Tag: GH

Various Types of Diets Given Free of Cost to Patients in Government Hospitals in Tamil Nadu

What are the various diets that are given to Patients free of Cost in Tamil Nadu Government Hospitals ? This article explains about them

Various Types of Diets Given Free of Cost to Patients in Government Hospitals in Tamil Nadu
Various Types of Diets Given Free of Cost to Patients in Government Hospitals in Tamil Nadu
STD : Standard Diet
S.No Ingredient Sub-clause Quantity
1 Par boiled rice Morning 90
2 Par boiled rice Lunch 125
3 Raw Rice 75
4 rava 75
5 Wheat Flour 75
6 Toor dhal Morning 25
7 Toor dhal Lunch 25
8 Black gram dhal Morning 30
9 Black gram dhal Seasoning 1
10 Greengram dhal Morning 25
11 Greengram dhal Night 10
12 Sundal 30
13 Salt 15
14 Tamarind 7
15 red chillies 5
16 Curry powder 7
17 Cumin seeds 1
18 Pepper 1
19 Mustard 1
20 Fenugreek Seasoning 0.5
21 Fenugreek seeds Morning 0.75
22 Asafoetida 0.1
23 Turmeric 1
24 Garlic 1
25 Groundnut Oil 20
26 Milk Morning 250
27 Curd ml 200
28 Fruit nos 1
29 Vegetable Lunch 100
30 Potato Lunch 100
31 Vegetable Night 100
32 Greens 100
33 Onion 50
34 Tomato 50
35 Carrot 25
36 Beans 25
37 Ginger pongal 1
38 Ginger kitchedi 1
39 Curry & corriander leaves 2
40 Green chillies 2



PPD : Post Partum Diet : After Delivery
S.No Ingredient Sub-clause Quantity
1 Par boiled rice Morning 90
2 Par boiled rice Lunch 125
3 Raw Rice 75
4 rava 75
5 Wheat Flour 75
6 Toor dhal Morning 25
7 Toor dhal Lunch 25
8 Black gram dhal Morning 30
9 Black gram dhal Seasoning 1
10 Greengram dhal Morning 25
11 Greengram dhal Night 10
12 Sundal 30
13 Salt 15
14 Tamarind 7
15 red chillies 5
16 Curry powder 5
17 Cumin seeds 1
18 Pepper 1
19 Mustard 1
20 Fenugreek Seasoning 0.5
21 Fenugreek seeds Morning 0.75
22 Asafoetida 0.1
23 Turmeric 1
24 Garlic 1
25 Groundnut Oil 20
26 Jaggary 25
27 Milk Morning 250
28 Milk Evening 250
29 Curd ml 200
30 Potato Lunch 100
31 Egg nos 1
32 Fruit nos 1
33 Vegetable/Potato Lunch 100
34 Vegetable Night 100
35 Greens 200
36 Onion 60
37 Tomato 60
38 Carrot 25
39 Beans 25
40 Ginger pongal 1
41 Ginger kitchedi 1
42 Curry & corriander leaves 2
43 Green chillies 2

 



NCD : Non Communicable Disease Diet
S.No Ingredient Sub-clause Quantity
1 Par boiled rice Morning 90
2 Par boiled rice Lunch 75
3 Wheat/Samba Rava Morning 75
4 Wheat/Samba Rava Night 75
5 Wheat Flour Lunch 75
6 wheat flour Night 75
7 Toor dhal Morning 25
8 Black gram dhal Morning 30
9 Black gram dhal Seasoning 1
10 Roasted bengal gram 30
11 Sundal 30
12 Salt 5
13 Tamarind 7
14 red chillies 5
15 Curry powder 7
16 Garam masala powder
17 Cumin seeds 2
18 Pepper 2
19 Mustard 1
20 Fenugreek Seasoning 0.5
21 Fenugreek seeds Morning 0.75
22 Asafoetida 0.1
23 Turmeric 1
24 Garlic 1
25 Groundnut Oil 15
26 Milk Morning 150
27 Milk Evening 100
28 Curd ml 200
29 Egg nos 2
30 Potato Lunch 100
31 Vegetable Soup 50
32 Vegetable Lunch 100
33 Vegetable Night 150
34 Greens 200
35 Onion 75
36 Tomato 75
37 Cucumber 100
38 Ginger – kitchedi 1
39 Curry & corriander leaves 2
40 Green chillies 2



New case : For Patients who are admitted recently
S.No Ingredient Sub-clause Quantity
1 Bread 200
2 Milk 200

 

HPD : High Protein Diet
S.No Ingredient Sub-clause Quantity
1 Par boiled rice Morning 90
2 Par boiled rice Lunch 150
3 Raw Rice 75
4 rava 100
5 Wheat Flour 100
6 Toor dhal Morning 25
7 Toor dhal Lunch 25
8 Black gram dhal Morning 30
9 Black gram dhal Seasoning 1
10 Greengram dhal Morning 25
11 Greengram dhal Night 10
12 Roasted bengal gram 50
13 Sundal 50
14 Salt 15
15 Tamarind 7
16 red chillies 5
17 Curry powder 7
18 Cumin seeds 1
19 Pepper 1
20 Mustard 1
21 Fenugreek Seasoning 0.5
22 Fenugreek seeds Morning 0.75
23 Asafoetida 0.1
24 Turmeric 1
25 Garlic 1
26 Goundnut Oil 20
27 Jaggary 10
28 Nutrimix Kanji powder 15
29 Milk Morning 250
30 Milk Evening 250
31 Curd ml 200
32 Egg nos 2
33 Fruit nos 1
34 Vegetable Lunch 100
35 Vegetable Night 100
36 Greens 100
37 Onion 50
38 Tomato 50
39 Carrot 25
40 Beans 25
41 Coconut 20
42 Ginger – pongal 1
43 Ginger – kitchedi 1
44 Curry & corriander leaves 2
45 Green chillies 2
46 Lime 0.25

 

HIV :
S.No Ingredient Sub-clause Quantity
1 Par boiled rice Morning 90
2 Par boiled rice Lunch 150
3 Raw Rice 75
4 rava 100
5 Wheat Flour 100
6 Sago 25
7 Processed soya flour 15
8 Toor dhal Morning 25
9 Toor dhal Lunch 25
10 Black gram dhal Morning 30
11 Black gram dhal Seasoning 1
12 Greengram dhal Morning 25
13 Greengram dhal Night 10
14 Roasted bengal gram 50
15 Sundal 50
16 Salt 15
17 Tamarind 7
18 red chillies 5
19 Curry powder 7
20 Cumin seeds 1
21 Pepper 1
22 Mustard 1
23 Fenugreek Seasoning 0.5
24 Fenugreek seeds Morning 0.75
25 Asafoetida 0.1
26 Turmeric 1
27 Garlic 1
28 Goundnut Oil 20
29 Jaggary 10
30 Nutrimix Kanji powder 15
31 Milk Morning 250
32 Curd ml 200
33 Egg nos 2
34 Fruit nos 1
35 Vegetable Lunch 100
36 Vegetable Night 100
37 Greens 100
38 Onion 50
39 Tomato 50
40 Carrot 250
41 Beans 25
42 Ginger – pongal 1
43 Ginger – kitchedi 1
44 Curry & corriander leaves 2
45 Green chillies 2
46 Lime 0.25

 

RENAL
S.No Ingredient Sub-clause Quantity
1 Par boiled rice Night 60
2 Par boiled rice Lunch 75
3 Rice Rava 75
4 Vermicelli 75
5 Sago 30
6 Sago – evening 30
7 Sweet Biscuit 3
8 Black gram dhal 20
9 Fenugreek – Seasoning 0.5
10 Goundnut Oil 15
11 Sugar 25
12 Sugar – night 25
13 Curd ml 200
14 Egg nos 1
15 Bread Morning 100
16 Bread evening 50
17 Renal Vegetable Lunch 200
18 Renal Vegetable Night 200
19 Mint 15
20 Onion 25
21 Cucumber 200
22 Guava 100

 

 

RENAL DIABETIC
S.No Ingredient Sub-clause Quantity
1 Par boiled rice Night 60
2 Par boiled rice Lunch 75
3 Rice Rava 75
4 Vermicelli 75
5 Sago 30
6 Sago – evening 30
7 Biscuit 3
8 Black gram dhal 20
9 Fenugreek – Seasoning 0.5
10 Goundnut Oil 15
11 Curd ml 200
12 Egg nos 1
13 Bread Morning 100
14 Bread evening 50
15 Renal Vegetable Lunch 200
16 Renal Vegetable Night 200
17 Mint 15
18 Onion chutney 100
19 Onion 25
20 Cucumber 200
21 Guava 100

 

 

AC SPL : For those with Ryles Tube Feeding
S.No Ingredient Sub-clause Quantity
1 Rice flour 70
2 Sago flour 30
3 Green gram dhal 40
4 Salt 3
5 Goundnut Oil 20
6 Sugar 50
7 Milk 500
8 Curd ml 200
9 Egg nos 2
10 Oranges/Sweet lime 4
11 Vegetable Soup 50
12 Greens 50
13 Enteral supplement 50

 

 

AC SPL RENAL : For those with Ryles Tube Feeding
S.No Ingredient Sub-clause Quantity
1 Rice flour 70
2 Sago flour 60
3 Salt 1
4 Goundnut Oil 20
5 Sugar 50
6 Milk 500
7 Curd ml 200
8 Egg nos 2
9 Vegetable Soup 50
10 Enteral supplement 50

 

 

AC SPL BURNS : For those with Ryles Tube Feeding
S.No Ingredient Sub-clause Quantity
1 Rice flour 70
2 Sago flour 30
3 Green gram dhal 40
4 Salt 3
5 Goundnut Oil 20
6 Sugar 75
7 Milk 750
8 Egg nos 3
9 Vegetable Soup 100
10 Greens 100
11 Enteral supplement 100
12 Oranges/Sweet lime 4

 

RCD : Radiotheraphy Chemotherapy Diet
S.No Ingredient Sub-clause Quantity
1 Sago/Rice flour 50
2 Sugar 40
3 Milk – Morning 250
4 Milk – Evening 250
5 Curd ml 200
6 Egg nos 2
7 Oranges/Sweet lime 8

 

RCD DIABETIC : Radiotherapy Chemotherapy
S.No Ingredient Sub-clause Quantity
1 Sago/Rice flour 50
2 Milk – Morning 250
3 Milk – Evening 250
4 Curd ml 200
5 Egg nos 2
6 Oranges/Sweet lime 8

 

M&B : Milk and Bread
S.No Ingredient Sub-clause Quantity
1 Milk – Morning 500
2 Milk – Evening 250
3 Curd ml 0
4 Egg nos 1
5 Fruit nos 2
6 Bread 400

 

INF : 0 to 6 months
S.No Ingredient Sub-clause Quantity
1 Greengram dhal 10
2 Salt 2
3 Coconut oil 25
4 Jaggary 20
5 Nutrimix Kanji powder 12.5
6 Milk morning 250
7 Milk evening 250
8 Egg nos 1
9 Plantain 1
10 Potato 50

 

 

INF – SPL : 6 to 12 months
S.No Ingredient Sub-clause Quantity
1 Rice flour 25
2 Sago flour 20
3 Roasted bengal gram flour 25
4 Coconut oil 25
5 Curd ml 200

 

 

C-STD 1-8yrs
S.No Ingredient Sub-clause Quantity
1 Par boiled rice Morning 30
2 Par boiled rice lunch 50
3 Par boiled rice Night 60
4 Raw Rice Night 75
5 Toor dhal Morning 12.5
6 Toor dhal Lunch 12.5
7 Black gram dhal Morning 10
8 Black gram dhal Night 20
9 Black gram dhal Seasoning 1
10 Greengram dhal Night 25
11 Salt 6
12 Tamarind 5
13 red chillies 5
14 Curry powder 5
15 Garam masala powder 0.5
16 Cumin seeds 1
17 Pepper 1
18 Mustard 1
19 Fenugreek seeds Seasoning 0.5
20 Fenugreek seeds Morning 0.25
21 Fenugreek seeds Night 0.5
22 Asafoetida 0.1
23 Diet Scale 1
24 Garlic 0.5
25 Goundnut Oil 15
26 Jaggary 8
27 Nutrimix Kanji powder 5
28 Milk 250
29 Curd ml 100
30 Egg nos 1
31 Fruit nos 1
32 Vegetable/Potato lunch 100
33 Potato lunch 100
34 Vegetable Night 50
35 Greens 100
36 Onion 25
37 Tomato 25
38 Coconut 20
39 Ginger – pongal 1
40 Curry and corriander leaves 2

 

 

C-STD 8-12yrs
S.No Ingredient Sub-clause Quantity
1 Par boiled rice Morning 60
2 Par boiled rice lunch 75
3 Par boiled rice Night 90
4 Raw Rice Night 100
5 Toor dhal Morning 12.5
6 Toor dhal Lunch 25
7 Black gram dhal Morning 20
8 Black gram dhal Night 30
9 Black gram dhal Seasoning 1
10 Greengram dhal Night 30
11 Salt 6
12 Tamarind 5
13 red chillies 5
14 Curry powder 5
15 Garam masala powder 0.5
16 Cumin seeds 1
17 Pepper 1
18 Mustard 1
19 Fenugreek seeds Seasoning 0.5
20 Fenugreek seeds Morning 0.5
21 Fenugreek seeds Night 0.75
22 Asafoetida 0.1
23 Turmeric 1
24 Garlic 0.5
25 Goundnut Oil 15
26 Jaggary 10
27 Nutrimix Kanji powder 6
28 Milk 250
29 Curd ml 100
30 Egg nos 1
31 Fruit nos 1
32 Vegetable lunch 100
33 Potato lunch 100
34 Vegetable Night 50
35 Greens 100
36 Onion 30
37 Tomato 30
38 Coconut 20
39 Ginger – pongal 1
40 Curry and corriander leaves 2

 

C-HIV-STD 1-8yrs
S.No Ingredient Sub-clause Quantity
1 Par boiled rice Morning 30
2 Par boiled rice lunch 50
3 Par boiled rice Night 60
4 Raw Rice Night 75
5 Sago 20
6 Toor dhal Morning 12.5
7 Toor dhal Lunch 12.5
8 Black gram dhal Morning 10
9 Black gram dhal Night 20
10 Black gram dhal Seasoning 1
11 Greengram dhal Night 25
12 Salt 6
13 Tamarind 5
14 red chillies 5
15 Curry powder 5
16 Garam masala powder 0.5
17 Cumin seeds 1
18 Pepper 1
19 Mustard 1
20 Fenugreek seeds Seasoning 0.5
21 Fenugreek seeds Morning 0.25
22 Fenugreek seeds Night 0.5
23 Asafoetida 0.1
24 Turmeric 1
25 Garlic 0.5
26 Goundnut Oil 15
27 Jaggary 12
28 Nutrimix/Ragi Kanji powder 7.5
29 Milk 250
30 Curd ml 100
31 Egg nos 2
32 Fruit nos 2
33 Vegetable lunch 100
34 Potato lunch 100
35 Vegetable Night 50
36 Greens 100
37 Onion 25
38 Tomato 25
39 Coconut 20
40 Ginger – pongal 1
41 Curry and corriander leaves 2



C-HIV-STD 8-12yrs
S.No Ingredient Sub-clause Quantity
1 Par boiled rice Morning 60
2 Par boiled rice lunch 75
3 Par boiled rice Night 90
4 Raw Rice Night 100
5 Sago 20
6 Toor dhal Morning 12.5
7 Toor dhal Lunch 25
8 Black gram dhal Morning 20
9 Black gram dhal Night 30
10 Black gram dhal Seasoning 1
11 Greengram dhal Night 30
12 Salt 6
13 Tamarind 5
14 red chillies 5
15 Curry powder 5
16 Garam masala powder 0.5
17 Cumin seeds 1
18 Pepper 1
19 Mustard 1
20 Fenugreek seeds Seasoning 0.5
21 Fenugreek seeds Morning 0.5
22 Fenugreek seeds Night 0.75
23 Asafoetida 0.1
24 Turmeric 1
25 Garlic 0.5
26 Goundnut Oil 15
27 Jaggary 12
28 Nutrimix/Ragi Kanji powder 7.5
29 Milk 250
30 Curd ml 100
31 Egg nos 2
32 Fruit nos 2
33 Vegetable lunch 100
34 Potato lunch 100
35 Vegetable Night 50
36 Greens 100
37 Onion 30
38 Tomato 30
39 Coconut 20
40 Ginger – pongal 1
41 Curry and corriander leaves 2




 

 

 

 

 

 

 

 

 

 

 

 

Anti Rabies Vaccine for Dog Bite. Availability in Primary Health Centre and Medical College

Some Times Truth is Stranger than Fiction
So
Let me share a real fact.

-oOo-

I joined Tamil Nadu Medical Services in 2004 and worked for three years in Primary Health Centres. In Primary Health Centres, Run by Department of Health, Government of Tamil Nadu, we used to give ARV (Anti Rabies Vaccine) any time the patient walks in.

And then
I came to Madras Medical College, a tertiary care institution and was shocked to find that Vaccines are given only from 8 AM to 11 AM and that too only on Working Days. . . I could not comprehend the rationale. I am sure that Dogs in areas round the medical college hospital do not follow Calendar and Watch when biting on unsuspecting individuals

-oOo-



So, you have two hospitals run by the Same Government, Same Ministry, Same Minister, Same Health Secretary

  1. A 24x7x365 Tertiary Care Hospital, with nearly 1000 doctors working and around 5000 beds, where Vaccines for dog bite are given only 3 hours for 6 days a week
  2. A Primary Health Centre, with just two doctors, where vaccines for dog bite are given any time the patient walks in

Logic says that you will expect better service in a Tertiary Care Hospital
But
In Reality, Primary Health Centres Provide Better Service

So, the administrative fact that is really fiction is that Tertiary Health Care gives better service 🙂

I did try to analyse why this happened and found the reason too

It was because

Anti Rabies Vaccine Multi Dose Vial
Anti Rabies Vaccine Multi Dose Vial

Earlier, Vaccines came in Multi Dose Vial. That is in a single bottle (or ampoule) there were many doses. So, they took the bottle out of the fridge and wanted to finish it off quickly. So they made people come within a narrow time window
But
Now, vaccines come in single dose vial. Only one dose in a bottle (or ampoule). So they can open the vial, give the injection and need not worry about keep it safe again

Anti Rabies Vaccines started in Medical Colleges a long time ago, So they followed the narrow time window. They did not think to change it when multi dose vials got replaced by single dose vials. They did not apply their mind. They did not take the new scientific advancement to their advantage. It is like a person who started using bicycle, continuing in bicycle even after two wheelers were invented

Anti Rabies Vaccine Single Dose Vial
Anti Rabies Vaccine Single Dose Vial

But
Primary Health Centres, where they recently started Anti Rabies Vaccines and at that time, they had single dose vials. So they did not have any time window

This also underlies lessons in Management :

  1. All Protocols need to be reviewed at regular intervals and see whether a new and better protocol be introduced taking into account a recent invention or scientific advancement
  2. Smaller institutions may have better protocols. So learning should be two way and the bigger institutions need not always push their ideas