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Medical Care and Hospital Administration

MEDICAL CARE AND HOSPITAL ADMINISTRATION

Experienced medical and para medical staff drawn from Delhi Government Health Services professionally manage the Medical Care in the Delhi Prisons. 78 Doctors and 127 para medical staff are deputed for round the clock health care of prisoners. Every effort is made to maintain low mortality rate amongst prisoners. The best possible medical facilities are provided to the prisoners inside the Prison or by referring them to Speciality or Super Speciality Hospitals. Most of the prisoners are from the lower strata of the society where various types of diseases are prevalent.



The following are the basic features of medical facilities being provided to the Prisoners:-
  1. 150 bedded Hospital with Medical, Surgical, Tuberculosis, Psychiatric Wards, round the clock casualty services
  2. A minor Operation Theater in Central Jail Hospital
  3. Round the clock Dispensary with Medical Observation Room facilities in all Jails headed by Senior Medical Officers.
  4. Specialists in disciplines of Medicine, Ophthalmology, Orthopedics, Chest & TB, Skin, Psychiatry, Radiology and Pathology are available.
  5. Investigation facilities (X-Ray, ECG, Pathology and Bio-Chemistry).
  6. 300 MA  X-ray machines installed in Tihar and DJR, 100 MA  X-ray machines are installed in various dispensaries of  Tihar Jail i.e at CJ-1,2,4,5,6,7 and 8&9  and District Rohini Jail.
  7. Physiotherapy Unit functional in Tihar and District Jail, Rohini.
  8. New 80-bedded integrated Drug De-Addiction Center Ward commissioned at Tihar Hospital treatment.
  9. Special treatment and special diet to old and sick prisoners.

  10. Ayush Centre (Ayurvedic and Unani Centre) Commisioned at Central Jail 8 & 9 Dispensary.

  11. ICTC Centre at Central Jail Hospital.

  12. OST Programme being initiated in DAC.
  13. Regular Health check-up Camps by the Jail Doctors and NGOs
  14. Cases of seriously sick undertrials are taken up with the concerned courts for their bailing out/ early disposal of case.
  15. A family care unit to help the prisoners admitted in hospitals outside the jail premises.
  16. Prisoners are referred to Speciality and Super Speciality Hospitals for providing urgent medical care.
  17. Various Non Governmental Organizations also contributing towards medical services in Delhi Prisons.
  18. Disposal of Bio medical waste is done as per rules of Delhi Pollution Control Committee.
  19. Mentally sick patients treated in behavior therapy ward by Junior Specialist (Psychiatry). During the year there were 119 mentally sick patients.
  20. Pulse Polio immunization programme is carried out regularly as per Pulse Polio schedule of Delhi Government to the children of female inmates.
  21. There are Dental Units in four Prisons i.e. Central Jail Hospital, Central Jail No.4, Central Jail No.6 and District Jail, Rohini.
  22. Tele Ophthalmology Project with DDU Hospital as Nodal Centre is likely to start soon.
MEDICAL ATTENDANCE OF PRISONERS IN OPD AND HOSPITALS

Year 2006 2007 2008 2009 2010
Indoor Admission 12192 11009 6290 5028 4384
Referrals to specialty Hospitals for advise 10767 18594 23315 21286 20004
Patients examined on OPD basis 234194 279472 283312 291898 279055
Admissions in specialty and super special Hospital 652 1191 1004 985 813
Emergency Calls attended 50917 65857 54296 47848 42682
Annual Mortality 21 33 13 15 15

DRUG DE-ADDICTION CENTRE



Delhi Prisons have taken a major initiative in the field of management of drug abusers / addicts by setting up a 120-bedded De-addiction Centre (DAC) in the year 2007 and it is ISO Certified.  All inmates, who are reported to be drug addicts, are identified on the very first day of their admission and directly sent to DAC where they are initially treated for withdrawal symptoms and after de-toxification process is over, they are sent to specially earmarked Rehabilitation Wards, for further counselling and rehabilitation.  All drug abusers / addicts are screened by a dedicated team of three doctors, utilizing a proforma, designed in collaboration with De-addiction Centre of AIIMS under Drug Abuse Monitoring System.            

Apart from de-toxification, which is done in DAC under medical supervision, rehabilitation and prevention of re-addiction is an important component where NGOs are playing a very vital role in Tihar Jail.  Four NGOs, namely, "Aasra", "India Vision Foundation", "AIDS Awareness Group" and "Divyajyoti" are working for rehabilitation of drug addicts.           

The Prison Administration has compiled a list of drug addicts who are presently lodged in Tihar Jail and on perusal of data available, it is noticed that most of these drug addicts are repeaters and are arrested for IPC crimes primarily for committing petty offences, such as, theft, burglaries, robberies and snatchings etc.  Most of these drug addicts are either vagabonds or jhuggi dwellers.  Undoubtedly, almost 95% of them belong to lower strata of society and some of them are working as labourers / rickshaw pullers / truck drivers etc.  Most of the drug addicts spent all their earnings for procuring drugs and those who are not working, commit crimes to fulfill their requirement of drug addiction.  A large number of these drug addicts are addicted to drugs for more than 10 years.
 

Opioid Substitution Treatment Programme

Tihar, in collaboration with UNODC and AIIMS has launched Opioid Substitution Treatment (OST) for the first time in any prison setting in South East Asia to effectively treat drug users and particularly, as part of programme, to prevent spreading of HIV amongst injecting drug users.  This OST treatment has been rolled out under the Project RAS / H71, titled, Prevention of Spread of HIV amongst Vulnerable Groups in South East Asia.
Mr. Tejendra Khanna, Lt. Governor, Govt. of NCT of Delhi launched OST treatment on 7th November 2008 which will go a long way in treating such chronic drug addicts who, despite efforts could not leave their habit of addiction.  A mechanism has been advised to monitor such drug addicts after their release from prison and during their stay in the community.


Prevention of HIV amongst Vulnerable Groups

Delhi Prisons have set up an Integrated Counseling and Testing Centre (ICTC) on 10.06.08 in Central Jail Hospital for detecting HIV positive inmates.  Targeted intervention for HIV detection in inmates like injecting drug abusers / sexually promiscuous, inmates suffering from STD and inmates suffering from multiple / opportunistic infections.  Total number of such inmates, tested for HIV positive test at ICTC from January,2010 to October'2010 were 1399, out of which 27 were tested HIV positive .Further 2254 inmates were tested for HBsAG and out of which 66 were found to be +ve for Hepatitis B. As can be seen, incidents of HIV was found to be extremely high amongst injecting drug users and most of these injecting drug users, who were not aware of their HIV status, are likely to further spread HIV to their other injecting drug user partners or their spouses after release from prison.



Needless to reiterate that an effective drug abuse monitoring system will go a long way in preventing spread of HIV amongst drug abusers particularly injecting drug users and also rolling out OST in Delhi Prisons will help the long term drug addicts to effectively cope with their habit of addiction so that they can live a normal life in the society and once they are able to leave their habit of drug addiction, it will help in prevention of crime as well.

LINKED A.R.T. CENTRE (LAC)

Central Jail Hospital in Tihar Prisons has been declared as Linked A.R.T. (Anti-Retroviral Therapy) Centre of AIIMS for treatment of HIV patients of Delhi Prisons. This centre was inaugurated by Chief Secretary, Govt. of NCT of Delhi on 17/10/2008.
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Last Updated : 04 May,2017