GOVERNMENT OF TAMIL NADU HEALTH INDIAN MEDICINE AND HOMOEOPATHY AND FAMILY WELFARE

Letter No. 17569/90-4 Heath Dated 23.8.1990

From

Tmt. Yasmin Ahmed, I.A.S.,

Secretary to Government

To

The Director of Medical Services, Madras – 6.

Madam,

Sub : Tamil Nadu Medical Service – Tamil Nadu Assistant Surgeons association – One day Weekly off for 6 working day – Instructions issued.

Ref : From the Tamil Nadu Assistant Surgeon Association representation dated 14.2.1990

I am directed to state that the Medical Officers working in the Government Medical Institution shall be given one day weekly off for Working days even if they themselves of casual leave in the middle of the week. The above instruction may be adhered to in future.

ABSTRACT

Primary Health Centers – 24 Hours Primary Health Center – continuance of 24 Hours Services in 250 Primary Health centres with staff Nurse Medical officers to be on call duty – order issued.

HEALTH AND FAMILY WELFARE DEPARTMENT

G.O. No. : 269 Dated : 1-8-2000

Read :

1. G.O.D. No. 745 Health, dated 27.6.96

2. G.O.Ms. No. 400 Health, dated 28.8.96

3. G.O. Ms. No. 504 Health, dated 13.10.97

Read also :

4. From the Director of Public Health and Preventive Medicine Lr. No. 89379/PHC.IV/2000 A1, Dated 7.6.2000

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Order :

With the view to providing better Health Service deliveries to the Rural Public round the clock, the Government introduced the concept of 24 hours Primary Health Centers in two pulses in 250 Block level Primary Health Centre on evolution of the performance of the system, it is considered desirable that during the third shift staff, nurses be posted instead of Medical Officers and Medical Officers may be on call duty only to attend emergency and needy cases. The Tamil Nadu Government Doctors Association have also expressed in favor of such an arrangement.

Accordingly the Government issue the following orders

i. All the 250 Block Level Primary Health Centres shall continue to function as 24 hours Primary Health Centre for purposes of Health care delivery system.

ii. During the third shift one staff nurse and auxiliary nursing midwives should be available for rendering assistance.

iii. Medical Officers will be on call duty during the third shift and shall conduct deliveries if required during the third shift.

The Director of Public Health and Preventive Medicine is requested to make suitable arrangements for giving effect to this arrangement immediately.

(BY ORDER OF THE GOVERNOR)