The four Departments viz Deptt. of Health & Family Welfare, Deptt. of AYUSH, Deptt. of Health Research and Deptt. of AIDS Control of Ministry of Health & Family Welfare have been working towards the objective of achieving higher standards of health for general population. In line with this objective, comprehensive steps – be it the use of bivalent polio vaccine leading to lowest ever polio transmission levels; overall reduction in adult HIV prevalence; launching a Sports Injury Centre or the first ever Organ Donation Day in India; augmenting infrastructure with Railways’ MoU; initiating National Programme for Health Care of the Elderly or voicing India’s views at International fora; significant steps have been taken by Ministry of Health and Family Welfare during the calendar year of 2010.
IMPROVED HEALTH INDICATORS
· In 2010, India has the lowest ever polio transmission levels, especially during the high transmission season, amidst high quality surveillance. There has been a sharp decline in the number of polio cases reported this year – only 41 polio cases in the country as on 30.11.2010 compared to 633 polio cases in the corresponding period of 2009.
· As per latest data made available by National AIDS Control Organization, the India HIV estimates 2008-09 highlight an overall reduction in adult HIV prevalence and HIV incidence (new infections) in India. Adult HIV prevalence at national level has declined from 0.41% in 2000 to 0.31% in 2009. The estimated number of new annual HIV infections has declined by more than 50% over the past decade.
· Leprosy Prevalence Rate has been further reduced to 0.71/10,000 in March, 2010. 32 State/UTs have achieved elimination by March 2010, leaving only Bihar, Chhattisgarh and Dadra & Nagar Haveli. Similar progress of elimination has also been in 81% of districts and 77% of Block PHC in the country.
· TB mortality in the country has reduced from over 42/lakh population in 1990 to 23/lakh population in 2009 as per the WHO global report 2010. The prevalence of TB in the country has reduced from 338/lakh population in 1990 to 249/lakh population by the year 2009 as per the WHO global TB report, 2010.
· President of India launched the bivalent vaccine (bOPV) on 9th January 2010. Bivalent Oral Polio Vaccine has been introduced in the country for the first time in Bihar.
· The Prime Minister Dr Manmohan Singh dedicated Sports Injury Centre to the nation at the Safdarjung Hospital, New Delhi, The Sports Injury Centre has an inpatient capacity of 35 beds in two wards with all modern facilities. The Centre also has three world class integrated modular operation theatres with facility of video conferencing.
The Centre in the long run shall also act as a pilot to develop the specialty of Sports Medicine in the country.
· The field work for the Annual Health Survey for preparing the District Health profile is in progress in 272 of the 284 districts in the 9 states where the survey is to be undertaken and has been completed in 12,392 of the 20,252 sample units.
· The Indian Pharmacopeia Commission published the 2010 version of Indian Pharmacopeia and brought out the National Formulary of India compiling details of pharmaceutical formulations of available drugs.
· The Cabinet Committee on Economic Affairs approved the proposal for the upgradation of the National Centre for Disease Control (NCDC), Delhi at an estimated cost of Rs 382.41. crore. The upgradation work is expected to be completed by April, 2013. It envisages improvement of infrastructure, installation of state-of-art equipment, creation of new divisions and upscaling of existing ones. With the upgraded diagnostic facilities and enhanced public health capabilities, the NCDC will be in a much better position to investigate disease outbreaks and respond adequately to public health emergencies of international concern.
· The 6th World and first ever Organ Donation Day in India was observed in New Delhi on 27th November 2010.
· The Union Cabinet approved the establishment of the National Institute of Paramedical Sciences (NIPS), Regional Institutes of Paramedical Sciences (RIPS) and a scheme to support the State Government Medical Colleges for conducting paramedical courses through a onetime grant. The total project cost for the proposal is Rs.1156.43 crore with a Central share of Rs.999.31 crore (85%) and the remaining Rs.157.12 crore (15%) being borne by the States. This measure would lead to an additional yearly intake capacity of 14,480 to the health delivery system annually when fully implemented.
· Cabinet approved setting up of 132 Auxiliary Nurse Midwives training schools at an estimated cost of Rs.5.00 crores per school and 137 General Nursing and Midwifery training schools at an estimated cost of Rs.10.00 crores per school under the scheme of
· upgradation/strengthening of nursing services. 56 ANM/GNM schools have already been approved in Bihar, Orissa, Rajasthan, Uttarakhand, J&K, Sikkim, Haryana, Manipur, Arunachal Pradesh and Puducherry.
· The Union Ministry of Health and Family Welfare asked the state authorities to keep a strict vigil on use of carbide gas for ripening of fruits. Use of carbide gas for ripening of fruits is prohibited under Rule 44 AA of Prevention of Food Adulteration Rules 1955. In a circular to all State Food (Health) authorities the Food Safety and Standards Authority of India (FSSAI) has stressed the need to take legal action for violation the PFA Rules.
· Ministry of Health and Family Welfare and Ministry of Railways signed a Memorandum of Understanding for development of healthcare infrastructure along the railway network of the country. According to MoU, the two Ministries will collaborate to develop healthcare facilities both for allopathic and Indian Systems of Medicine viz diagnostic centres, out-patient centres, inpatient medical treatment centres, super speciality hospitals, medical colleges and nursing colleges etc. These health care facilities could also be used as trauma centres for emergencies, accidents and natural disasters. Ministry of railways has identified tentatively 361 plots of at least 200 sqm each, 88 land areas of 5 acres each and 41 land areas of 20 Acre in the vicinity of railway stations.
· Central Team formed to assist the local Health Authorities after the cloud burst leading to flash floods in Leh in August 2010. Union Health Minister Shri Ghulam Nabi Azad visited the affected area on 7th August 2010 along with specialists from Delhi. Disease control facilities, logistic support of essential medicines, equipments were provided there.
· A new ‘National Programme for Health Care of the Elderly’ (NPHCE) was approved on 10th June 2010 with an outlay of Rs. 288.00 crore for 2010-11 & 2011-12. This includes 20% share of State Governments amounting to Rs. 48.00 crore. The Government of India’s share would be Rs. 240.00 crore.
· Urban Slum Health Check Up Scheme for Diabetes and Blood pressure launched in New Delhi on November 14, 2010. Pilot project is in progress in 6 other cities viz Bangalore, Hyderabad, Kolkata, Mumbai, Chennai and Ahmedabad.
· The revised National Programme for Prevention & Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) was approved by the CCEA for a provision of Rs. 1230.90 crore out of which Rs 731.52 crore is for cancer component.
· In a pioneering initiative and first of its kind in Central Government Health Scheme (CGHS), a standalone haemodialysis centre has been started at Sadiq Nagar CGHS Wellness centre. This pilot project in collaboration with M/S Alliance Medicorp (India) Limited, Chennai a JV company of Apollo Health and Lifestyle Ltd. (Apollo Group of Hospitals) has been started under Public Private partnership.
DEPTT. OF HEALTH & FAMILY WELFARE
Achievements of National Rural Health Mission (As on 30th September, 2010)
1. Health Infrastructure
· New construction and upgradation/renovation were taken up in 433 District Hospitals, 2921 Community Health Centers (CHCs), 4165 Primary Health Centres (PHCs) and 11856 Health Sub-Centers under the programme.
· 9120 Primary Health Centres (PHC) have been made functional 24×7 as compared to only 1262 in 2005.
· 2426 health facilities which include District Hospitals, Sub-District Hospitals and Community Health Centers are functioning as First Referral Units (FRUs) as compared to 955 in 2005.
· 1653 Mobile Medical Units are operating in different States providing services in the interior areas.
2. Human Resource
· 2394 Specialists, 8284 MBBS doctors, 9578 AYUSH doctors, 26734 staff nurses, 53552 ANMs and 18272 other Para-medical staff have been added to the health system to improve the services.
· Over 8.33 lakh trained ASHA/community workers have been engaged to link the households with the health facility. 5.7 lakh ASHA workers have been trained and provided with drug kits.
3. System strengthening
· State and District Health Societies have been set up in all the States/UTs. Similarly, State Programme Management Units and Block Programme Management Units have been provided at the district and block level.
· Planning capacity at the district level have been strengthened and Integrated District Health Action Plan have been prepared by 540 districts.
· Co-location of AYUSH doctors has been made in 14766 health facilities at PHC, CHC and Sub-District Hospitals.
4. Community Monitoring
· The NRHM framework for implementation has pushed communitisation of facilities, adequate and flexible financing with community accountability, and
monitoring progress against Indian Public Health Standards, innovations in human resources, engagement and building of capacity at all levels for effective and efficient decentralized management of health system.
· 29904 Rogi Kalyan Samitis have been registered in the health facilities upto PHC level. (A support of Rs. 5 lakh per DH, Rs. 1 lakh per CHC and Rs. 1 lakh per PHC are given.)
· NRHM also provides an opportunity at each level from the village to the sub centre, the PHC, the CHC, the Sub Divisional Hospital, and the District Hospital to create a community institution under the umbrella of Panchayati Raj local government system, with provision of untied funds to meet institution and village specific needs for health care.
· A total of 4.98 lakh Village Health and Sanitation Committees (VHSCs) have been constituted and 4.82 lakh joint accounts at the Village Health and Sanitation Committees and Health Sub-Centers opened.
· Untied funds have been made available to Sub-Centers and VHSCs for local public health action.
· Nearly 23.61million Village Health & Nutrition Days were held at village level over the last three years to provide immunization, maternal and child healthcare and other public health related services at Anganwadi centers.
· Maintenance grant and untied grant provided to all health facilities like PHCs, CHCs, Sub-Centers and District Hospitals to meet the local requirements. (Annual maintenance grants of Rs 10,000 to HSCs, Rs.50,000 to PHCs and 1 lakh to CHCs and Untied grants of Rs. 10,000 to HSCs , Rs.25,000 to PHCs and Rs. 50,000 to CHCs are given).
5. Service Delivery
· Under the Janani Suraksha Yojana (JSY) which is cash transfer scheme to promote institutional delivery, over 100.78 lakh pregnant mothers were covered in 2009-10 as against only 7.39 lakh in 2005-06.
· Increase in out-patient and in-patient care, institutional delivery, family planning services and immunization have been reported in most States/UTs.
· In a big boost to Public Health System, the government approved hiring of more than 53500 male health workers for all the Sub Health Centers (SHC) in 235 high focus districts from the point of view of disease control. The total costs for providing the male
health workers on contract would be Rs. 385.52 crores per year and the central government will bear 85 per cent, 75 per cent and 65 per cent share in first three years.
· Population stabilization is one of the key objectives of National Rural Health Mission (NRHM) Some of the fresh initiatives taken by the Ministry for stabilising population in the country include: Fixed day Fixed Place Family Planning Services round the year through growing number of 24×7 Primary Health Centres (PHCs) and better functioning of Community Health Centres (CHCs) and other health facilities under National Rural Health Mission (NRHM); Promoting Intra-uterine Device (IUD-380A) intensively as a spacing method because of its longevity of 10 years and advantage over other IUDs; Promotion of acceptance of ‘No Scalpel Vasectomy’ to ensure male participation has also been part of NRHM strategy on population stabilization; Increasing the basket of choice by systematically and carefully introducing new and effective contraceptives in the programme; outreach activities through the institution of ASHAs and Monthly Village Health and Nutrition Days under NRHM; Santushti strategy implemented through Janasankhya Sthrirata Kosh which provides private sector gynaecologists and vasectomy surgeons an opportunity to conduct sterilisation operations in Public Private Partnership (PPP).
· An enhanced annual contribution of India from the current level of $ 40000 to $ 80000 pledged for the Partners in Population Development alliance to strengthen the alliance. 10 scholarships for the PG Diploma Course in Public Health Management for one more year at the National Institute of Health & Family welfare, Delhi offered to students from the participating countries.
· World Population Day was organized on 11.7.2010 on a massive scale-in Delhi and in high fertility states. Awareness was built on the issues among a large variety of stakeholders from school and college students, teachers, general audience, corporate and media.
· The Health and Family Welfare Pavilion won the Gold Medal in “Ministries’ category” in this year’s India International Trade Fair. The Pavilion based on the theme of ‘population stabilization’, displayed how growing population can be managed by providing better health services including Nutrition, Sanitation and health practices. The Exhibition was chosen best amongst a total of 20 entries.
· A historic debate on ‘Population stabilization was initiated in the Monsoon session in the Parliament as the instance of Honourable Minister of Health and Family Welfare Shri Ghulam Nabi Azad. Cutting across party lines all members appreciated the gravity of the subject and urged the government to take all necessary steps to contain the rising population.
Disease Control programmes
· Revised National Tuberculosis Control Programme – Treatment success rates have tripled from 25% in the pre-RNTCP era to 87% presently. TB death rates have been cut 7-fold from 29% in the pre-RNTCP era to 4% presently. The programme has consistently maintained the treatment success rate >85% and new sputum positive (NSP) case detection rate more than the global target of 70%. DOTS Plus services for management of MDR TB have been rolled out in the 10 states of Gujarat, Maharashtra, Andhra Pradesh, Haryana, Delhi, Kerala, West Bengal, Tamil Nadu, Rajasthan and Orissa. Services are available in 136 districts covering a population of 281 million. Till 30th September 2010, ~15700 MDR suspects were examined and a total of 2975 patients were initiated on treatment in these states.
· The National Programme for Control of Blindness has been providing financial assistance to NGOs for cataract operations and treatment of other eye diseases. During the current financial year (2010-11) against the target of 60 lakh cataract surgeries, around 17,55,128 cataract surgeries have been reported by States/UTs up to October, 2010. Under the School Eye Screening Programme, against the target of 3 lakh, around 57,037 free spectacles have been provided to school children. Under Eye Banking, against the target of 60,000 donated eyes, around 8,861 donated eyes have been collected upto 2010.
· Till date, samples from 200865 persons have been tested for Influenza A H1N1 in Government Laboratories and a few private Laboratories across the country. 45908 (22.85%) of them have been found positive.
· 75 districts added in the current year (2010-11) to the National Programme for Prevention and Control of Deafness (NPPCD), making it a total of 176 districts of 15 States and 4 U.T’s . Rs.11.50 crore has been provided for the current year.
· Cabinet in its meeting held on 19.3.2010 approved revised cost estimates for Phase –I Pradhan Mantri Swasthya Suraksha Yojana projects, amounting to Rs 9307.60 crore. Civil works for medical college and hospitals at all six sites of Bhopal, Patna, Rishikesh, Raipur, Bhubaneswar and Jodhpur is underway.
· Ministry and Medical Council of India amended Post Graduate Medical Education Regulations wherein the teacher student ratio has been revised from 1:1 to 1:2 to enable the Medical Colleges to increase seats in Postgraduate Medical courses, thus helping add more than 4000 seats at PG level.
· Modalities for introducing a three and a half year course in Bachelor in Rural Health Care are being finalized in consultation with MCI.
· Proposal for expansion in Post-Graduate Institute of Medical Education and Research, Chandigarh for implementing the OBC Reservation for Rs. 370.97 crores finalized.
· EFC Proposal for 11th Plan on Augmentation / Modernization of PGIMER, Chandigarh at a cost of Rs. 260.70 crore over the balance period of the 11th Plan (2010-12) finalized.
· Recommendations of Prof. M. K. Bhan Committee to constitute an expert group with representatives from M/o Health & FW/ DGHS, NBE and MCI to look into the matters pertaining to screening test in respect of National Board of Examinations, New Delhi finalized.
Achievements of the Central Drugs Standard Control Organization:
· Development of Infrastructure:
a. Built new offices for Zonal/Laboratories at Mumbai, Hyderabad, and Chandigarh.
b. Established Pharmazones at Hyderabad Airport and proposed another at New Delhi Airport
c. Created new sub-zonal offices at Jammu, Chandigarh, Bangaluru, and also proposed three more sub-zonal offices at Goa, Indore and Guwahati
a. More than 100 import licenses were cancelled for violations of conditions of
b. Conducted raids along with CBI in Tamilnadu, Madhya Pradesh, Maharashtra,
to unearth spurious drugs.
c. Introduced “whistle blower policy” to motivate the public and provide
information to the regulators on movement of spurious drugs.
d. Implemented registration process for Import of Cosmetics
e. Banned Harmful drugs eg. Rosiglitazone,
f. Initiated inspection of Clinical Trial Centres.
g. Issued prosecution orders for the manufacture of Not of standard quality
h. Introduced a system of registration of Clinical Trials
i. Amendments to the Drugs and Cosmetics Act for enhancing penal provisions
for manufacture and sale of Spurious Drugs.
* Pharmacovigillance program:
Introduced Pharmacovigillance program at 20 Centres in different parts of the country to ensure compliance to Schedule Y requirements.
* Overseas Inspections:
The office of CDSCO has initiated inspection of Pharmaceutical firms for import registration of drugs.
Schedule M(GMP compliant) plant is being constructed at CRI, Kasauli. The civil construction of the plant is over and equipments and machinery would be installed by March 2011. The unit will start its trial thereafter.
· The Indian Medical Council (Amendment) Bill 2010 was introduced in the Lok Sabha on 5th August 2010 to give effect to amendments to the IMC Act 1956 by which in certain specified situations Government can dissolve the elected Medical Council and replace it, for a period not exceeding one year with a nominated Board of governors.
· The “National Institute of Mental Health and Neuro Sciences Bangalore Bill, 2010” was introduced in the Rajya Sabha to facilitate NIMHANS to develop as an Institute of National Importance on the lines of All India Institute of Medical Sciences, New Delhi, Post Graduate Institute of Medical Education and Research, Chandigarh and Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry patterns of teaching, with the flexibility to device new courses, constantly evolving syllabi. The Institute will be able to take up new courses that are required and are not currently part of the MCI approved courses.
· The Clinical Establishments (Registration & Regulation) Bill, 2010 was passed by both Houses of Parliament and notified on 19th August 2010. The Act aims at providing registration & regulation of clinical establishments in the country with a view to prescribing minimum standards of facilities and services. This Act will initially take effect in four states viz Arunachal Pradesh, Himachal Pradesh, Mizoram, Sikkim and all Union territories.
· The Indian Medicine Central Council (Amendment) Bill 2010 was passed by Lok Sabha on 3rd August 2010 and the Act was brought into effect on 26th September 2010 to accept Sowa Rigpa as a recognized health care system alongwith the other AYUSH systems.
* Under Rule 85(3) of Drugs & Cosmetics Rules, the Government revoked the suspension of licenses of the three vaccine producing institutes viz. CRI, Kasauli, PII, Coonoor and BCG, Guindy. All the three vaccine producing institutes have started production.
· The draft Bill on the National Council for Human Resources in Health (NCHRH) is being finalized.
· A Memorandum of Understanding on the Establishment and Operation of Global Disease Detection (GDD) – India Centre, between National Centre for Disease Control, New Delhi and Centre of Disease Control and Prevention, Atlanta, USA, was signed during the visit of US President, Mr. Barack Obama in November 2010. The GDD-India Centre would focus on cooperation in the field of development of human resources, both epidemiology and laboratory and sharing best practices for detection and response to emerging infections.
· India made a strong statement in the 63rd World Health Assembly against move by developed countries and big pharma to restrict legitimate trade in generic medicines. India raised the issue of counterfeit medicines and urged countries to steer clear from the commercially motivated debates over the ‘counterfeit’ issue which have hampered public health by preventing access to good quality and low cost generic drugs. As a result WHA adopted a resolution establishing a time limited and result oriented working group on substandard / spurious / falsely-labeled / falsified / counterfeit medical products comprised of and open to all Member States.
· Memorandum of Understanding (MoUs) were signed with Government of Croatia, Malawi and Rawanda .
· Indo-Swedish Health Week was organized in the first week of February 2010. This was the first of its kind initiative wherein collaboration and operation between the two countries were discussed with various stakeholders including corporate bodies.
DEPTT. OF AYUSH
* On the sidelines of the State visit of Hon’ble Prime Minister of India to the US, first-ever TKDL Agreement with the US signed in January 2010. India joined hands with the US and UK to help prevent misappropriation of its traditional knowledge at the United States Patent & Trademark Office (USPTO) and United Kingdom Trademark & Patent Office (UKPTO) with the signing of the TKDL (Traditional Knowledge Digital Library) Access Agreement.
· Centre for Research in Indian Systems of Medicine (CRISM) established in Mississippi, USA to design, formulate and implement policy for promoting, propagating and Advocacy for Indian System of Medicine in USA; work towards scientific acceptance of Indian System of Medicine, Preparation of Dossiers for Market Authorization etc.
· Planet Health Museum commissioned at the Morarji Desai National Institute of Yoga – a state of the art, interactive, multimedia, digital museum in October 2010 to allow people to explore the concept of health and wellness as expounded in the traditional Indian systems of medicine.
· CCRAS – Sreedhareeyam Ayurvedic Opthalmic Treatment and Research Facility inaugurated. 10
· National Yoga week 2010- A mass awareness programme for Health, Happiness & Harmony for all through Yoga was launched. More than 450 Representatives from the different corners of the country and more than 60 Eminent AYUSH & Health Experts participated.
NATIONAL MEDICINAL PLANTS BOARD
India being one of the 17 mega bio-diversity rich countries which has 7% of the world’s bio-diversity, NMPB is implementing the Central Sector Scheme for Conservation, Development and Sustainable Management of Medicinal Plants and the Centrally Sponsored Scheme of National Mission on Medicinal Plants.
· During 2010-11, NMPB has approved Action Plans for 26 States namely Andhra Pradesh, Arunachal Pradesh, Assam, Bihar, Chhattisgarh, Gujarat, Haryana, Himachal Pradesh, Jammu & Kashmir, Jharkhand, Karnataka, Kerala, Madhya Pradesh, Maharashtra, Manipur, Meghalaya, Mizoram, Nagaland, Orissa, Punjab, Rajasthan, Sikkim, Tamil Nadu, Uttar Pradesh, Uttarakhand and West Bengal. Funds amounting to Rs. 46.42 Crores released to the State Implementing agencies to cover an area of 44,791 ha. Besides activities like setting up of nurseries, post harvest management, marketing and organic certification are supported under the scheme.
· 6 Medicinal Plant Conservation Areas (MPCAs) covered under the project sanctioned for Conservation covering 1500 ha.
· 3 projects sanctioned for Resource augmentation and sustainable management covering 3310 ha.
· Projects for developing 8 Herbal Gardens have been sanctioned during the year covering an area of 27.00 ha.
· Financial assistances have been given for establishing for 549 School Herbal Gardens.
· Support to 48 JFMC/ Van Panchayats
· Five new R&D projects for medicinal plants on Phyto-chemistry & Pharmacological Evaluation, Standardization, Phyto-chemical variations, Identification of substitutes/ adulterants, Bio-activity guided fractionation.
· Till date, information of about 70 herbal gardens across India and a total of about more than 600 herb species, 200 shrub species, 300 tree species and 100 climbers with their synonyms, local names etc. have been added to national herbal garden network. Out of these, 153 herb species, 16 shrub species, 44 tree species and 6 climbers have been added to the existing database during the current year.
DEPTT. OF HEALTH RESEARCH
· Centenary year of ICMR from 15.11.10 – acceleration of translational Research by ICMR to focus on developing and evaluating new generation diagnostics, therapeutics and protective measures especially for Malaria and Cancer.
· During 2009-10 and the last six months (2010-11) 26 Translational units have been established in various ICMR institutes/centres so as to create translation process and maintain momentum. Fifty-two technologies/processes (29 technologies for diagnostics for various diseases; 5 for vaccines; 5 for mosquito control products; 3 for prevention of
occupational hazards; 5 for process development; 2 for drug development; 2 for health systems for programmes, and 1 for early warning system for Japanese encephalitis) have been identified for first phase of translation process and action begun during the current year. Another twenty are under review.
· Draft National Health Research Policy prepared and is being debated across the country
· Draft Policy for Knowledge Management Policy for Health – services, education and research prepared and debates completed
· Based on guidelines for use of assisted reproductive technologies a draft Bill has been prepared
· Guidelines for management of cancers of buccal mucosa, stomach & cervix developed
DEPTT. OF AIDS CONTROL
· On World AIDS Day 2010, NACO’s Red Ribbon Express returned to New Delhi after successful journey of more than 25000 kms through 22 States and sensitizing about 80 lakh people about HIV AIDS at 152 stations.
· India and Global Fund signed agreements relating to prevention and control of HIV/AIDS under which Global Fund grants are received as external aid in the fight against HIV/AIDS.
· Telemedicine facility for HIV infected patients set up on a pilot basis in the Center of Excellence, Maulana Azad Medical College, New Delhi. The project, called Project DISHA is a joint collaboration between University of New Mexico, USA & National AIDS Control Organization (NACO), Govt. of India.
· Marking the National Voluntary Blood Donation Day on 1 Oct 2010. at Dr. Ram Manohar Lohia hospital in the capital, state of the Art Blood mobile van has been started to augment voluntary blood donation.