::: ASSOCIATED INSTITUTIONS : Institute of Child Health and Hospital
History of the Hospital
 
             As mentioned in the foregoing paragraph, prior to 1948 there was no Paediatric Department as such and sick children were cared for by the adult Physicians.  It was in 1948, the first Paediatric Department in Tamilnadu was created in the Government General Hospital, Madras and late Dr.S.T.Achar was appointed as Professor of Paediatrics, Madras Medical College and Paediatric Physician of the Government General Hospital with about 28 beds pooled from the various units.   To start with, the outpatient department had only 40 children per day.  Soon a post of an Assistant to the Professor and few House Physicians were sanctioned for the Paediatric Department.  in 1949, the Professor was asked to supervise the Children Ward (28 beds) of Women and Children Hospital, Egmore and a Hony. Assistant Physician was posted in that ward for looking after the routine daily rounds.  Since 1949, a few doctors began to join the Paediatric Department as voluntary post-graduates in order to get training and to become paediatricians – a new innovation in madras.
 
            In 1953, Paediatric Nursing was completely reorganized, thanks to World Health Organization who had assigned this job to a specially trained Nurse of WHO.  She shared the teaching and the service load and a Refresher Course for Paediatric Nurses from all over India was started in the Institute of Paediatrics as a joint venture of UNICEF, WHO and Madras Government.  In 1954, a bigger ward was sanctioned with an increase of 48 beds in main ward and 12 beds in Isolation and Typhoid wards in Government General Hospital and one more Assistant Physician was sanctioned since teaching and service activities had increased by that time.
 
            In 1957, the department was upgraded and the Professor was appointed as whole time Director and the staff strength was increased to one Reader cum Paediatric Physician, 3 Assistant Physicians and 4 Hony. Assistant Physicians.  The UNICEF  and the WHO entered into an agreement with the Government of India to give equipment and other aids through a project known as “Madras Paediatric Project” and 4 Peripheral Paediatric Clinics were started with the help of WHO visiting Professor of Child Health.  3 Assistant Professors and 4 Public Health Nurses were sanctioned separately to run these clinics and the necessary equipments were supplied by UNICEF under the agreement.
 
            Diploma in Child Health (DCH) and M.D., (Paediatrics) courses were started in 1957 and 1961 respectively.  To start with, 12 students for DCH., and 4 for M.D. (Paediatrics) per year were trained. In 1967 M.Ch. course in Paediatric Surgery  was started at the Madras Medical College with an annual intake of three.  
 
            In G.O.Ms. No.2243, PWD, dated 26.8.1963, the Government sanctioned a sum of Rs.26.36 lakhs for construction of a Paediatric Block in the Arni House Compound attached to the Government Women and Children Hospital, Egmore for starting a separate Children’s Hospital.  When the building was completed, the Government in G.O.Ms.No.750/ Health dated 6.5.1968, ordered the starting of the present Government Children Hospital with 250 beds by transferring the children beds from Government General Hospital and Women and Children Hospital with sanction of necessary staff and other facilities for a separate hospital.
 
            The Institute of Child Health and Hospital for Children started functioning in its new building at Halls Road, Egmore, Madras w.e.f. 15.11.1968 with Dr.V. Balagopal Raju as the Director and Superintendent.
 
           In G.O.Ms.No. 705 / Health dated 1.4.1982 sanction was accorded for the construction of a 10 storied block for the hospital.  When the building was completed orders were issued in G.O.Ms.no.2272 / Health dated 1.12.1986 increasing the sanctioned beds from 250 to 500 with necessary additional staff.  Subsequently 37 Cardio-thoracic beds were transferred to this hospital from Government General Hospital for the Paediatric Cardio-thoracic Surgery Department thus increasing the sanctioned beds to 537.
 
     The hospital has grown leaps and bounds in the last 43 years and now the Hospital and the Institute is marching ahead towards the road of progress in patient care activities, teaching and research programmes. The annual intake of M.D.(Paediatrics) is now 17, and D.C.H. is 35.   D.M. (Neonatology) course was started in September 2009 with admission of 1 candidate.   Medical Council of India has granted permission for increase of 8 DM (Neonatology) candidates from the year 2010.  The annual intake for M.Ch. Paediatric Surgery also has been increased to 9 seats from the year 2010.    The Institute conducts regular teaching programmes like Clinical Society Meetings, Weekly Medical Audit Meetings, Seminars, Conferences, Guest Lectures etc., for the benefit of the post-graduates and faculty members.  Thanks to the regular Government funds, special funds from National Rural Health Mission (NRHM) and local area development funds from elected representatives,  the poor and needy seeking the hospital services benefit from several diagnostic, treatment and operative equipments like ventilators, monitors, infusion pumps, theatre equipments, video-endoscopic system, laprascopy and accessories. 
 
Successive Director& Superintendents
 
 
Sl.No. Name Year
1. Dr.S.T.Achar 1958-1965
2. Dr.V.Balagopal Raju 1965-1977
3. Dr.K.A.Krishnamoorthy 1977-1981
4. Dr.C.Thirugnanasambandam 1981-1984
5. Dr.B.R.Santhanakrishnan 1984-1986
6. Dr.T.Dorairajan 1986-1987
7. Dr.R.Narmada 1987-1988
8. Dr.V.R.Kannan 1988-1988
9. Dr.K.G.Kamala 1988-1991
10. Dr.P.N.Nagendran 1991-1992
11. Dr.A.Chandrabhushanam 1993-1994
12. Dr.Merlyn C.Joseph 1995-1996
13. Dr.Jayam Subramaniam 1997-1997
14. Dr.V.S.Krishnakumari 1998-2000
15. Dr.S.Gopaul 2001-2001
16. Dr.C.S.Rex Sargunam 2002-2002
17. Dr.M.P.Jeyapaul 2003-2003
18. Dr.P.Ramadevi 2003-2004
19. Dr.Mangayarkarasi Senguttuvan 2004-2006
20. Dr.Mallika Pathmanaban 2006-2006
21. Dr.R.Kulandai Kasthuri 2006-2007
22. Dr.R.Duraisamy 2007-2007
23. Dr.Saradha Suresh 2007-2010
24. Dr.P.Ramachandran i/c 2010- 2011
25. Dr.P.Jeyachandran 2011- 2012(Jun)
26 Dr.Kannaki 2012-2014
27 Dr.Sundari 2014-2015
28 Dr.Saminathan 2015-2016
 
Course duration
 
  • MD(Paed)   -  3 Years
  • DCH           -  2 Years
  • MCH           -  3 Years
Sanction No. of Seats
 
  • MD (Paed) – 17 – per Year.  DM(Neonatology)  - 8 Seats/Year
  • DCH           - 35 – per Year
  • MCH           -  3 – per Year
Affiliated University
Tamil Nadu Dr.M.G.R. Medical University
            Guidy, Chennai-32.
                                  
University Examination details
 MD (Paed) and DCH Post graduates. Theory Exam conducting in Madras Medical College centre, Chennai-3
Practical and oral Exam conducting in Madras Medical College and Institute of Child Health and Hospital for Children, Egmore, Chennai-8
 Under graduates Pediatric Medicine Regular Batch (164) Practical and Oral examination conducting in Madras Medical College centre, Chennai-3 and Institute of Child Health and Hospital for Children, Chennai-8.
 
Periodic Academic activities
 Post graduates – Teaching Programme conducting daily 2 PM to 3 PM. Except Saturdays/Sundays.
 Journal club meet conducting in every month.
Symposium conducting in every month.
Under graduates IInd Year MBBS, Pre-final year MBBS, and Final year MBBS. Theory/Clinical classes conducting in this Institute.
Courses like PALS and NRP are regularly conducted.
                                                                
Research and Publications
 Prizes and Awards for Degree Course MD (Paed)/DCH Post Graduates conducting and distributed by the Madras Medical College, Chennai-3. Various Medal at Pediatric and other NNF conferences.
 
 
 
 
 Academic Information
 
 
SL No Course Name Course Distribution Course Category Sanction No. of Seats
1 MD (Paed)   Pediatric Medicine 17 per Year
2 DCH   Diploma in Child Health 35 per Year
3 MCH/Paed Sur   Pediatric Surgery 3
4 DM Course   DM Neonatology 8
5 Fellowship in Emergency Medicine and Intensive care
 
 Students Attendance
      Post graduates – Degree/Diploma/MCH –           Attendance Eligibility for Basic Exam and
      Higher Specialities/                                              Clinical and oral Examination  eligible for   
      Under graduates Final year                                   attendance 90%. As per M.G.R Medical
      Part II MBBS                                                       University regulations for PGS/UGS.
 
 Students Internal and Assessments
- Students Assessment rules as per M.G.R Medical University regulations for PGS/UGS.
- PGS- MD (Paed- and Diploma in Child Health Course Assessment of practical and oral examination Marks.
 Under graduate Final Year Part II MBBS examination marks.
 
 
                           
Investigation list
 
BLOOD
1 ALBUMIN
2 ALK. PHOSPHATASE
3 AMMONIA
4 AMYLASE
5 BICARBONATE
6 BILIRUBIN  - DIRECT
7 BILIRUBIN  - TOTAL
8 CALCIUM
9 CHLORIDE
10 CHOLESTEROL
11 CK
12 CREATININE
14 GLUCOSE
15 LACTATE
16 PHOSPHORUS
17 POTASSIUM
18 SGOT
19 SGPT
20 SODIUM
21 TOTAL PROTEIN
22 Total T3
23 Total T4
24 TRIGLYCERIDES
25 TSH
26 UREA
27 URIC ACID
URINE :URINE METABOLIC SCREENING
28 BENEDICT'S TEST
29 CETRIMIDE TEST
30 CYNAIDE- NITROPRISSIDE
31 DNPH TEST
32 FERRIC CHLORIDE TEST
33 VMA
24 HOUR URINE
34 24 - HOUR PROTEIN
35 24- HOUR   CREATININE
36 24 -HOUR   CALCIUM
37 SPOT PROTEIN
38 SPOT CREATININE
39 SPOT CALCIUM
40 SPOT PHOSPHORUS
OTHERS
41 CSF PROTEIN
42 CSF GLUCOSE
43 PLEURAL / ASCITIC /PUS  GLUCOSE
44 PLEURAL / ASCITIC /PUS  PROTEIN
45 STONE ANALYSIS RENAL Ca/Phos/UA
 
CLINICAL PATHOLOGY:
 
  1. CBC which includes 18 parameters.   
WBC
RBC
HGB
 HCT
MCT
 MCH
 NMCHC
PLT LYM
MXD
NEUT
LYM
MXD 
NEUT
RDW
PDW
 MPV
P-LCR                                                                        
 
  1. Special tasks are, ESR, Reticount, Sickling tests, Bleeding time, Clottting time, peripheral smear study, MP and MF.
  2.  Fluid cytology
  3. Urine: Albumin, Sugar, Ketones, BS, BP, Heamoglobin urea, Myoglobin urea and deposits.
  4. Motion: Ova, Cysts, Reducing substances, and Occult Blood.                 
HISTOPATHOLOGY: Which includes Biopsy, cytolology and museum is also maintained.
 
Microbiology :
1.BACTERIAL
 
  1. GRAM STAINING
  2. ACID FAST STAINING
  3. CULTURES FOR VARIOUS  MICROBIAL ORGANISMS FROM BODY FLUIDS & SECRETIONS(Urine,Blood,Pus,Sputum,Peritoneal & Cerebro Spinal Fluid)
2. ANTIBIOTIC  SENSITIVITY
3.SEROLOGICAL TESTS
 
  1. C-REACTIVE PROTEIN
  2. ASO TITRE
  3. DENGUE
  4. HEPATITIS B
  5. WIDAL
  6. BRUCELLA
4.MYCOLOGY(FUNGAL)
      FUNGAL CULTURE &  STAINING
5.TUBERCULOSIS
6.PARASITOLOGY
    WET MOUNTING & COLD AFB STAINING FOR THE STOOL SAMPLES
 
Biochemistry
Statistics
 
1 ALBUMIN 11300
2 ALK. PHOSPHATASE 4660
3 AMMONIA 107
4 AMYLASE 1006
5 BICARBONATE 31923
6 BILIRUBIN  - DIRECT 49028
7 BILIRUBIN  - TOTAL 49028
8 CALCIUM 9271
9 CERULOPLASMIN 22
10 CHLORIDE 593
11 CHOLESTEROL 1673
12 CK 404
13 CREATININE 31390
14 GLOBULIN 11300
15 GLUCOSE 16359
16 LACTATE 602
17 PHOSPHORUS 1145
18 POTASSIUM 31926
19 SGOT 14588
20 SGPT 14588
21 SODIUM 31929
22 TOTAL PROTEIN 11300
23 Total T3 1101
24 Total T4 1510
25 TRIGLYCERIDES 993
26 TSH 1526
27 UREA 31387
28 URIC ACID 663
 
 
Pathology
STATISTICS for Jan’2011 to Dec’2011
OP                            Blood               - 94,920
                                 Urine                -63,228
                                 Motion             - 3,720
                                 FNAC                 - 435
IP                              Blood                -2,99,368
                                  Urine                -31,701
                                  Motion             -4,154
                                 FNAC                  - 326
                                  Biopsy               - 1,437
                                  Fluid Cytology – 837
                                   ------------------------------------
TOTAL                                                  -5,00,136
 
 
 
 
 
CURRENT YEAR STATISTICS
From Jan’ 2012 to Aug’ 2012
OP                  Blood                    - 68,687
                       Urine                     -45,387
                       Motion                  - 2,814
                       FNAC                      - 236
 
IP                    Blood                     - 1,79,095
                        Urine                     -20,859
                         Motion                -2623
                         FNAC                    -184
 
                         Biopsy                  -909
    TOTAL                                           - 3,20,848
 
MICROBIOLOGY
JANUARY 2011 TO DECEMBER 2011
                                   
 
Months URINE C/S NEC C/S CSF C/S PUS C/S THROAT SWAB C/S FUNGAL C/S MOTION C/S ENTERIC
C/S
OP IP OP IP OP IP OP IP OP IP OP IP OP IP OP IP
JAN
 
403 727 8 1020 0 131 15 69 1 10 0 7 0 11 0 8
FEB
 
442 647 2 775 0 149 10 84 0 10 0 8 0 5 0 8
MAR
 
520 725 2 748 0 135 4 102 8 11 0 8 2 12 0 22
APR
 
450 638 2 894 0 113 5 96 2 7 0 17 0 10 0 14
MAY
 
425 603 1 1016 0 158 6 94 1 13 0 19 2 6 0 6
JUN
 
523 585 4 964 0 135 10 78 6 6 0 9 2 6 0 14
JUL
 
533 641 4 1003 0 152 19 143 2 9 0 5 0 3 0 63
AUG
 
553 706 6 1031 0 135 11 83 2 10 0 8 0 6 0 37
SEP
 
528 806 0 1031 0 148 12 69 2 10 0 14 1 3 0 54
OCT
 
503 716 2 1037 0 138 7 116 5 18 0 8 0 3 0 24
NOV 501 722 0 923 0 199 16 117 2 12 0 20 0 10 0 27
DEC 512 697 2 957 0 243 16 144 0 9 0 45 2 2 0 22
TOTAL 5893 8213 33 11399 0 1836 131 1195 31 125 0 168 9 77 0 299
 
 
SEROLOGY:
 
 
Months WIDAL BRUCELLA HBsAg DENGUE ASO CRP RA
OP IP OP IP OP IP OP IP OP IP OP IP OP IP
JAN 24 266 0 6 3 74 2 118 8 44 15 247 9 11
FEB 27 185 0 3 5 65 0 102 6 39 4 57 4 6
MAR 18 197 0 3 10 110 1 71 3 35 5 156 3 3
APR 12 179 0 2 3 90 0 60 3 13 4 64 4 2
MAY 12 179 0 2 8 38 5 32 2 23 6 235 4 3
JUN 33 155 0 1 0 5 0 11 3 7 3 24 4 4
JUL 12 147 0 0 0 4 0 40 0 10 0 144 0 5
AUG 20 234 0 3 1 7 1 116 0 2 3 234 0 2
SEP 17 322 0 3 9 66 2 222 0 3 7 287 0 4
OCT 13 323 0 3 4 69 13 234 1 24 3 252 2 7
NOV 30 302 0 2 4 69 0 32 0 10 4 255 2 8
DEC 10 309 0 1 4 63 3 235 1 6 1 112 0 6
TOTAL 228 2798 0 29 51 660 27 1273 27 216 55 2067 32 61
 
 
Microscopic investigation:
 
 
Months HANGING DROP Staining IP
OP IP Grams Acid fast
JAN 0 10 0 0
FEB 0 5 195 38
MAR 0 1 205 26
APR 0 0 174 88
MAY 0 1 183 40
JUN 0 3 170 42
JUL 1 4 185 53
AUG 1 3 155 30
SEP 0 10 195 52
OCT 0 1 176 57
NOV 4 2 216 45
DEC 3 6 289 47
 
TOTAL
9 46 2143 518
                                     
 
MICROBIOLOGY
JANUARY 2012 TO DECEMBER 2012
 
 
Months URINE C/S NEC C/S CSF C/S PUS C/S THROAT SWAB C/S FUNGAL C/S MOTION C/S ENTERIC
C/S
OP IP OP IP OP IP OP IP OP IP OP IP OP IP OP IP
JAN
 
382 491 4 912 nil 165 20 96 5 5 2 37 3 6 4 28
FEB
 
487 627 nil 24 nil 136 18 108 6 3 nil 32 1 1 4 824
MAR
 
480 639 1 866 nil 153 22 67 nil 8 2 18 nil 3 1 33
APR
 
522 552 nil 821 nil 137 12 61 2 4 nil 22 nil 1 nil 230
MAY
 
617 701 nil 864 nil 177 3 81 nil 13 nil 25 nil 7 nil 9
JUN
 
759 764 1 870 nil 161 4 70 5 7 nil 32 nil 3 nil 16
JUL
 
508 790 6 940 nil 133 2 64 nil 16 nil 37 nil 12 nil 26
AUG
 
606 770 9 1040 nil 129 2 58 nil 20 Nil 23 1 13 nil 9
TOTAL 4361 5334 21 6337   1191 83 605 18 76 4 226 5 46 4361 5334
 
 
 
 
 
SEROLOGY:
 
 
Months WIDAL BRUCELLA HBsAg DENGUE ASO CRP RA
OP IP OP IP OP IP OP IP OP IP OP IP OP IP
JAN 18 232 nil 6 5 83 Nil 113 6 26 6 139 Nil 9
FEB 17 179 nil 3 3 48 3 109 nil nil 6 232 nil 6
MAR 19 192 nil 7 7 78 nil 86 nil 13 nil 107 nil 5
APR 1 12 nil 2 6 74 nil 76 1 12 nil nil nil Nil
MAY 18 189 nil 5 nil nil 4 109 1 24 2 19 nil nil
JUN 20 230 nil 9 8 42 9 129 3 36 3 91 nil 4
JUL 21 201 nil 3 6 81 1 114 8 60 8 205 nil nil
AUG 20 266 nil 4 5 61 7 166 3 62 5 278 nil nil
TOTAL 134 1501   39 40 467 24 902 22 233 30 134 1501  
 
 
Microscopic investigation:
 
 
Months HANGING DROP Staining IP
OP IP Grams Acid fast
JAN 0 15 0 0
FEB 0 5 195 38
MAR 0 1 205 21
APR 0 0 174 88
MAY 0 1 183 40
JUN 0 3 170 45
JUL 1 25 185 53
AUG 1 3 155 30
 
TOTAL
2 53 1267 315
 
PAEDIATRIC RADIOLOGY
Statistics for the Year 2011
 
Total No. of Conventional X-Rays                                           - 17,495
Total No. of digital X.Rays                                                         - 49,617
The total No. of X-Rays including contrast investigations        - 67,112
Total No. of Ultra sound Cases                                                 – 22,432
Total No. of CT Scans                                                                –   9,238
 

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