Eleventh Five Year Plan

102 Eleventh Five Year Plan• To give greater emphasis to psychotherapeutic anda rights based model of dealing with mental healthrelated issues• To include psychiatry and psychology, and psychiatricsocial work modules in the training of all healthcare giving professionals• To empower the primary care doctor and supportstaff to be able to offer psychiatric and psychologicalcare to patients at PHCs besides educatingfamily carers on core aspects of the illness.• To improve public awareness and facilitate familycarerparticipation by empowering members ofthe family and community in psychological interventions.• To provide greater emphasis on public privateparticipation in the delivery of mental healthservices.• To upgrade psychiatry departments of all medicalcolleges to enhance better training opportunities• To improve and integrate mental hospitals withthe whole of health delivery infrastructure thatoffer mental health services thus lifting the stigmaattached• To provide after care and lifelong support to chroniccases.INJURIES AND TRAUMA3.1.176 Data from Survey of Causes of Death andMedical Certification of Causes of Deaths reveals that10–11% of total deaths in India were due to injuries. Itis estimated that nearly 850000 persons die due to directinjury related causes including road trafficinjuries every year in India, with 17 million hospitalizationsand 50 million requiring hospital care forminor injuries. Most of the hospitals do not haveintegrated facilities for treatment of trauma victimsand the casualty services are generally ill equipped,poorly managed, and over worked. A scheme to upgradeand strengthen emergency care in State hospitalslocated on national highways has been underimplementation with a view to provide treatment toroad accident victims in hospitals as near the site ofaccident as possible.3.1.177 During the Eleventh Five Year Plan, theemphasis will also be given for development of a comprehensivetrauma care system covering the entirenation with State wide emergency medical service andtrauma care. The components will include provisionof equipment, communication system, trainingand provision of human resources, registry and surveillance.Eventually the plan is to start a NationalProgramme for Medical Emergencies Response. Thestrategy during the Eleventh Five Year Plan will be:• To identify health care facilities along highways andupgrade them to specific levels of trauma care• To establish a life support ambulance system• To plug gaps in human resource training and availabilityfor trauma care• To establish communication linkages between variouslevels of health care• To assist the States in developing and managing anappropriate trauma referral system• To develop, implement, and maintain State-wiseand nation wide trauma registry as an integral partof e-Health.DISABILITY AND MEDICAL REHABILITATION3.1.178 With the ongoing health, demographic, andsocio-economic transitions, the Disability Profile ischanging, with an alarming rise in the number ofpeople suffering from chronic disorders and associatedmorbidity and disability. According to census(2001), there were 2.19 crore persons with visual, hearing,speech, locomotor, and mental disabilities inIndia. Of the disabled population, locomotor disabledconstitute 28%, speech and hearing 13%, visual 49%,and mental 10%. Population over 60 years of age hasdisabilities affecting multiple organs.3.1.179 The Eleventh Five Year Plan aims at buildingcapacity in Medical Colleges and District Hospitals totrain adequate human resources required for medicalrehabilitation programme at all three levels of HealthCare Delivery System. Towards this end the followingsteps are planned:• To upgrade and develop two Physical Medicine andRehabilitation (PMR) departments in the countryto act as Model Centres• To set up PMR Departments in 30 Medical Colleges/Teaching Institutions (at least one in each State) andeach such department to adopt districts, CHCs,