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    Health Department

    1. About the Department:

    Primary health centers and sub-centers have been established in the district as per the criteria of one primary health center per 30,000 population (one per 20,000 population in hilly areas) and one health sub-center per 5,000 population (one per 3,000 population in hilly areas). The district has 1 general hospital, 18 rural/cottage hospitals, 84 primary health centers, 6 primary health teams, 418 sub-centers, 17 ZillaParishadAyurvedic dispensaries, and 4 urban health centers in operation.

     

    1.1 Introduction:

    Health is not merely the absence of disease or infirmity but a state of complete physical, mental, and social well-being, according to the World Health Organization’s health concept. The state government has adopted the commitment to achieve the goal of “Health for All” and has been making efforts for the past few years to establish a network of health facilities to provide preventive, promotional, therapeutic, and rehabilitative health services to the people. Rural hospitals, primary health centers, and sub-centers have been established in remote areas to provide health facilities to the rural population. Various programs under the National Health Mission, such as Tuberculosis Control, Leprosy Eradication, etc., are being emphasized. During the monsoon season, various measures are implemented to prevent the spread of diseases like gastroenteritis, malaria, and other water-borne diseases. Public health services provide services under the following health programs:

    1. National Family Welfare and Population Control Program to curb the increasing population.
    2. National Reproductive and Child Health Program for mothers struggling with health during maternity, and their children, who are seriously ill at birth. Similarly, health check-up programs for school and ashram school students.
    3. National Vector-Borne Disease Control Program to control the increasing number of mosquito-borne diseases.
    4. National Leprosy Eradication Program to eliminate diseases causing physical disability.
    5. National Tuberculosis Control Program to control diseases that cause tuberculosis.
    6. National Blindness Control Program to eliminate blindness in human life.
    7. Integrated Disease Surveillance Program to prevent and control epidemics caused by contaminated water and other means.
    8. National AIDS Control Program to combat sexually transmitted diseases like AIDS spread through contaminated blood.
    9. Additionally, the National Iodine Deficiency Disorder Control Program to control diseases like goiter caused by iodine deficiency. As a social and national need, the registration of births, deaths, and marriages is done at the Gram Panchayat level, but control is exercised through the Public Health Department.

    For all the above programs, necessary training of medical/para-medical personnel and extensive publicity of health-related social welfare issues through all media are done by the department. The statistics of government health institutions in the district are shown in the following table.

    For all the above programs, necessary training of medical/para-medical personnel and extensive publicity of health-related social welfare issues through all media are carried out by the department. The statistics of government health institutions in the district are shown in the following table.

     

    Sr. No. Taluka General/Rural/

    Cottage Hospitals

    		 Primary Health Centers Health Sub-Centers Primary Health Teams ZillaParishadAyurvedic Dispensaries
    1 Satara 2 12 47 0 1
    2 Jaoli 2 5 25 0 2
    3 Mahswad 1 3 15 1 0
    4 Wai 1 4 27 1 1
    5 Khandala 1 4 25 1 3
    6 Phaltan 1 7 37 0 3
    7 Man 2 6 35 1 2
    8 Khatav 3 9 44 2 1
    9 Koregaon 2 7 37 0 1
    10 Karad 2 14 65 0 1
    11 Patan 2 13 61 0 2
    Total 19 84 418 6 17

     

    Vital Statistics:

    The scheme for surveying causes of death is ongoing in all villages of the district to determine birth rates, death rates, and infant mortality rates. One village per primary health center is proposed to be selected under this scheme. Monthly records of residential births and deaths are maintained under this scheme. Causes of deaths are investigated, and life statistics of the district are derived based on that. The life statistics of the district from the scheme for surveying causes of death (rural) are as follows:

     

    Sr. No. Indicator 2019 2020 2021 2022 2023
    1 Birth Rate 12.6 11.8 12.45 13.55 11.22
    2 Death Rate 7.9 9.29 10.56 8.86 7.64
    3 Infant Mortality Rate 10.25 11.19 8.66 8.01 8.9
    4 Fertility Rate 1.69 1.5 1.69 1.63 1.45

     

    To record life events occurring in all revenue villages of the district, the Gram Sevak or Village Development Officer acts as the registrar at the revenue village level.

    Census 2001 and 2011: According to the 2011 census, the population of Satara district is 3 million. From 2001 to 2011, the population increased by 6.94%. According to the 2011 census, the literacy rate in the district is 84.20%, with 92.09% males and 76.29% females being literate. The population density per square kilometer is 287.

     

    Sr.No. Indicator Satara Maharashtra
    2001 2011 2001 2011
    1 Population (million) 28.09 30.03 968.79 1123.72
    Male 14.08 15.10 503.34 583.61
    Female 14.01 14.93 464.18 540.11
    2 Population growth rate 14.59 6.94 22.57 15.99
    3 Sex ratio (0 to 6 years age group) 878 895 913 894
    4 Literacy overall 78.52 84.20 77.27 82.91
    Male 88.45 92.09 86.27 89.82
    Female 68.71 76.29 67.51 75.48
    5 Population density (per sq. km) 267 287 314 365

     

    Comparative sex ratio (number of females per 1000 males) for India, Maharashtra, and Satara district since 1901:

    Year India Maharashtra Satara
    1911 964 966 1025
    1921 955 950 1030
    1931 950 947 1006
    1941 945 949 1035
    1951 946 941 1051
    1961 941 936 1047
    1971 930 930 1037
    1981 934 937 1061
    1991 927 934 1029
    2001 933 922 995
    2011 943 929 988

     

    1.2 – Vision & Mission:

    • Tuberculosis-Free District: Appropriate measures are being implemented to make Satara district tuberculosis-free by December 2025.
    • Cancer-Free Campaign: At the primary health center level, patients visiting the outpatient department will undergo appropriate preliminary examination with modern equipment, and referral services will be provided for further treatment. Awareness campaigns for cervical and breast cancer among women are being conducted.
    • Smart Primary Health Center (SMART PHC):Satara district has always been at the forefront in administrative work and implementing new schemes useful to people. Many pilot projects significant for the state have been successfully implemented in Satara district. Innovative schemes have also been implemented within the health department, ZillaParishad, Satara, which have helped improve the quality of primary health services. However, compared to private health institutions, government health services are still technically lagging and of average quality. This is mainly due to a lack of planning, funds, and positive mindset. As a result, the poor have to pay a hefty amount for private health services. Considering all these factors, the health department, ZillaParishad, Satara is implementing the “Smart PHC” scheme to upgrade the quality, service, capacity, and cleanliness of primary health centers in the district.
    • Scheme Structure: The concept of making primary health centers smart is being implemented to provide quality and inclusive services through primary health centers in the district. This includes improving the physical facilities of health institutions, enhancing the technical knowledge and service commitment of working staff through training, providing services as per protocol, ensuring immediate referral services, using information technology, utilizing environmentally friendly natural energy sources, and increasing public participation.
    • Infrastructure and Landscaping: Primary health centers will include protective walls, internal roads, gardens, restrooms, and residences. Inside, there will be a reception, medical officer’s office, maternity ward, laboratory, pharmacy, inpatient and outpatient departments, operation theater, and computer room. Efforts will be made to keep all these facilities in good condition and maintain cleanliness, ensuring a healthy and pleasant environment for patients and their relatives. An “Ayush Garden” will also be developed, and the energy needs of the health institution will be met through natural energy sources. A rainwater harvesting plan will be implemented for maximum utilization of rainwater.
    • Modern Medical Equipment: The primary health center’s inpatient and outpatient departments, maternity ward, and operation theater will be equipped with modern technical resources. This includes labor tables, shadowless lamps, medicine and instrument cabinets, instrument trolleys, baby warmers, suction machines, essential trays, stretchers with trolleys, oxygen concentrators, autoclaves, tubectomy kits, sterilization sets, etc. Existing semi-modular operation theaters will be converted into modular operation theaters. Advanced resources are also needed for more types of tests in the laboratory.
    • Use of Modern Technology: Online registration of patients, providing smart health cards, making test reports available on mobile, and enabling online access to previous treatment history for referred patients will be implemented. Advanced computerized systems will be used for this purpose, ensuring all information is available on computers, which will help provide quality health services. Modern computer systems, printers, and internet facilities will be provided for reporting, meeting presentations, correspondence, etc.
    • Manpower and Training: Availability of trained manpower is crucial for the successful implementation of the Smart PHC scheme. Technical training will be provided to all officers and employees from time to time to keep them updated. Training will also include meditation and yoga to increase the efficiency of officers and employees and reduce mental stress. Sessions by medical experts will be organized from time to time. The health department plays an important role in disaster management, and thus disaster management training will be included to ensure officers and staff can work effectively during emergencies like floods and epidemics.
    • Selection of Institutions and Fund Availability: The implementation of the Smart PHC scheme on an experimental basis in Satara district has led to the selection of 65 primary health centers based on selected criteria. The remaining primary health centers will also be converted into Smart PHCs.
    • Birth Rate : 12.0
    • Sterilization: In the next five years under the family planning program sterilization operations are planned to be done average at 18000 to 20000 per year.
    • Sterilization on 1 & 2 issues is planned to increase by 1 % (by 300 to 350).
    • Measures for conducting family welfare surgeries for fertile couples having 3 or more children.
    • Temporary family planning methods will be increased by 1 % to reach up to 9 %.
    • Infant Mortality Rate: 20.00
    • The percentage of Institutional deliveries is planned to increase up to 98%.
    • The percentage of deliveries in Govt. institutes is planned to increase up to 40%.
    • Qualitative Services of ANC & PNC.
    • To prevent anemia proper preventive & curative treatment.
    • Qualitative Services of Immunization.
    • Referral services for high-risk patients.
    • Services by Gynecologist & Pediatrician at PHC Level.
    • Maternal Mortality Rate : 0.50
    • Percentage of Institutional deliveries planned to increase upto 98%.
    • Percentage of deliveries in Govt.institutes planned to increase upto 40%.
    • Qualitative Services of ANC & PNC & prompt referral services.
    • Training of medical officers & staff.
    • Services by Gynecologist at PHC Level.
    • Maternal Death audit.
    • Couple Protection Rate : 77
    • Sterilization on 1 & 2 issues are planned to increase by 1 % (i.e.by 300 to 350).
    • Temporary family planning methods will be increase by 1 % to reach upto 9 %.
    • Male sterilization planned to increased upto 10% of target.
    • Total fertility Rate : 1.76
    • Increase the beneficiaries to adopt spacing methods between two child.
    • To prepare awareness in the community to adopt small family norms.

     

    1.3 Objectives & Functions:

    • Goal: To provide quality and effective health services in rural and urban areas.
    • Objectives: Increase the number of deliveries in government institutions, reduce infant and maternal mortality, make public health services easily accessible to all, reduce birth rates, and prevent and control communicable and non-communicable diseases.
    • Achievable Goals:
      1. The District Health Mission should be fully operational in the district.
      2. Essential health services should be available 24×7 at primary health centers.
      3. All rural hospitals should serve as referral service centers.
      4. Integrate AYUSH treatment systems into the mainstream.
      5. ASHA workers should be active proportionately in all areas.
      6. 100% of beneficiaries should benefit from the JananiSurakshaYojana.
      7. Integrated health services based on the management of diseases in newborns and children should be provided.
      8. Increased funding should be available to the health department in the state budget.
      9. Training on the National Rural Health Mission should be completed for all members of Panchayat Raj Institutions and public health committees.
      10. Health check-ups, referral services, and treatment should be available for all children aged 0 to 18 years.

     

    1.4 Administrative Setup:

    Approved, filled, and vacant positions in the district as of November 2024:

    Sr. No. Category Approved Positions Filled Positions Vacant Positions
    1 District Health Officer 01 01 00
    2 Additional District Health Officer 01 01 00
    3 Assistant District Health Officer 01 01 00
    4 District Maternal and Child Care Officer 01 00 01
    5 Administrative Officer 01 00 01
    6 Statistical Officer 01 00 01
    7 Taluka Health Officer 11 10 01
    8 Medical Officer 174 168 06
    9 Drug Manufacturing Officer 101 92 09
    10 Laboratory Technician 07 06 01
    11 Health Supervisor 24 21 03
    12 Male Health Assistant 146 129 17
    13 Male Health Worker 509 138 371
    14 Female Health Worker 723 415 308
    15 Female Health Assistant 118 64 54
    16 Non-Medical Supervisor 03 03 00
    17 NHM 927 712 215

     

    1.6 Organization:

    1.6.1 Attached Offices:

    • District Malaria Office
    • District Tuberculosis Office
    • District Leprosy Office
    • Taluka Health Officer Offices
    • Primary Health Centers
    • Primary Health Sub-Centers
    • Ayurvedic Dispensaries
    • Ayurvedic Teams
    • Urban Health Centers
    • Your Clinic (ApalaDavakhana)
    • Urban Health Extension Centers

     

    1.6.2 Directorates / Commissionerates:

    • Office of the Deputy Director of Health Services, Pune
    • Director of Health Services, Pune and Mumbai
    • Commissioner of Health Services and Mission Director, National Health Mission, Mumbai
    • Additional Chief Secretary, Public Health Department, Maharashtra State, Mumbai

    1.7 Who’s Who (Contact Details):

     

    Name Position Email Address Phone No Fax No Room No Activity Profile URL
    Dr. Mahesh Khalipe District Health Officer dhozpsatara@gmail.com ZillaParishad, Satara 02162-233025 — — — —
    Dr. PramodShirke Addl. District Health Officer dhozpsatara@gmail.com ZillaParishad, Satara 02162-233025 — — — —
    Dr. Sunil Chavan Asst. District Health Officer dhozpsatara@gmail.com ZillaParishad, Satara 02162-233025 — — — —
    Dr. Rajesh Gaikwad Asst. Director (Leprosy) adhssatara@gmail.com Leprosy Office 02162-233996 — — — —
    Dr. Sameer Takle District Tuberculosis Officer DTOMH@rntcp.org Tuberculosis Office 02162-237089 — — — —
    Mr. SrinivasPatil In-charge Administrative Officer dhozpsatara@gmail.com ZillaParishad, Satara 02162-233025 — — — —
    Dr. RajendraJadhav District Malaria Officer dmosatara@gmail.com Malaria Office 02162-233269 — — — —

     

    Under the 2023-24 Transformation Scheme, the following health institutions in the district have been announced as recipients of awards.

     

    •  
    SR. NO. TALUKA FACILITY NAME AWARD LEVEL AWARD PRIZE (IN Lakh)
    DH/SDH/RH
    1 KARAD SDH KARAD Commendation 1.00
    2 KOREGAON RH KOREGAON Commendation 1.00
    PHC
    1 Satara Kumthe Winner 2.00
    2 Wai Bavdhan Commendation 0.50
    3 Karad Indoli Commendation 0.50
    4 Karad Kinhai Commendation 0.50
    5 Karad Wadgaon Haweli Commendation 0.50
    6 Khatav Pusegaon Commendation 0.50
    7 Karad Masur Commendation 0.50
    8 Satara Chinchaner Vandan Commendation 0.50
    9 Satara Kanher Commendation 0.50
    10 Satara Limb Commendation 0.50
    11 Karad Rethare Bk Commendation 0.50
    12 Patan Chafal Commendation 0.50
    13 Patan Marali Commendation 0.50
    14 Patan Sonawade Commendation 0.50
    15 Karad Umbraj Commendation 0.50
    16 Karad Kole Commendation 0.50
    17 Khandala Shirwal Commendation 0.50
    18 Satara Nandgaon Commendation 0.50
    SUBCENTER
    1 Karad Charegaon Winner 1.00
    2 Karad Khodshi Runner Up 1 0.50
    3 Phaltan Nimbhore Runner Up 2 0.35
    4 Patan Jinti Commendation 0.25
    5 Mahabaleshwar Chikhali – Taldeo Commendation 0.25
    6 Wai Shendurjane i Commendation 0.25
    7 Jaoli Bhanang Commendation 0.25
    8 Karad Wahagaon Commendation 0.25
    9 Satara Vennanagar Commendation 0.25
    10 Jaoli Kedambe Commendation 0.25
    11 Patan Mhavashi Commendation 0.25
    12 Phaltan Hol – Phaltan Commendation 0.25
    13 Patan Aawarde Commendation 0.25
    14 Phaltan Tardaf Commendation 0.25
    15 Mahabaleshwar Machutar Commendation 0.25
    16 Phaltan Dhaval Commendation 0.25
    17 Satara Varye Commendation 0.25
    18 Satara Dhawadshi Commendation 0.25
    19 Phaltan Nandal Commendation 0.25
    20 Mahabaleshwar Khingar Commendation 0.25
    21 Phaltan Kalaj Commendation 0.25

     

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