1. Indian Railway Health
Care delivery System has to perform following two important
functions:
1.1 Functions related to Industrial Medicine
1.2 Functions related to Medical treatment to
Railway beneficiaries
1.1 Functions related to Industrial
Medicine:
a) To attend Railway accident & other untoward
incidences. On average about 360 such
incidences/year are attended.
b)To provide emergency
medical treatment to traveling sick passengers.
c)Pre employment Medical
examination to allow only fit & suitable candidates to
join the service. On average – 50000
candidates are examined/year
d)PME (Periodical Medical
Examination) of serving employees to allow fit person to
continue in those jobs which are related
to safe running of the train.
On average – 1,20,000
employees are examined per year.
e) Medical
Boards & other medical certification of serving employees.
f)Control
on loss of mandays on account of
sickness (both normal & HOD).
It is kept
under control by medical officers. At present loss of
mandays
on sickness is only 2%.
g) Safe water supply at Railway
Station:
A constant vigil is maintained
to check on quality of drinking water made available
at Railway
Stations. About 60,000 water samples from Railway stations are
tested for bacteriological purity
every year. About 600,000 water samples from Railway stations are
tested for residual chlorine. There is a well laid down system of
reporting and to take corrective measures for
unsatisfactory reports.
h)Safe
food supply at Railway stations:
Following activities are
undertaken to ensure safe food supply at Railway station.
a) Regular
inspection of kitchen & food stalls.
b) Regular health
check up of food handlers.
c) Collection of
food samples under PFA Act.
d) Collection of
food samples under quality control system.
i) Ensuring
Factory Act:
Medical first aid posts are
provided to all factories of Indian Railways
(there
are 84 such factories) as per Factory Act.
j) Workman Compensation Act:
Activities
related to WCA is under taken on regular basis.
k)
Certification of dead bodies at Railway Station, Railway Yards,
Railway line, etc.
is being done on regular basis.
i)
Certification of perishable good in Railway Station about their
disposal is done
as and when required.
1.2 Functions related to Medical treatment to Railway
beneficiaries:
Total
comprehensive Medical treatment is provided by Indian Railway
Medical Department.
A.Curative health care.
A.1 Primary level
A.2 Secondary level
A.3 Tertiary level
B. Preventive health care
C Promotive health care
2. Number of Railway beneficiaries:
Serving employees
14.5 lakhs x 4 = 58
lakhs
Retired employees 2.8
lakhs x 2 = 5.6
lakhs
with RELHS
Scheme _______________________
Total = 63.6
lakhs
_______________________
3. Infrastructure available:
3.1
Railway’s own infrastructure
Total No. of
Railway Hospitals = 121
Total No. of
indoor beds = 13770
Total No. of
Railway Health Units = 586
3.2Other Hospitals approved
a)All
Govt Hospitals are approved.
b)
Private Hospitals::
About 120 private hospitals has been approved.
4.
System of providing medical treatment
4.1 Primary
level health care is provided 100% by in house system.
4.2 Secondary level health care is
provided 80% by in house system and 20% by Govt
Hospital & other private Hospital recognized by Railway.
4.3 Tertiary level health care is
provided 5% by In house system Balance 95% by Govt
Hospital & other private Hospital recognized by
Railways.
Once a
railway beneficiary comes to Railway Hospital for medical treatment,
he/she is provided all types of Medical
treatment as per the need of the patient. The medical
treatment
is either provided by available Railway hospital or Govt
Hospital or recognized private Hospital.
In
extreme emergency situation when there is no time for a railway
beneficiary to come to Railway hospital then he/she may avail
treatment in a private hospital/Govt
Hospital in the locality and can claim through reimbursement claim
system.
