27 St. Georges Hospital (State Hosp.) Near CST Stn.

28 Vishnuprasad Nandraj Desai Mun. Gen. Hospital Santacruz (E)

Summary:

BMC HOSPITAL - 24

STATE HOSPITAL- 4

Note: Three hospitals (in italic formatting) do not maintain treat patients of

diseases/ailments being studied in this white paper.

41

Table 23. List of Municipal Dispensaries

Sr. No. List of Municipal Dispensaries Ward

1 Colaba Municipal Dispensary

A

2 Paltan Road Dispensary

3 Maruti Lane Dispensary

4 S.B.S Raod Dispensary

5 H.O. Dispensary

6 S.V.P. Road Municipal Dispensary

B

7 Walpakhadi Muncipal Dispensary

8 Jail RD municipal Dispensary.

9 Jail Road Unani Dispensary.

10 Kolsa Mohalla Unani Dispensary.

11 Chandanwadi Dispensary

C

12 Thakurdwar Dispensary

13 Ghogari Mohalla Dispensary

14 Panjarapol Dispensary

15 Duncan Road Dispensary

16 Nana Chwak

D

17 R.R Marg Road

18 R.S. Nimkar Marg

19 Bane Compound

20 Tardeo Path Municipal

21 R.J. Compound Dispensary.

E

22 N.M. joshi marg Dispensary

23 Souter street Dispensary

24 Gaurabhai Dispensary.

25 Siddarth nagar Dispensary.

26 Huzaria Street Dispensary.

27 Tadwadi Mun. Dispensary

28 Motishah Dispensary

29 Tank Square Garden Mun. Dispensary

30 D.P. Wadi Mun. Dispensary

31 ES Pathanwala Dispensary

32 Nawab Tank Mun. Dispensary

33 Parel Dispensary

F/S

34 Naigaon Dispensary

35 Sewree Cross Road Dispensary

36 Gautam Nagar Dispensary

37 Kidwai Nagar Dispensary

38 A.D. Marg Dispensary

39 Abhuday Nagar Dispensary

40 Ambewadi Dispensary

42

41 Triveni Sadan Dispensary

42 Transit Camp Dispensary

F/N

43 Raoli Camp. Dispensary

44 Antop Hill Dispensary.

45 Korba Mithabai Dispensary

46 Wadala Dispensary.

47 LBS Dispensary

48 Curry Road Dispensary

G/S

49 Fergusson Road. Dispensary

50 Prabhadevi Dispensary

51 B.D.D. Chawl Dispensary

52 Beggar Home Dispensary

53 Maharashtra High school Dispensary

54 Welfare center Dispensary

55 Sasmira Dispensary

56 633, Senapati Bapat Marg Hill Cross Dis

57 Jijamata Nagar K. Moses Dispensary

58 Worli Koliwada Dispensary

59 Zandu Ayurvedic Municipal Dispensary

60 Prbhadevi Ayurvedic Municipal

61 Matunga Labour camp Dispensary

G/N

62 Gulabai Dispensary

63 Dharavi Main Road Dispensary.

64 Walkarwadi Dispensary

65 Shahu Nagar Dispensary

66 Kumbharwada Dispensary

67 Pilla Bunglow Dispensary

68 Transit Camp Dispensary

69 Welfare camp Near Shri cinema Dispensary

70 Kherwadi Dispensary

H/E

71 Prabhat Colony Municipal Dispensary

72 Kalina Dispensary

73 Jawahar Nagar Dispensary

74 Bharat Nagar Dispensary Bandra

75 S.V. Nagar Dispensary. Santacruz

76 Khar-Danda village Dispensary

H/W

77 G.N. Station Road Dispensary

78 Guru Nanak Dispensary

79 Old Khar Dispensary

80 Shastri Nagar Linking Rd. Dispensary

81 Kaldongari Dispensary

K/E

82 Squatters Colony Dispensary, Jogeshwari

83 Marol Dispensary

84 Gundawali Dispensary

85 Sambhji Nagar Ayurvedic Dispensary

43

86 Paranjape Dispensary.

87 Natwar Nagar Dispensary

88 Sunder Nagar Dispensary

89 Hari Nagar Dispensary

90 Sambhji Nagar Dispensary

91 N.J. wadiya Dispensary

K/W

92 Vileparle Market Dispensary

93 Juhu Dispensary

94 Vrasova Dispensary

95 Oshivara Dispensary

96 Safad Pool Dispensary.

L

97 Asalpha Village Dispensary

98 Christain Municipal Dispensary

99 Chunnabhatti Dispensary.

100 Mohill village Dispensary

101 Budda Colony Dispensary

102 Kajupada Muncipal Dispensary

103 Bail Bazar Mun. Dispensary

104 Chandivali MNP Dispensary

105 Neharu Nagar Dispensary

106 Quereshi Nagar

107 Ayodhya Nagar Dispensary

M/E

108 Cheeta Camp Dispensary

109 Deonar Colony Dispensary

110 Trombay Mun. Dispensary

111 Gavanpada Dispensary

112 Anik Nagar Dispensary

113 Chembur Colony Dispensary

M/W

114 Mahul Dispensary

115 Lal Dongar Dispensary

116 Tilak Nagar Dispensary

117 Chembur Naka Mun. Dispensary

118 Labour Camp Dispensary

119 Chincholi Square Colony Dispensary P/S

120 Topiwala Lane Dispensary

121 Choksey Municipal Dispensary.

P/N

122 Goshala Municipal Dispensary.

123 Malvani. Municipal Dispensary

124 Nemani Municipal Dispensary.

125 School Road Municipal Dispensary

126 Valnai Municipal Dispensary

127 Pthanwadi Dispensary.

128 Kurar Village Municipal Dispensary.

129 Manori Dispensary.

130 Riddhi Garden Dispensary.

44

131 Hanuman Nagar Dispensary.

R/S

132 Akurli Road Municipal Dispensary.

133 Dahanuwadi Municipal Dispensary

134 Charcop Secondary - I Dispensary.

135 Babrekar Nagar Municipal Dispensary.

136 K. K. Mun Dispensary

R/C

137 MHB Dispensary

138 Eksai Road Dispensary

139 Charkop Sector Dispensary

140 Gorai MHADA Dispensary

141 Gorai Village Dispensary

142 L.T. Dhaiser Dispensary R/N

143 Y.R. Tawde Nagar Dispensary

144 Pant Nagar Dispensary

N

145 Parksite Dispensary

146 Sarvodaya Pantnagar Dispensary

147 Kirol Dispensary

148 Parshiwadi Dispensary

149 Ramabai Colony Dispensary

150 Sai Nath Nagar

151 M.V. R Shinde Dispensary

S

152 Tulshetpada Dispensary.

153 Shivaji Talav Mumbai Dispensary.

154 Tembhipada Shivaji Nagar Dispensary

155 Tagor Nagar Dispensary

156 Kanjur Village Dispensary

157 Tirandaz Nagar

158 PJK Dispensary

T 159 DDU Dispensary

160 Mulund Colony Dispensary

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