The medical organisation of the State, as distinct from its public health organisation, is essentially a hospital organisation designed TO render curative medical relief to the general populace with ancillary specialist sections providing medical relief, medical teaching, training of nurses and mid-wives, X-Ray and laboratory technicians, etc.

The Civil Hospital, Dhulia is the main Government hospital at the district headquarters. It is owned, staffed, financed and controlled by the Government. Besides there are two Mission Hospitals, one at Dhulia and the other at Chinchpada in Navapur taluka, and a number of Government aided dispensaries scattered throughout the district. The aided dispensaries are mostly owned and managed by the municipalities.

Civil Surgeon.

The Civil Surgeon, Dhulia, is the administrative head of the medical organisation in the district and is directly subordinate to the Deputy Director of Medical Services, Bombay Division, Bombay. He is in charge of the medical arrangements at the Civil Hospital. In addition, he is required to take active part in the public health matters affecting the district in collaboration with the Public Health Officer of the Zilla Parishad. Prior to the implementation of the Maharashtra Zilla Parishads and Panchayat Samitis Act of 1961, the supervision of taluka dispensaries, subsidised medical practitioner's centres, rural medical relief centres and public medical relief and sanction of grant-in-aid to private charitable institutions like hospitals, maternity homes, dispensaries, etc., vested in the Civil Surgeon. Such institutions and schemes with their staff and budgetary provision on their account have now been transferred to the Zilla Parishad. The Civil Surgeon is, however, authorised (i) to inspect the concerned institutions periodically and (ii) to give such guidance, assistance or advice as the institutions may consider necessary. The technical control, so far as the medico-legal work in the district is concerned, vests in the Civil Surgeon.

Civil Hospital.

The Civil Hospital, Dhulia has provision for 132 beds and is well-equipped. It has an X-ray plant with screening arrangement of 100 milli ampere and has a fairly well-equipped laboratory. The Civil Hospital has a separate maternity ward and also wards for lunatic and tetanus patients and T. B. patients. The patients suffering from infectious diseases are admitted in the Isolation Hospital of Dhulia municipality. However, for emergency admissions there is a provision for two beds some distance away from the main hospital building.

The total number of indoor patients treated at the hospital in 1963 was 5,406 while that of outdoor patients was 32,169. The daily average was 143.6 and 250.8 respectively. The expenditure in 1963 on the Civil Hospital was Rs. 5,14,329.

The Civil Hospital, Dhulia is advised by a Committee with the Civil Surgeon as its Chairman and ten other members. The functions of the Committee are to help the management of the hospital by keeping the authorities informed as to the needs of the hospital as viewed by the public for the welfare of the patients. The rules of the department provide for the nomination of a representative each of the Zilla Parishad, the municipality, the local branch of Indian Medical Association and the local branch of the Indian Red Cross Society.

The staff of the Civil Hospital, Dhulia consists of the Civil Surgeon who is a Class I Officer of the Maharashtra Medical Services and four Assistant Medical Officers who belong to Class II of the same service. Two Sister Tutors at the hospital provide training facilities to the student nurses undergoing general nursing course.