"Central Sterile Supply Department" is a service which caters to the needs of a hospital or a group of hospitals, for the supply of sterilized material. It aims at centralizing the activities of receipt, cleaning, assembly, sterilization, storage and distribution of reliably sterilized material from a central department, where bacteriologically safe sterilization practice is conducted under controlled conditions, adequate managerial and technical supervision and minimum cost. This article aims at describing the planning considerations and principles of organization of a Central Sterile Supply Department. It is hoped that the information thus contained will assist the Hospital Administrators to plan and organize such facilities in their hospitals.
The Evening O. P. D. services were started in six major hospitals of Delhi as a consequence of its successful running in one hospital. The present study was undertaken to assess the reactions of the beneficiaries of this service in terms of the content of service, the nature and type of care that is provided and its usefulness. With the help of an interview schedule, a random sample of 155 evening OPD patients which was drawn from these governmental hospitals, it was found that this service was grossly underutilised. There were many, reasons but in the main these were non-availability of supportive services, and non-availability of senior doctors in the evening OPD. Lack of proper publicity of this service in the city and the lack of additional resources required to man this service in the evening hours were also highlighted. The administrators of the hospitals were cautious to publicise this service in the public for want of additional resources.
The Constitution of India, with a federal system, having clear division of functions between the Centre and the States, and following the Parliamentary System of Democracy on the British model, makes the task of formulating and carrying out a National Five-Year Plan fundamentally different from any other country of the world. With what process the Five-Year Plan document is prepared and how its objectives and sector plans are approved by the elected representatives of the people and what extra-constitutional means have been adopted to seek the approval of the constituent units of the Union before a Plan is implemented is the theme of this article.
During recent years, a concept of multipurpose worker has been evolved and is being implemented in certain States. The implementation of this scheme requires continuous evaluation, so that job-description and training strategy could be modified in order to suit requirements and effectively solve the problems that may arise. This paper deals with the concept of MPW Scheme as it has been evolved and its operational aspects.
