HealthCare in Andaman & Nicobar Islands
Health care facilities is unique in Andaman and
Nicobar Islands compared to rest of India. Unlike the Government Hospital in State governments elsewhere in the Mainland India, the people in Andaman and Nicobar enjoy totally free Healthcare facilities from Government hospitals. This free healthcare in
government hospitals includes the following:
1. No payment for Doctor fees
2. No payment for any medication provided from Hospital Pharmacy
3. No payment for any investigations or procedures done in the Government
4. No payment for inpatient Hospitalisations
5. No operation theatre, surgery or anaesthesia payments (if operated upon)
5. No Nursing and administrative payments
6. No payment for food supplied in Hospital(s)
7. Routine and chronic patients like that of diabetes, hypertension etc.
collects their medication regularly without any payment
8. No ambulance charges
A nominal charge is levied for Nursing Home in the secondary care hospital - The Govind Ballabh Pant Hospital at Port Blair.
ANISHI Scheme : Scheme covers the following citizens who are referred to Mainland India for treatment.
- Below Poverty Line citizens settled in the A&N Islands.
- Government Pensioners settled in the A and Nic. Islands with their dependent family members.
- Permanent resident of these Islands with family income upto Rupees below 3 lakhs per annum
Features of the scheme
- The Health Insurance (ANISHI) shall provide cashless treatment upto Rupees 5 Lakhs per patients per illness which include indoor and outdoor treatments.
- Free travel expense for patients with one attendant shall be reimbursed (Bunk class fare)
- Critically ill patients, if referred under the scheme to travel by flight, will be entitled to reimbursement of the air ticket for patient and one attendant.
- In the very rare case of a beneficiary falling sick during a personal visit to the mainland and who requires emergency treatment, benefits under the scheme can be availed of but the travel expenses will not be allowed
A list of Government health insititutions at Islands:
|Community Health Centre||4|
|PHC (Primary Health Centre)||22|
|UHC (Urban Health Centre)||5|
|Total Bed strength||1005 (805 Andaman, 200 Nicobar)|
List of staff in the Health Department is given below:
|Doctors (primary care)||73|
ANIIMS and Govind Ballab Pant Hospital (GBPH Port Blair)
GBPH Port Blair is the biggest and the only secondary referral Hospital in
Andaman and Nicobar.
This 466 bedded Govind Ballab Pant Hospital (GBPH) is only hospital with specialized services in Gen. and Pediatric Surgery, Orthopaedics, General Medicine, Dermatology, Gynaecology, Paediatrics, ENT & Ophthalmology etc. under one roof. In 2015 the hospital is upgraded and made the teaching hospital of Andaman and Nicobar Islands Institute of Medical Sciences (ANIIMS
). The average Out Patient Department (OPD) attendance is about 1850 patients per day. The bed occupancy rate of the hospital is about 82%. The hospital is headed by a Medical Superintendent who is under supervision of Director ANIIMS and Directorate of Health Services. Before ANIIMS there were only 15 sanctioned posts of Specialists in the hospital but now there is a strong team of more than 71 specialists. The cases not manageable at GB Pant hospital are referred to Hospitals at Chennai.
The expenditure on treatment of serious patients at mainland under BPL (Below poverty line) category is met out of the fund provided by Govt. of India under National Illness Assistance Fund and now under ANISHI scheme. A few hundreds have benefited from this scheme.
G. B. Pant Hospital, Port Blair Contact: 03192-232102, 03192-233473
Year 2017 Specialty OPD figures at ANIIMS
||Ear Nose Throat
||Gynae. and Obstetrics
The Telemedicine/Teleconsultancy Services
Under the Telemedicine project, Hospitals/health centers in remote
locations are linked via INSAT satellites with super specialty Hospitals at
major towns/cities, bringing in connectivity between patients at remote end with
the Specialist Doctors for medical consultations and treatment. Telemedicine
pilot projects are undertaken by ISRO with the involvement of selected super
specialty hospitals located in major cities and smaller health centers in
distant and rural areas.
Former Prime Minister A. B. Vajpayee inaugurated the telemedicine project on 3rd July 2002 linking the G.B. Pant Hospital Port Blair with Sri Ramachandra Medical College & Research Institute (SRMC & RI). The Telemedicine facility was intended to enable the
doctors at GBPH Port Blair to directly interact with the Super Specialists and
seek advice from Chennai/Other mainland India locations. The facility provided
live video conferencing and have scanners and equipments to send live data like
that of ECG and X-rays to recipients at the other end. Telemedicine facility is also extended to District Hospital Car Nicobar, and
was planned to be extended to CHC's and PHC's in a phased manner during the next 25 years.
The Reality : There was a lot of hype created for the Telemedicine facility and
people were made to believe that this will cut their burden of travel to
mainland India, though the fact is that the Telemedicine is not much a success story. The reasons may be the following:
1. The Hospitals connected with GB Pant Hospital were all commercial private hospitals (Apollo Hospital, SRMC, Amrita Kochi etc.). Their commercial interest therefore cannot be negated. Almost often the patient after a telemedicine session is called to visit their location for further care,
so the telemedicine acts merely as a patient acquisition mechanism for these commercial Hospitals.
2. Even if expert guidance is received from the connected Super Specialist(s), The advise received often does not yield practical results due to lack of
advanced infrastructure at GB Pant Hospital
3. With the advent of Medical college, as more specialists are available such telemedicine sessions yeild no benefit.
Primary Health Centre (s)
Unlike state govt. PHCs (primary health Centre), the PHC's in Andaman & Nicobar
Islands are full fledged hospitals with a staff strength of about 25 staffs in
each which includes Doctor(s), Nurses, ANMs, lab technicians, pharmacists,
X-Ray technician and other support staff. Each PHC has at-least 10-15 beds, Operating theatre(s),
Small Laboratory, X-Ray. Besides these, captive power generator sets, ambulances, refrigerators and deep freezers for maintaining cold chain
for medicines have also been provided in the PHCs as per the norms prescribed by the Government of India.
List of Primary Heath centres
|Sl. No.||Name ||Area|
|1||PHC, Garacharma ||South Andaman|
|2||PHC, Manglutan||South Andaman|
|3||PHC, TushnaBad||South Andaman|
|4||PHC, FerrarGunj||South Andaman|
|5||PHC, WimberlyGunj||South Andaman|
|6||PHC, Chouldari||South Andaman|
|7||PHC, Havelock ||Havelock Island|
|8||PHC, Neil Island||Neil Island|
|9||PHC, Radha Nagar||North Andaman|
|10||PHC, Kalighat ||North Andaman|
|11||PHC, Kishori Nagar||North Andaman|
|12||PHC, Billiground||Middle Andaman|
|13||PHC, Tugapur||Middle Andaman|
|14||PHC, Kadamtala||Middle Andaman|
|15||PHC, Long Island||Middle Andaman|
|16||PHC, Baratang||Middle Andaman|
|17||PHC, HutBay||Little Andaman|
|18||PHC, R.K. Pur||Little Andaman|
|21||PHC, Campbell Bay||Great Nicobar|
|22||PHC, Gandhi Nagar||Great Nicobar|
Community Health Centre (s)
CHC's are bigger health provider units than PHC's. In Andaman & Nicobar Islands
CHC's are mid sized hospitals with a staff strength of more than 35 staffs in
each. Each Community Health Centre has 40-70 beds with more upgraded
infrastructure as compared to PHC's. Blood transfusion
facility is available in addition.
ISM & Homoeopathy
Under the ISM & Homoeopathy Unit, this Union Territory has 8 Homeo- dispensaries
: One ISM and one Homeopathy Unit at Port Blair functioning since 1975. Car Nicobar established in 1986, Bambooflat, Mayabunder, Rangat, Diglipur, Nancowry and Campbell Bay from 1997 to 2001 in phased manner. Besides, foundation stone for establishment of a 30-bedded ISM & Homeo Hospital at Port Blair has already been laid on 4th March 2001 by the Hon'ble Union Home Minister Shri L. K. Advani. During 10th Plan it is proposed to establish 10 more Homoeo dispensaries and 4 Ayurvedic dispensaries in consonance with the guidelines of GOI to integrate the ISM & Homoeopathy with Primary Health Care. The first Ayurvedic dispensary of the UT was made functional at Aberdeen Bazar on 30th November 2001.
Health Facilities In Tribal Area
The majority of the tribal population of the Union Territory is concentrated in the Nicobar District. Although ~9.5% of the total population of this Union territory are tribals, the local administration has infused about 30% of the total health infrastructure in the southern group of islands.
As per government norms the basis of setup of health institutions/Hospitals (PHC, CHC's) should be the population. In Andaman & Nicobar Islands however the Government of India has relaxed the norms. As per the relaxed norms Sub-Centres may be established at a distance of 5 KM and PHCs at 10 Km distance irrespective of population