RF_COM_H_55_SUDHA.pdf

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RF_COM_H_55_SUDHA

u-'SC ...
L.l.

:• ;-r •.■il.agc

Total

Area of

Total
la

available (if not available within the village, a oash (-j is
be shown in the column and next to it in brackets, the distance in broad

the

txc-. ,v

• s-:!es viz,, -5 ,r■•_,

Village

No. of

iity is avail able is given)

holds

Educe-

-v j 2 Iv-xns of the nearest place where the ;aci-

•.in hect­

ares)



Medical

nona!

Drinking
water

Post 1-

Gay or Days

Comni-

Telegraph

of the

cations

markrt/hat

(Bus stop.

if any

Railway dtai.lL’.’l,

Pr- Wj’/i

PbCic)

roacr:

“lass

vili-

;1’ ■*=.

:“CWCr

Lane use (a rra under citferwit Lyprs of land use in hectares rounded to

LJ

supply

two decnai places)

AD

Forest

age

Irrigated

iin-irri-

(by source

gatcc

Irrigation)

Cui durable

Area

waste

not

(including

avaiiab i ?

gauebar It

for

groves)

Cultiva­

tion

6039.56

Total

9259.51

4127.61
W

45.94

Twe

1297.46

riC

3024.29
766.21

21191.E!

7053.55

9064.50

: 2:

'o; 5,
r.? •• p A; • (

t.

j

----1

■>. • ••-•

:■ ctai

•.a-*?

Area of

i.

Total

ftecnities available lif not available within the vi liagc, a dash (-)

. - 1' -

is shown in the column and next to it in brackets, the distance in broad

tne

lion &

ranees vir., -5Kbs,5-10Kbs i 10+Kns of the nearest place where the faci-

Village

No. of

lity is available is given)

,:r i

House-

ares)

fields

Educa-

Medical

tional

Drinking
water

Post 4

Day or Days

Conauni-

Telegraph

of the

cations

sarket/hat

(Bus stop,

if any

Railway Sta­

tion,waterway)
4

43181,30

local iSen)

5

6

118271

8(158),

PHC(7),

<199157

M(32),

FPC(4), RP

8

7

9

10

H(10)

App­

Nearest 7onn<

Power

Land usr (area under different types of land use in hectares rounded to

L.C

roach

Class of

supply

two drci aal places)

No.

vill­

fin Kns;

Forest

age

Irrigated

Un-irri­

(By source

gated

Cultivable

Area

Waste

not

of

(including

Irrigation)

gauchar &

for

groves)

Cultiva­

available

tion

11

12

13

15

16

Total

7095.35

21208,66

Tk

1472.48

w

193.15

14

964.87

Tw

40.29

The

4397.56

He

956.82

0

35,05

17

7509.49

18
2946,78

i

'

C.f.fle:/ : BCD BALLAPUR

r the Village

Total

Total

Area of

Popula­

is shown in the coluan and next to it in brackets, the distance in Croat;

the

tion 4

ranges viz,, -5.Tns,5-10Kf>s 4 10+Kns of the nearest place where the faci­

‘/ill age

No. of

lity is available is given)

(in hect-

House­

aroE-j

holds

Asenitire available* (if not available within the village, a bash (-1

Educa-

nodical

Drinking
water

ti oral

Post 4

Day or Days

Cowsuni-

Telegraph

of the

cations

uarket/hat

(Bus stop,

if any

Railway Sta­

tion,waterway)

P(312),
N(87),

r?C(4),

H(!9),

RP14)

PUC(4)

Vill­

;t Town,

Postr

Land use (area under different types of land use in hectares rounded to

L.C

Class of Town

supply

two decinal places)

No.

:< di', .ante

................ ................... -............ ...............-.......................................................——................ - ,

(in Kss)

Forrst

as C

Irrigated

Un-irri­

(by source

gated

Culturable

Area

Haste

not

of

(including

Irrigation)

gauchar 4

for

groves)

Cultiva­

available

tion

11

12

13

15

14

Total

4577.82

40483.44

Tk

3354.73

14

4054.57

'

N

447.80

Tw

528«18

Two

94,71

Wo

145.03

0

5.37

17
13943.43'

18

11949.34

1

; Code No. •

:r ■:

0040

Aornities available (if not available within the village, a das:' (-)

Area of

village

Popula­

is shown in the coluwn and next to it in brackets, the distance in broad

tion 3

ranges viz,, -Sites,5-lOK.s b 10«bs of the nearest place where the faci­

No. of

lity is available is given!

House­
ares)

holds

Educa­

,’tedicai

tional

Drinking

water

Post b

Day or Days

Coa.uni-

Telegraph

of the

cations

market/hat

(Bus stop,

if any

Railway Ela­

tion,waterway)

54461.27

App­

roach

supply

162966

P(261.l,

PHC19),

<274817

N(63),

FPC(6),

H(15), PUC

RP(7)

Land use (area under di He-rent types of land use in hectares rounded to

LC

two demal places)

No.

to
Forest

VL 1 . “

age

Ir ..;

Un-irri­

(by source

gated

Culturable

Hr c a

Naste

not

of

(including

Irrigation)

gauchar &

for

groves)

Cultiva­

available

tion

12

13

15

16

Total

9436.99

25325.64

Tk

2502.63

14

1052.89

22.66

17

5307,1?

18

8811.23

1

Coer Ne. :

? : c-

.ftacnities available (if not available iithirt the: village, a dash (-)

"eta!

Total

area of

Pop-ala-

is shorn in the coluan and next to it in brackets, the distance in broad

the

lien ?

ranges vi?,, -5iis,5-’0r!.s h lO+hsis of the nearest place where the faci-

Viirage

No. of

lity is available is given)

(in licet-

House-

-----------------------------------------------------------------------------------------------------------------------------------

ares)

holds

Educa-

rledical

tional

Drinking
water

Post &

Day or Days

Coaauni-

Telegraph

of the

cations

aarket/hat

(Bus stop,

if any

Railway Sta­
tion, waterway/

/■

Total i:u>

160269.6!

5

6

278585

8(333),

PHC(il)

<538387

h(88)f

D.

H(20),

FPC(IO)

FilC, TR

R?(9>

4

9

8

7

10

App-

"cm,

Power

Land use (area under different types of land use in hectares rounded to

L.C

rcac-

Class of Town

supply

two decimal places)

No.

to

6 sista.”?

vill-

--------------------------------------------------------------------------------------------------------------------------------

,<ss}

Forest

age

irrigated

Un-irri-

(by source

gated

Cuitufabie

Area

haste

not

Of

(including

available

Irrigation)

gauchar ’<

for

groves)

Cuitiva-

tion

11

12

13

14

25577.05

15

16

Total

12391.21

53112.86

Tk

1936.90

si

1052.37

Twc

3738.39

we

3283.95

R

354.08

2

700.89

17

10781.82

18
26523.29

1

\-srr o* 1. 3.
Codr Mo. ;
.■ o t a i

A-ichities available (if not available within the village, a dash (-1 is

Arra or

Popula­

shown in the column and next to it in brackets, the distance in broad

the

tion S

ranges vie., -5Khs,5-10'<hs 5 10+K»s of the nearest place where the faci­

vii1age

No. of

lity is available is given)

(in hect­

House­

ares)

holds

Educa­

iirdical

tional

Drinking
water

Post a

Day or Days

Coastin i-

Telegraph

of the

cations

aarket/hat

(Bus stop,

if any

Sai Isay Si aiion,waterway)

174406

P(338),

?HC(9), D,

N(B8),

FPC(6),

(29),

RP(5)

FUC(3)

■ ent types of land use in hectares rounded io

pptwo decisal places)

roach

Class of Tev

to

& distance

-------------------------------------------------------------------------------------------------------------------------------

vill­

(in Kis)

Forest

supply

age

L.C

No.

Imi gated

Un-irri­

(by sourer

gated

Ciilturable

Area

Waste

not

of

(including

available

igation)

gauchar !t

for

groves)

Cultiva­
tion

11

12

13

14

4305.53

15

16

Total

6705.10

44553.33

"k

3249.19

W

334.11

Twe

1341.05

/;?

1779.53

GC

1.22

17

15582.98

18
5490.76

1

Total

Total

;':"::irs available ’if not available within the village, a dash i-i is

• Ur w—

shown in the coluan and next to it :n brackets, the distance in broad

tion 6

ranges viz,, -SKasjO-lOKns & 10+Kns o* the nearest place where rhe faci­

V-llagr

No. of

lity is available is given)

(in beet-

House-

ares!

holds

w C- L' .
t'c

Educa­

(■'edical

tional

Drinking
water

Post ?.■

Day or Bays

lob,-uni -

Telegraph

of the

cations

narket/hat

(Bus stop,

if any

Railway Sta­

tion.waterway;

56686.94

al

126129

P1254),

<23729)

1'1(64),

?HC(7), D,

H(1B), POC

FFC(3),

HCW,

ftp i 4)



-

'ica-TSt

Power

Land use (area under different types of land use in hectares rounded to

Class o- To*:

supply

t«o deci Bal places)

No.

•a 3; S.S:. i-:.‘
vill­

Forest

age

irrigatec

Un-irri-

(by sourer

gated

Culturable

Area

waste

not

of

(including

Irrigation)

gauchar '<

r or

groves)

Cultiva­

available

tion
11

13

15

Id

Total

3438.81

30624,27

Tk

2041.83

Two

1393.24

G

3.74

14
928.26

17

95'45*86

IS

5384.31

A

To;f.

available (if not available with::, the village, a dash (-< ■ =

Total
-

-

she-..,’ I? rhe colunn and :vii to it in brackets, the distance :n broad

. e

t.an .

ranges viz., -5«t> s,5-10fcs :< 10-rKns of the nearest place were the fact*

Village

ho. of

lity is available is given)

ares)

holds

cdsca-

Hedical

Drinking
Hater

tional

Post !i

Day or Days

CoMuni-

Telegraph

of the

cations

narket/hat

(Bus stop,

if any

nail way Sta­
tion,hater nay)

62568.02

155519

P(206),

HCw,

<29792?

M(64),

PHC(IO),

Hilo),

D, FPCI5),

> UC j C

n/

Power

Land use (area under different types of land use in hectares rounded to

LrC

supply

tun decimal places!

No,

Forest

irrigated

un-irri-

(by source

gated

not

(including

available

irrigation)

gauchar &

for

groves)

Cultivation

i n
J J.o

14
910.02

Area

•teastr

of

> .ft
1 (A
13

Sul tunable

Total

15

16

5808.07

30470131

17

7059.52

1790.91
607,24

tee

2463■0?

R

736.46

7^'7?3/o1h

IB

11321.77

1

ter 3-

;

Codr No. ;

ot ths village

L.C.

Total

Total

Aaenities available

Area o-

Popula­

shewn in the colusn and next to it in brackets, the distance in bread

tnr

tion 8

ranges via., -5nts,5-rj'<.?,s ?< 10+Kss of the nearest place where the faci­

Village

No. of

lity is available is given)

(in hret -

House­

arrs/

holds

riedicai

Educa­
tional

not available within the village, a dash (-) is

Drinking

water

Post 4

Day or Days

Cossuni-

Telegraph

of the

cations

Barket/iiai

(Bus stop,

if any

Railway Sta­

tion,Waterway;
.

Z

Total (Sus)

-

121839.48

5

6

266845

P(239) ,

FHC(16),

(5196!?

11(55),

8(3),

n(15),

FPCii5),

?UC(3),

RP13)

4

7

8

9

10

AC(37)

App­

‘(rarest Town,

Power

Land use (area under different types of land use in hectares rounded to

L.C

roach

Class of 'Bun

supply

two decimal places)

No.

to

i distance

vill-

iir. ’--i.

Forest

agr

Irrigated

Un-irri-

(by source

gated

Culturable

Area

Waste

not

of

(including

available

irrigation)

gauchar 6

for

groves)

Cultiva­

tion
11

12

13

15

lt>

TDtai

7873.84

54615.06

Tk

■ 4893.96

We

4961.11

SC

23.77

14

27156.78

17

2662.90

18

24705.50

1

Total

Total

Amenities available (if not available within the village*, a dash i-i is

Arcs of

Popula­

shown in the coluon and ne::t to it n brackets, the distance in broad

te

tion &

rang

village

;ic. of

lity is available is given)

;ir. hcct-

House-

ares)

holds

vi?,, -5Kbs,5-10K8s i 10+Kbs of the nearest platt

Educa­

Pedical

tional

Drinking

water

eri the faci­

Post a

Day or Days

CcMuni-

Telegraph

of the

catiens

#arket/hat

(Sus stop,

if any

Railway Sta­

tion,satcr way)

140227.66

171772

P(174),

PHD(18)

<33504>

N(41),

D(4),

H(10),

FPCU3)

PUD(21

RP(3)


App-

‘ieareit Town,

reach

Power

Land use (area under different types of land use in hectares rounded to

LiC

supply

two decimal places!

No.

I distance
vi 11-

Forest

(in Kus)

agr

Irrigated

Un-irri-

(by sourer

g at cd

of
Irrigation)

Cui curable

Area

Waste

not

(including

available

gauchar

for

groves)

Cultiva­

tion
1!

lx

13

15

16

Total

4134,25

52863.05

Tk

36.96

14

35989,00

Two

694,16

»r

3350.52

EC

52,61

17

894.41

18

31610,04

1







o< C.j.;?..

Jeer :.r. :
Total

.■--."nities available (if not available within the village, a dash (-) is

Popula­

shown in the celurn and next to it in brackets, the distance in broad

tion ii

ranges viz., -5Kns,5-lGKi5 i 10+K»s of the nearest place where the faci­

No, of

lity is available is given)

House­
holds

cduca-

Nedical

tional

Drinking

water

Post 6

Day or Days

CoMuni-

Telegraph

of the

cations

aarkrt/hat

(Bus stop,

if any

Railway Sta­
tion,waterway)

196288

PI251),

FHCU4),

$36059)

HI73),

FPCI7)

HI 13),

?proach

Nrarrst

Power

Land use (area under different types of land use in hectares rounded to

L.C

C12SS of 7o.«;C

supply

two docif'el places)

Ho.

to

& distance

vill­

(in .<05/

Forest

age

Irrigated

Un-ir i-

icy sourer

gated

Culture

Area

Paste

not

of

(including

Irrigation)

gaachar i<

for

groves)

Cultiva­

.

available

tion
1!

12

13

15

16

Total

6000.03

52585.65

Tk

336.32

14
60247.56

36.56

17

16657.98

18

13121.57

1

Coer No, ;
L.C,

-/'.a:

■ of

Area of

He.

*otal

neciitscs available (if not available within the village, a dash (-1 is

Popula-

shown in the coluBfl and next to it in brackets, the distance in broad

on

(rarest place i

village

;io. of

ares!

holds

i the faci-

iity is available is given)

:■ 'ret■ Educe-

Medical

tionSl

-------------------------------------------------------------------------------------

House-

Drinking
water

Post !,

Day or Days

Corouni-

Telegraph

of the

cations

aarket/hat

(Bus stop,

if any

Rai Isay Sta­
tion,Waterway)

2

1

5

b

187420

P(249),

MH,

<341367

M(56),

PHC(16),

H(13)

D(2),

3

Total (Sun,'

4

88976.63

7

9

B

10

FPC(IO),

RPI4)

App-

Nearest

Poser

Land use (area under different types of land use in hectares rounded to

L.C

roach

Class o- To--

supply

two decimal places)

No.

to

St di st anti

vill-

lit has!

Forest

age

irrigated

Un-irri-

(by source

gatrd

Cuiturable

Area

Waste

net

of

(including

Irrigation)

gauchar it

groves)

available

• for
Cultiva­

i

i

i

i

i



i

:

i

:

:

I

i

15

16

Ictal

5784.08

40331,80

Ik

1786.97

Tw

125.07

Mr

552,74

17

18

i

i

i

i

i

i

i

I



:

tion

5107.16

21.99

0

15.18

sc

3482.13

23792,41

6454.05

1

CodC :sG. :

Total

Total

Asenities available (if not available within the village, a dash (-) is

nrea of

Popjls-

shown in the colusn and next to it in brackets, the distance in broad

the

tion 4

■ -5

Village

No. of

lity is available is given)

5,5-IOKbs it 10+Kas of the nearest place where the faci­

House­
ares)

holds

Educa­

Medical

tional

Drinking
water

Post St

Day or Days

Coaauni-

Telegraph

of the

cations

sarket/hat

(Bus stop,

if any

Railway Sta­

tion, Waterway)

230477.38

257034

P.220),

?HC(i6),

<50001>

N(B5),

D(2),

rlliv,

FPC(15),

FUC(2), Al

RPI5)

App-

Nearest To^,

Power

Land use (area under different types of land use in nectar rs rounded io

L.C

roach

Class of Tow'

supply

two deci sal pliices)

No.

4 distance
Vi

-

Forest

(in Kos)

age

Irrik gated

Un-irri-

(by source

gated

Culturable

Area

Waste

not

of

(including

available

.gation)

gauchar 4

for

groves)

Cultiva­

tion
1!

12

13

14
80597,78

«

15

16

Total

10519.99

54311.06

Tk

693.23

M

140.03

Mr

6425.56

6C

3261.17

17

6077.42

18

11045.60

1

w3.T.r j"
[•Gut

L.C.

»

:

7

X:.

Kaur of thr vil’agr

Total

Total-

Anenitirs available (if not available within thr village, a dash (-) is

Area of

Popula­

shown in the colunn and next to it in brackets, the distance in broad

thr

tion I

ranges vie., -5Xns,5-10Ki’s i 10+Kas of thr nearest place where the faci­

Village

No. of

lity is available is given)

(in noct

House-

ares)

holds

Educa-

Medical

tional

Drinking
water

Post 4

Day or Days

CoMuni-

Telegraph

of the

cations

sarket/hat

(Bus stop,

if any

Sailway Sta­
tion,waterway!
10

P(215),

crioT.Zj

PHD(13),

Ki 66),

H (26) j

PUD(3;,

App-

Nearest Town,

Power

Land use (area under c-iff crest types of iand use in hectares rounded to

L.C

roach

Class of To*n

supply

two decieal places)

No.

to

<• distant?

vill-

(in 1<:

Forest

ago

Irrigated

Un-irri­

(by source

gated

Culturabir

Area

Waste

not

of

(including

Irrigation)

gauchar «■

for

groves)

Cultiva­

availabli

tion

13

15

lb

Total

12744,96

27912.22

Tk

753.56

Hr

840.25

14
407.12

5

1.78

6C

11169.37

17
3332.54

IB

10195.03

eta'.

■'enities available sir not available within the village, a dash (-) is

■' ? P U - L. “

shown in the coluisn and next to it in brackets, ter distance in broad

tion i

ranges viz., -5K.eS,5-1 Ones tr 10+Kbs of the nearest place where the faci­

No. of

lity is available is given)

House­
holds

Medical

Educa­

Drinking
water

tional

Post Is

Day or Days

Coaauni-

Telegraph

of the

cations

oarket/hat

(Bus stop,

it any

Railway Station/kairrwayi

1 ot al > 8 u ™)

63'25.99

20H5r

P(200),

PHC(IO),

<36505)

M(52),

D(5),

H(13), PUT

FPC(3),
RP(.!2)

App-

Nearest

Powe'

.and us? (area under different types of land use in hectares rounded to

l.C

roach

Class of Town

supply

two decinal places)

so,

to

4 distance

-------------------------------------------------------------------------------------------- ----------------- - --------------

yill-

(in Kss;

Forest

age

Irrigated

Un-irri-

(by source

gated

Culturable

Area

liaste

not

of

(including

Irrigation)

gauchar !c

for

groves).

Cultiva­

available

tion

11

12

13

15

16

Total

3489.96

44679.02

Ik

429.52

H

54.08

14
2024.80

Tw

15.24

T«e

150,07

we

759.81

0

2.07

5C

2079.17

17

7493.30

IE
7466.33

1

;.»C of L,.
Code Sc. :
i oral

firm: ties available■ (if not available within the village, a dash (-1 is

Area of

rDp ; a”

shown in the colusn and next io it in brackets, the distance in broad

tnc

tion 6

ranges viz., -5Kns, 5-IOKss S< 10+Kes of the nearest place where the faci-

Village

No. of

lity is available i s given)

\a»r of
No,

i•?

ares)

~

House-

holds

Medical

Educa-

Drinking
water

t i on a i

Post &

Day or Days

Cowuni-

Telegraph

of the-

cations

•arket/hat

(Bus stop,

if any

Railway Sta­
tion,Waterway)

97187.94

Total (Sts)

281600

P(248),

PHO(12)

<524967

11(76),

D(7),

H(15),

FPC(ll)

FliC(2), 1 R

RP(4)

App­

Nfo . S.

Power

Land use (area under different types of land use in hectares rounded to

L.C

roach

Class of Town

supply

two decisal places)

No.

t- disisnoo
vill­

(in <»s)

Forest

age

Irrigated

Un-irri-

(by source.

gatrd

Culturabie

Area

Waste

not

(including
Irrigation)

available

gauchar &

for

groves)

Cultiva­
tion

11

12

13

14
2297.31

15

16

Total

18024.95

51360/02

Tk

276.65

i-J

931.81

Twe

130.35

He

857.91

6C

15778.23

17

12751.17

18

9549.00

1

Code :.o, ;

c-

L.C.

.'ell;:?

Annuities available (if not available within the village, a dash (-) is

fetal

Total

-rea of

Pcpula-

shewn in the column and next to it in brackets, the distance in broad

th?

tion :

ranges viz., -5Kbs,5-10Kbs 8 10+Kas of the nearest place where the faci-

Villagr

’Io. of

lity is available is given)

ares;

holds

Educa-

(in first-

iledical

tional

Drinking
water

Post &

Telegraph

House-

Day or Days

Cosnuni-

of the

cations

market/hat

(Bus stop,

if any

Railway Sta­

tion,waterway)

3
Total

80867.53

S.?;

5

6

176894

P(220),

PHC(16),

<31159>

H(61),

Di3),

Hill),

FPC(IO),

PUC(3'

R?(2)

4

7

5

10

9

App­

Nearest 7c?-,

Power

Land use (area under different types of lane use in hectares rounded to

L.C

roach

Class or 7c »r,

supply

two decimal places)

No.

to
vill­

distance

iin Kes;

Forest

age

Irrigated

Un-irri­

(by source

gated

Cuiturable

Area

Haste

not

or

(including

available

Irrigation)

gauchar :?

for

groves)

Cultiva­
tion

11

in
lx

13

14

9136.18

15

16

Total

6622.99

42388.81

Tk

4436.75

Me

532.92

0

37.72

SC

1615.60

17

10428.13

18
9962.32

1

---------------

rt'

:taL

lenities available (if no: available within the village, a dash (-) 25

A-ca or

shown in the colurn and nr.:: to it in brackets, the distance in broad

trc

ranges viz., -5Kns,5-10.<ms -b !€•*?>;& of the nearest place r.eri- the faci­

viliasr

lity is available is given)

;i- ere:Educa-

ares';

Hcdical

tional

Drinking
water

Post &

Day or Days

Connuni-

Telegraph

of th?

cations

©arket/hat

(Bus stop,

if any

Railway otB"
tion,waterway)

Total (Sus)

.. T X 3 . u- ~

95O“9?

P(207),

<43140>

M(69),

0(5),

H(16),

FPC(S), RP

PHC(IO),

PUCI2). c

App-

Nearest Town,

Power

Lane use (arra under different types of land use in hectares rounded to

roach

Class of

supply

two deci:aal placrs)

to

i- distance

vill-

:i" •d =

Forest

age

No.

Irrigated

Un-irri-

(by source

gated

Culturablr

ftrra

»astr

not

of

(including

Irrigation)

gauchar 1-

for

groves)

Cultiva­

available

tion
13

14
216.76

15

16

Total

2355a.70

23020.57

Tk

149.00

we

189.90

GD

23219.80

17

5500.50

18

6481.47

1

fcenities available (if not available within the village, a dash (-) is

:o:a.

. V UO 4

.hr

non 4

ranges viz., —5rl~s,5—lOKr.s ii 10+Krs of thr nearest place where thr faci­

hie. of

lity is available is given)

sho:-n in thr coluen and next ip it in brackets, the distance in broad

H 3 •.■□?Medical

holds

Drinking

water

tlD?S:

Post &

Day or Days

Telegraph

of the

catiiM

if any

Rail way St a -

(Bus stopi

tian,Haterway;

26437.91

64037

P(48),

PHUS), D,

(11885)

H(17),

F?C(2), RP

H(6)

‘ ■

Pouter

Land use (area under ci 'fercnt types of land use in hectares rounded to

L.G

supply

two decimal placet;)

No.

Ape-

.'(rarest

roach

Class

to

■< di scar : :■

-------------------------------------------------------------------------------------------------------------------------------

vill-

(in

Forest

*5

age

Irrigated

Un-irri-

(by source

gated

Culturable

Area

Haste

not

of

(including

Irrigation)

gauchar A

for

groves)

Cultiva­

available

tion

10674.94

5891.87
[

4779.99
3009.46

W31S7

,

' ,

1663.11
\

'

3462,43
\V

13^55

Total

Total

4-cnitirs available iif not available within thr village, a dash (-)

•Area of

Popula­

is shown in the coluan and next to it in brackets, ice distance in broao

te

tion &

of

village
sin hoot-

House-

ares)

holds



10+Kss of the nearest

.viz., -5K«s,5-10K»s

>n : \ the ■

lity is available is given)
educa­

Medical

tional

Drinking
water

Post !<

Dav or Day:

Cfl'.7; uni ~

Telegraph

of the

cations

"larset/hat

(Bus stop,

if any

Railway Stati on,Watrrway

9

B

>—

Nearest

1C u

1.-2 £55

: S'-"

250046

P(134),

<43279>

fl (55),

D(12),

H(9), PlfC

FPC(4),

FHC(8),

Power

Land use (area under different types of land use in hectares rounded to

LC

supply

two deciriai places)

No.

(tn \'»s)

Forest

irrigated

Un-irri­

(by source

gated

Cuiturable

Area

Baste

not

(inducing

irrigation)

13

15

14

2700.58

Total

59201.71

16

56721,50

available

gauchar 8:

for

groves)

D-jitiva-

17

30861.57

18

16954,42

1

_,Z,

\a>r o; :"c village

to.

Total.

Total

Amities available (if not available within the village, a dash ■:-<

Area of

Popula­

is shown in the column and next to it in brackets, the distance in broad

the

tion 6

ranges viz., -5Kcs,5-iOK*s & 10+fcs of the nearest place where the faci­

Village

No. of

lity is available is given)

(in hect­ ■

Housc-

ares)

hoitis

Educa­

Medical

tional

Drinking
water

Post 4

Day or Days

Cossuni-

Telegraph

of the

cations

wket/hat

(Bus stop,

if any

Railway Sta­
tion, water way)

t
i

r
J.

7
V

92795.71

Total (St~>

c

6

128596

P(124),

PHC(9),

<22209>

11(47),

0(6),

H(10),

FPC(3),

PUCI2),

R?(ll)

4

9

8

7

10

AC(47), 0

App-

earcst Totn,

Power

Land use •area under different types of land use in hectares rounded to

L.C

roach

Class of

supply

two detiaal places)

Nd.

to

«t distance

vil’l-

;in , “S)

Forest

age

Irrigated

Un-irri-

(by source

gated

Culturable

Area

Haste

not

of

(including

Irrigation)

gauchar (<

for

groves)

Cultiva­

available

tion
1!

12

13

14
6316.73

15

16

Total

6721.34

64371.53

Tk

276.20

Two

2337.37

De

1056.25

R

3071.02

17

854.21

18

14020.00

1

Eo:e

:
■;a;• the Village

T otal

Tc-tal

(rautics available (if not available Kitbin the village, a dash (-)

Area of

Papula­

is

the

tion a

ranges viz., -5’■ ?,5-10K-■. li Ivtlls of the nearest place- ■.■.ne'e the faci­

Village

No. of

lity is available is given!

(in hect­

House­

ares)

holds

colu»n and next

lire! cal

Educa­

tional

Drinking

water

it in brackets, the distance in broad

Post b

Day or Days

Coer.uni-

Telegraph

of the

cations

i»arl;et/hat

(bus stop,

if any

Railway sta­

tion, ■.st?' -if

H, ?'riC(5),

0(6),
r?C(3),

Rr(12i

(■(rarest “czn,

Power

Land use (area under different types of land use in hectares rounded to

Class of Town

supply

two dccinal places)

No»

6 distance
v i 11 -

(in Ksis)

Forest

aoc

irrigated

Un-irri-

(by source

gated

Culturable

Area

Waste

not

of

(including

Irrigation)

gauchar &

. for

groves)

Cultiva­

avail able

tion
II

i s.

13

14
4070.94

Total

15

16

11925.40

54515.63

465.77

The

1862.10

»e

5450.67

EC

4148.86

17

3117.66

18
1(0568.27

*

Ct Bi

iota*

Srrnj-.ics available (if not available within the village, a dash (-1

.-To > T

0pL'. 3'

is she...' in the column and next to it in brackets, the distance in broad

the

tion 6

tillage
i ■ •

So. of
U f* i *' —

lity is available is given)

arcs)

holds

tduca-

■ vie., -5Kns,5-10K»s ;■ 10+Kns of the nearest place where the faci­

Medical

Drinking
water

tional

Post b

Day or Days

CoMuni-

Telegraph

of the

cations

oarket/hat

(Bus stop,

if any

Railway Sta­
tion, ilatcr way)
10

197946

P(218),

M(63),

B(23),
Fl£(7)

ftpp-

Nearest ': ■■■

Power

Land use (area under different types of land use in hectares rounded to

L.C

roach

Class of To>.~

supply

two decinal places)

No.

vi

—- -------- --—------------ *—————--------------------- ———-----------------

distance

tc

ii-

NOS)

Fores'.

BQ"

irrigated

Un-irri-

(by sourer

gatco

Cuiturabir

Area

Haste-

not

of

(including

available

Irrigation}

gauchar ?<

for

groves)

Cui tiva-

tion

JI

12

13

14

23646.89

15

16

Total

11144,63

83272.96

Tk

1983.65

Twe

3381.83

We
ft

916.47
1747.13

BC

2610.55

17
295.16

18
20639,44

1

ictal
Area of

village

Aarnities available (if not available within the village, a dash (-)

Popula­

is shown in the colunn and next to it in brackets, th? distance in broad

tion 4

ranges viz., -5Kes,5-!0K»s i ID+Kbs of

No. of

lity is available is given)

ncartst place Where the faci­

House­
ares)

holds

Medical

nona:

Drinking
water

Post &

Day or Days

Coasuni-

Telegraph

of the

cations

aarket/hat

(Sus stop,

if any

Railway Sta­

tion,waterway)

P(B9),

7?i!4.7fi

Total sSii:?)

PHCI2),

N(33),

Di!5),

Hits), PUC

FPC(2), RP

’ n,

rower

uand use (area under different types of land use in hectares rounded to

L.C

roach

Class of ’<■■■

supply

two decisal places)

No.

to

6 distance

vill-

>:r -ass'

Barest

Forest

age

Irrigated

Un-irri­

(by source

gated

Cuiturable

Area

waste

not

of

(including

availaoli

Irrigation)

gauchar «•

for

groves)

Cu1tiva—

•ion
14

32.46

"otal

15

16

15433.98

22065.31

1349.27

N

163.37

Wr

92.48

GO

13523.26

>7
1071.66

18

13706.20

f'-niiies available iif not available within the village, a dash (-1
is shown in the colusn and next to it in brackets; the distance in broad
tion b

ranges viz., -5Kros,5-10KmB & 10-rfcs of the nearest place where the faci­

village

No. of

lity is available is given)

(;n hect­

House­

ares:)

holds

Educa­

nodical

Drinking

watcr

tional

Post i

Day or Days

Comauni-

Telegraph

of the

cations

oarket/hat

(Bus stop,

if any

Railway Sta­

tion,water way;

2

3

155280,77

al (8un;

4

5

6

200306

P1238),

H(2),

<33368)

H(63),

PHC(S),

H(21>,

D(2),

FL-C(B), C,

rFC(5),

ftC(31),

RP(2)

7

9

8

10

is. n

.’."ares:

u-u

jT

£•■>.?

rower

Land use (area under diAfferent types of land use in hectares rounded' to

L.C

supply

two df-ciniBl places)

No.

Forest

Irrigated

Un-irri­

(by sourer

gated

Cultivable

Area

waste

not

of

(including

Irrigation)

gauchar 6

for

groves)

Cultiva­

available

tion

lOOf \c-, ;



Tetai

■■“Cities available iif not available within the village, a cash

i'PA Or

“ '/j u.’..7 ~

shown

the

lion jf

ranges vir., -5Kos,5“!&A'i ? 10+Kss of thr nearest place >r?re the faci­

. is

the colurr and next to it in brackets, the distance in broad

lity is available is given)
■-J11SC-

arcs)

h0id5

nooical

CDUCS-

Drinking
water

or.ei

Post &

Day or Days

CoMgrii-

Telegraph

of the

cations

narkrt/hat

l-Bus stop,

if any

Railway □ t a ■*
tion,Haterway)

146627

5(126),

25075>

S(37),

H, PHC(7),

Hi 12),

PUC(2),

App-

Nrarrst

?wer

La.'i usr Urea Lidrr cirrrrrr.i types

roach

Ciasa :•

s'.::'.'/

tao dreisai places)
■Forest

;:n zns;

L.C
Ho.

Irrigated

gated

(by source

ago

iand use in hrctarcs roiindrd to

Culturablc

Area

Jiastr

not
available

of

(including

Irrigation)

gauchar It

for

groyesj

Cultiva­

tion
11

12

13

15

16

Total

2351.05

34922.38

Tk

1750.6?

iec

464,38

14

28555.77

95.51

17

14354,62

IB

16356.94

1

.Mr

_,D.

of

he.

-illege

Total

"ctai

tali ties available lit not available within the village, a dash (-)

>ca of

-opula-

is shown in the coliuin and next to it in brackets, the distance in broad

;:c" 1

ranges vi?., -5K~s,5-10K»s I 10+Kas of the nearest place where the faci-

liilage

lie. o-

iity is available is given)

areii

holds

Educa-

Post !<

Day or Days

rouseCorauni-

Telegraph

of the

cations

m

Medical

Drinking
water

tional

earket/hat

(Bus stop,

if any

Railway Seawater way)

■Di 51

3

X

1

97098.91

(Sue/

5

6

139286

P(99),

PHC(5),

<24532?

N(36>,

D(8),

H(6)

FPC(3),

4

7

8

9

10

R?i7)

-

5

Class of

Rower

Lane jse (arra under airterent types of lane use m hrcta.'TS rounded to

L.C

supply

two decisal places)

No.

i< distarc?
Forest

Vi 11“

Irrigates
(by source

gated

Cui Ur able

ftrra

waste

not

of

(including

irrigation)

gauchar *

for

groves)

Cui tiva-

available

tion

12

13

15

16

Total

29027.09

95587,30

Tk
R
6C

35.98
5508.28
23482.83

14

2180,29

1^’3^. ?• I

17

10334,62

\
j
W' 13^6)4 ’
\

5)5,17

18

9269.14

f

1

---------------

uistric.tiee or inhabited Villages
raving DiPeren: Types of Educational

D>KE

Ft

SR

I

0

AFA

MFA

BAN6ALDRE

661

554

134

36

6

0

0

0

554

127

efr 3ALORE AuRAL

1713

1462

510

135

is

1

0

0

1462

25!

SELSA'JN

1138

-

704

19C

31-

J

0

0

1115

23

BEl.ARY

“•

302

93

3

0

569

22

sIBAR

59!
”.-'7

4.2 '

7I

19

4

0

0

575

12

BI3AF8R

1247

1215

.■‘72

160

35

1

j

1

1215

32

831

CHlKMSALuR

1021

CHITRADL’RSA

1289

BAKSHIN KANNAD

615

515

BHARwAD

:2A

1 z8 J

6ULBA93A

1295

1279

HASSAN

236?

1804

422

; 03

13

z

0

0

831

190

658

2 02

4v

1

0

1193

96

5

0
i

2

615

0

6

1

0

1283

61

53 9
223

4b

448

136

28

■'

0

0

1279

16

861

%

26

0

0

1

1804

565

10
-

0

0

1

0

rOBASU

291

261

167

57

KDlAR

2889

2237

639

ii.

NANDYA

1365

1194

43?

4

0

1

1194

171

1649

1407

5A3

100
14•

X'J

MYSORE

•3

i

0

0

1407

242

RAI EHL’"<

1396

12

0

0

0

1305

91

1785

1305
• X"-

21

SH1H0SA

- -

6

0

5

1441

344

2 5.7

2089

-

1 ?7

17
15

0

0

1

2089

448

1264

960

442

119

18

3

0

960

304

UTTAR
<r;3i“dR8.;

£>

,l-.-EC-9z

u«nc

of ir abated

i11 ages

Fri'a'v

M

hiddle

H

Highschool
Frc-University/Ju nor College

College
Industrial School

Training Senes;

AC

:

0

:

Dthers

AFA

:

Any Facility Available

UFA

:

No Facility Avail able

Adult Literacy Class.■Centre

261

30

2236

651

SWTEa-WliATAKA

STATEMENT-10.11

Distribution of Inhabited Villages
Having Different Types of Medical
facilities in lite Districts of Karnatar.a

0

i

BANBAL&E

2

BANGALORE RURAL

1713

BELBAl'M

1138

BELLARY

591

i
4

BIDAR

587

1

BIBAPUR

1247

C-ii-,MASALA

1021

2
A

1289

D

SHI

KANNAD

615
1344

DHARWD

l-JIBARSA

1295

HASSAN

2369

0

291

9

KODABB

PHS

D

FPC

TB

NH

CHN

RP

SMP

OTH

AFA

NrA

22

0

0

4

17

0

0

O

0

73

603

77

0

0

4

47

0

C

0

55
32

0

0

0

0

101

1612

0

98

0

0

6

88

1

0

0

554

•Ju

0

391

747

0

50

0

0

61

26

0

0

0

47

0

0

131

460

0

. 0

6

25

0

0

0

32

0

0

60

527
876

0

0

68

0

0

13

66

0

0

0

339

16

0

371

It

v

7!

0

‘fl

23

29

0

il

0

10

1

0

103

918

0

0

110

V

0

36

61

0

o

0

□4

0

0

169

1120

95

0

0

B

85

1

0

1

291

2

o

327

Zee

0

104

0

0

9

73

1

0

0

257

27

8

529

1015

0

94

0

0

24

65

0

0

0

39

0

0

131

1164

o

100

0

0

50

0

0

0

3!

0

0

160

2209

16

0

0

0

10

0

0

32

259

48

0

0

0

19

0

0

100

2789

V
0

2889

HC

0

]

1

1

681

Owl

-

i

H

'i

F2

D.NAME

2
0



21

0

0

42
El

8S

0

0

5

MANDYA

1365

2

0

85

V

0

7

34

1

1

V

27

0

0

110

1255

MYSORE

1649

0

0

144

0

0

36

107

0

0

0

30

0

0

188

1461

RfiJCHUR

1596

0

o

66

0

fo

19

59

0

0

0

40

1

0

103

1293

SniMDSA

1785

4

0

0

98

0

0

2a

17

0

0

0

69

0

0

170

lo*5

TuMKUR

2537

2

0

0

107

0

0

7"

67

0

0

0

48

2

0

158

2379

iiT'AR KANNAD

1264

I

0

67

0

47

0

1

0

75

16

0

150

1114

<R3i-SRS>
F2

Nuabrr of Inhabited Villages

H

Hospital

NC«i

Maternity and Child >.elfare Centre

MH

Maternity Hate

CMC

Child welfare Centre

rnC

Primary Health Ccntrc/tcii

HC

Health Centre

PHS

Priaary Health Sub Centres

D

Dispensary

FPC

Easily Planning Centre

TB

I,B.Clinic

NH

Nursing” Hose

CHN

Cosaunity Health Worker

RP

Registered Private heeicai Practitiener

BMP

Subsidised Medical Practitioner

OTH

Others

AFA

Any Facility Available

MFA

No Facility Available

c-

i.

02-DEC-96

5TATEHEh'T-10.iij
Listributicn of Inhabited villages
Having Different Types of Drinking Hater

facilities in the Districts of Karnakaka

D.NAME

rx

BAM8ALDRE

■SEI

T

BAH5AL0RE RURAL

W

TK

TH

HP

R

F

c

L

s

N

0

AFA

Hr A

91

394

81

601

0

0

0

0

0

0 '

0

681

0

175

916

336

1623

3

0

0

0

0

0

1

1713

0

BEL6AUM

1138

■?a :•

887

10

170

1003

95

0

0

0

0

0

12

1138

0

BELLARY

591

151

467

4

95

550

50

0

0

0

0

0

97

591

0

0

BIDAR

537

147

BIDAPUR

1247

282

CHIKMASALLR

1021

344
452

CHITRADUR6A

843

0

6

573

21

<1

0

0

0

0

0

587

6

460

1112

181

0

0

0

0

0

21

1247

0

80

44

814

25

0

0

0

0

0

111

102!

0

(1

0

o

0

0

0

0

0

0

1

v

26

1230

0

29

67

602

15

615

0

108

199

Ills

47

0

0

0

0

0

14

1344

0

965

215

1115

98

0

0

0

0

0

6

1295

0

iVri

110

2236

25

0

0

0

0

0

9

2369

0

160

115

40

0

0

0

0

0

15

291

0

V

0

0

0

0

1

2889

0

V

0

o

0

0

-

1365

0

0

0

0

0

0

9

1649

0
0
0

SI 5

DAKSHIri KANHAD

615

143

DHARMAS

1344

390

j2

6ULBAR6A

1295

303

HASSAN

23d?

3? 9

KtfflflBU

291

£0

KOLAR

2889

MANDYA

1365

MYSORE

1289

22

301

2797

214

1599
• Sv?

51

83

1304

0
7

1649

313

1156

22

339

1556

45

RAICHUR

13? 6

704

12:

51

64

1308

64

0

0

0

0

0

173

1396

SHIHDBA

1735

331

1589

83

76

1702

38

0

u

0

0

0

30

1785

TUMKUR

2537

177

7ul’,

25

133

2229

0

0

0

0

0

27

2537

0

UTTAR KAKMAD

1264

96

Li.'~

9

229

760

0

0

0

0

0

56

1264

0

<Rol-3RS>

F2

Musher of Inhabited Villages

T

Tap

B

Beil

TK

Tank

TB

TubrweU

HP

Handpusp

R

River

F

Fountain

C

Canal

L

Lake

S

Spring

Hallah/Streaa
0

Diners

AFA

Any Facility Available

NFA

Ho Facility Available



299

02-0EC-96

26

=!-:'£■
c-

0.1/
-illagrs

Having E
:*? .ls:r:::s cr -,a'.:s;8-;a

-a:.l:;:?s
NAME

F2

BANSALCRE

681

BAN6AL2RE RURAL

UFA

AFA

PHO IE

-”C

■E

i-C
90

ffl

0

43

98

583

287

c/

0

152

333

1380
556

BELBAUH

1138

569

264

0

363

582

BELLARY

591

371

74

0

111

373

213

BIDAR

537

299

89

0

118

300

257

BIJAPUR

1247

676

250

0

355

6E7

560

EHIKKASALLR

Ki;

267

0

193

323

69S

CHJTRADL'RBA

;2B9

409

107

0

324

419

870

MKSHiL EAnNAD

615

543

x*t

0

501

554

61

LiHARLAl'

is;-

5x9

2;x

0

304

533

811

564

1 “£

0

209

56c

727

571

41

o

91

377

1992

BULBARBA
2369

HASSAN

KOMSU

291

193

48

0

170

222

69

KOLAR

2889

361
".An

119

0

198

391

2498

59

0

175

391

974

0

317

548

1:01

1;
=12

0

127

455

941

0

190

450

1335

127

0

203

559

1978

126

0

199

395

869

MAffiYA

1365

MYSORE

1=49

RAICHUR

159=

518
4"5

SHTHCBh

17E3

41 u

TUMKUR

2537

UTTAR KANN.AD

1264

<R6I-BRS>

O2-Drc-96

bt

inhabitca villages

Feat BFFicr

Telegraph Evrirr
PTO

3 89

Past t '■'.•<'■ graph Orricr

f hC <
AFA

Any Facility Available

UFA

Ito Facility Available

I

STATE»-\W1TA'A
S’A’Eie'-lOiV

ci stride:?:; ■-•'■ Inhabit^ Villages
raving Di--cr"nt Types of HARKET/HAT

facilities i? t "- Districts of Karnasa^a

F2

D.NAME

SAT

SUM

DAILY

FORT

0

0

14

667

4

4
5

0

4

o

0

0

25

1688

FRi

.. z.

i Hu

3
-

z

1

£

MONT

AFA

NFA

BANBALDHE

6B1

1

2

BANSAuORE RURAL

1713

5

£

BELBAUM

1138

25

21

24

23

24

0

0

0

162

976

BELLAS

LX

20
§

25

.591

9

A

5

2

11

0

0

0

52

"3 9

BID.4R

567

S

7

6

8

4

10

0

0

0

47

540

BIJAPUR

1247

17

4
■: A

IB
,z

13

11

0

0

0

103

1144

7

17
c

11

0

0

0

40

981

7

9

7

7

0

0

v

59

1230

14

8

12

E

• V

0

0

77

538

14

15

10

12

0

u

0

110

1234

17

14

9

20

0

0

0

100

1195

10

9

4

13

■;

0

0

59

2310

0

0

0

17

274

0

0

82

2807

WUWBAUi

1021

6

1!
T

"•iiTRAOilRSA

1289

14

10

1344

31

13

6ULBARBA

1295

18

10

HASSAN

2369

Ik

DAKSHI

KANNAD

DHARMAD

SI 5

2

..


KODABU

291

6

3

1

3

1

z

1

■,Li_AR

2869

1!

14

14

12

12

12

7

MANDYA

1365

3

2

3

b

9

0

o

0

35

1330

164?

s
=.

4

MYSORE

I

1

1

3

6

0

0

0

19

1630

RAICHUR

1396

13

z
7

10

9

16

10

9

0

o

0

74

1322

SHROBA

1785

8

5

s

9

9

9

9

V

0

0

5o

1730

TUMKUR

2537

8

11

13

9

20

13

17

0

0

0

91

2446

UTTAR KA;.:,AD

1264

3

•1

4

2

1

0

9

0

0

0

20

1244

</ii£-5R8>

02-A.-R-96

j'ATEi-KARWT’i: A
s’.

D:siribdtion or Inhaci'.c: .:u»;c:

Having Ditfrrcni Types or Tc-nni cation.

:■

facilities m the
D.NANE

F2

BUS

... -■:■■■:

RE

N ft

0

AFA

MFA

46-

217

1039

674

0

949

189

14

0

517

74

4 68

7

0

468

119

1247

1055

/*

1021

716

BANGALORE

681

464

6

BANBftLORt RURAL

1713

1039

13

8EL6AUM

1138

948

17

KLLARY ■

594

517

BIHAR

587

bljAPUR
cnlKhASALUR
CHITRADUR6A

1289

883

BAKSHIN KANNAO

615

577

DHARNA5

1344

1163



1

1060

187

0

718

303

0
t

803

406

578

37

25

0

1163

13!

12

6ULBAR8A

1295

843

11

0

546

449

HASSAN

2369

1313

18

0

1315

1054

0
1732

1157

KOBASU

291

256

0

KuLAR

2889

1732

13

1365

797

11

0

797

568

1649

1125

9

0

1125

324

RAICHUR

1396

1097

9

0

1098

298

SHIMBA

1785

1155

12

0

1155

630

TUMKUR

2537

1296

1297

1240

UTTAR KANMD

1264

727

7
T

739

525

NANDYA
MYSORE

RB’-BRS

J

02<E5-9:

-

35

s'A'c: -‘.AAS-’;'“.A

svate.'.z',c i
Distnbt.:isr or l-bsiit,-: -iilascs

Having Dirtn'.-,:: "vers of :;:rca:r
faciH::r=

S.NANE

F2

FR

2jstr:::s c- • s”c-.s-;3

F,R

FT

MR

NC

m;
u

BANGALORE

681

539

’• 4?

G

0

0

BANSAlDRE rjral z

1713

119!

322

0

0

0

BELBAiiM

1138

845

287

(1
§

1

0

0

0

0
7

0

0

0

V

0

364

1

0

o

0

638

383

0

0

0

0

947

340

0

0

&

0

0

0

0

0

0

0

V

0

0

0

0

0

1

0

0

0

591

455

125

BIDAR

587

0’u

289

B1JAPUR

1247

383

CHJMABALUR

1021

CHlTRAOuRBA

128?

BAKSHIN rIANNAD

615

536

79

LHARHAD

1344

1127

216

1

SL13ARSA

1295

84:

449

0

V

HASSAN

2369

1642

728

0

KDDABU

291

261

30

KOLAR

2889

1461

1427

BELLARY

<

0

■365

954

410

-

0

0

0

1649

1116

"7."

0

G

0

0

RAICHUR

1396

805

591

0

0

0

SHIM06A

1785

1119

669

V
t

0

0

O

WBr.

2537

131v

1227

V-

0

0

o

UTTAR 1A1BIAD

1264

677

585

6

0

0

6ANDYA
MYSORE

Z

<R5I-33S>

02-KC-

STATE:-KAF

t

D.c-■ l-raoitoc villages
having Diffcrrr: "vprs of resrr Supply
facilities in tbo Districts of farnavaka
D.NAME

EG

EA

AFA

r2

ED

EAS

hANSALDRE

681

0

0

0

679

679

BANGALORE RURAL

1713

1

0

1709

1711

BELSAUN

1132

-

0

1119

1123

BELLAS

591

1

0

0

583

584

BiDAR

587

1

1

1

584

565

ilOAPUR

1247

0

1247

1247

CHIKMAGALiiR

102;

0
5

0

0

994

999

CHITRADUR6A

1285

c

47

0

1162

1209

DAKSHIN KAN .■.

615

0

0

0

614

614

DHARMAS

1344

2

0

0

1341

1343

8ULBAR6A

1295

0

1279

1288

2369

9
Z-.

0

HASSAN

o

0

2266

2351

KODAEU

291

0

0

283

283

KOLAR

2889

13

.0

2665

2880

MANDYA

1365

i.
•-

0

1307

1313

MYSORE

1649

0

16

0

1538

1554

RAIMJR

1396

0

0

1395

1395

SH’HDSA

1785

0

0

1730

1731

TUNKUR

2537

0

ID

0

2509

2519

UTTAR KANNAD

1264

1

0

0

661

862

:-is.

02-DEC-96

<

WISE

DISTRICT

. 4 M .V. K».-3U.V >■ -

-XV «=. .a.

... »»•* V i -

3 2. C 3 ■

7* 8

(Estimated)

1.Bang a I ore(U)

#

0

0

JU
IB

. • ..... ... ...

...

-

». « -a. a- ....

.a. ...

Sterilisation
.....
Currently
S

Effectively

n

.•

.

31.3.1998

KARNATAKA

In

s* X.iX. .u *~1 -m -- —• »-»-«• — ■*- -»

5taT'

---- .^ ** **

_

....
=7.

-W W.

r-

No

%

No.

AS ON

...£..
I.U.D
C.C USERS
....
.......................
......... ..
*..... • .........
Currently
Effectively
Currently
Effecti'/e^

■ -. r

.

COUPLES PROTECTED

"" ** "*

— v

'

.%

No

%

No

V

No



I-06

968209

431466

44.56

87930

9.0 3

S35 14

8.63

20465

2.11

10233

292186

155563

53.24

29648

10.15

23166

9.64

12479.

4.27

6239

639416

325011

50.83

69502

10.37

66027

10.33

46240

7.23

23120

355704

134442

37.80

26871

7.5 5

255 27

7.18

9161

2.58

4580

5 0 B ioar

234527

J.! ACAI
vQU1 A

4 ID
A a Ji
7. 1

?c 0
14
/, AV /.

o
7

C

7 C.
O CO 3
*< 4/,

0
7 O A Q2

O&
Pj
Xy
o
y

A . cl? VA
*+

/ n 0n
492

6.2 i j a pur

532411

219761

41.28

53398

10.0 3

5 0728

9.53

25677

4.82

12838

r.Chikmagalur

174407

99008

56.77

17976

10.31

17077

9.79

8087

4.64

4044

2.32

8.Chi tradurga

401425

184327

45.92

30161

7 « 0
1^1
».

O o
fl A.
2
o -? H

7

( c 11 4/

1162 4

2.90

5812

1.4?

9.D.Kannada

469846

182776

33.90

37 307

7.91,

35442

7.54

19198

4.09

9599

2.04

10.uhar wad

626738

293047

47.55

5 510 4

8.79

52349

8.35

23041

3.68

11521

1.84

ll.Gulbarga

475701

5P >
5 U
0 1
1
A1 JG

-J O a J 4

77 J
5 A 7
Q
3

7
q
( n O
>

n

7 CX 7 O

"7
A
7.50

19409

4.08

970 4

2.04

12.Has san

2 76 8-78

157924

5 7 a A
Ji
U 4
■*

>J
7 O
fl ‘AI J
7
u

ft o O
A 1
1
O

C. CO OX CJ 1T

0
10
o.lo

94 5 7

3.42

4728

1.70

13.Kooagu

80564

41948

52.07

9358

11.62

8890

11.03

3508

4.35

1754

2.18

390620

189471

48. 51

38668

9. 90

3 6735

9.40

18655.

4.78

9323

2.39

15.Mandy a

289151

170480

58.96

29131

10.09

27722

9.59

13393

4.63

6696

2.32

16.Mysore

577055

311225

53.93

54406

9. 43

51686

8.96

18911

3.28

945 6

1.94

17.Raichur

440073

136296

30.97

31489

7.15

29915

6.80

18 2 38

4.14

9119

2.07

18.Sh imoga

334343

173877

52.01

32 44 4

9.70

30822

9.22

10182

3.05

5091

1.52

19.Tumkur

409129

186841

4 5.67

3735 3

9. 13

35485

8.67

14231

3.43

7115

1.7 4

211710

76405

36.09

1781,8

8.45,.,

16927

8.00

11217

5.30

5605

2.65

8180 143

3741983

706222 . 8.63

323012

^.detlary



AND PERCENTAGE OF

COUPLES

Eligible
ccucles
as on

Name of the
District

Si.
’■-o.

NO.OF

f

« yOSO

C

i*t?r 3.62

r

981

ft

20.U.Kannada.

.

’STATE

...... «*

J’.rl ..-.-r, ...

(

e, « .

« ■

.-X «. .■■■■ '

- »*. ' •

,

45.74
••• ■ - V *S '■ ■■' «■

743460
-• -f «•' -*•'

9.09
■»* ...

..

««.. • 4 *. ■> *

■ ' ■ : • > ,-x. • •

....

,3.96
,v

.... ... t

16150 6
!.•••< ** '•* '

1.9,8
ft . .......... v

cont d......

~



......

me
the

'HIT0

of

N UMBER OF.
... .•

the

AND PERCENTAGE

COUPLES
V u• •

fc*. « rr

O P users
Mo

:r

wr '.-v c

, V, •_ - '

All
Currently
N’O
'9

OF

COUPLES



"

- ■ M

.

X



-M + f

• v-.-- .

15 ’

....

.

- — ••

•6.

--i

,

••

.

■■■ >■ ■ f

. . ..17, ..
. . •. . - x-v . >■. . - ■ •i- -Jl

13

.19. ,

.

,2 0 ...

I.-, rf-.r ,«)■

10 516

1.09

' 550427

5 6.84

535729

55.33

55.09

+

0.2 9

2 . B a n g a11 o r e ( R )

5 262

1.80

202952

69.46

195230

66.82

65.80

+

1.02

3. B e I g ai ur.

20678

3.23

461431

72.16

434336

63.0 0

65.14

+

2.8 6

Bella) r y

6396

1.80

176S70

49.72

170945

48.06

48.49

4666

1.99

146523

62.48

140434

59.88

57.61

+

2.27

14390

2.70

313226

58.83

297717

55.92

54.41

+

1.51

2559

1.47

127630

73.18

122688

70.35

69.06

+

1.29

MS. Chitradurga

652 1

1.62

232633

57.95

225313

56.13

56.89



0.76

^9.Bakshina

8061

1.72

247342

52.64

235878

50.20

49.73

+

0.47

10.Dhar wad

13 3S6

2.14

3895 78

62.15

375303

59.88

59.11

+

0.77

ll.Gulbarga

9166

1.93

224625

47.22

213043

44.79

44.46

+

0.23

12.Hassan

4362

1.58

195586

70.64

189665

68.50

69.31

0.81

13.Kodagu

1336

1.66

56150

69.67

53928

66.94

66.2 0

0.7 4

tilK4 . Koi ar

9058

2.31

255352

65.50

244592

62.61

62.4 1

I
GII’ iS.Mandya

5064

1.75

213118

75.43

209962

72.61

72.6 0

16.Myscre

9911

1.71

394453

68.36

382278

66.25

66.20

+

0.05

17.Raichur

7501

1.70

193524

43.98

182831

41.55

41.15

+

0.40

13.Shirr,oga

7267

2. 17

223770

66.93

217057

64.9 1

63.92

+

0.99

19.Tumkur

5756

1.41

244181

59 .68

235197

57.49

5 7.78



0.29

.4629

2-.l9-

ll.QC-6.9

52 ..00,

1 03560

A8(.,9.2

4 7.74

+.

1.18,

4766JL96

53.2,6

57.70

+

0..56,.

5.Bidar

/

6.Bijapur
7.Chikmagalur

*

9

Kannada

0.4 3

+

0.20

0.01

■t
Q

. 2 0 . U . Ka nnac a.

. 'J

State

/



/

.

,

.156485
■.................

1.91,4964940. 60.70
............ -

...

.............

/

PROJECT DIRECTOR(RCH)
/

I-

-21 .. . ■ V .. . J,: - ...

,
••

1. t? a n g ai L o r e (U)

r<

1

‘i age

o

> • <.

•=-

RROTECTE.D AS,ON ,31,3.98

Increase
or
(+)or de
of Couples
e f f e c t i ve I. y cresset )
Protected
in CPR
• All m e t h o d s over
a s on
31.3.97
. ,31.3. ,9.8., .. .

me thoas
E f f ec t i vely
NO

.

-•

U »-u



AilSE

.




CT

W4
w -

GOVERNMENT

AND FAMILY WELFARE

HEALTH

OF

DIRECTORATE

KARNATAKA

SERVICES

KARNATAKA DEVELOPMENT

BANGALORE.

IMMUNIZATION PROGRAMME

AND

UNDER FAMILY WELFARE

PROGRESS

REVIEW OF

OF

DURING

PRCtaRA .ME

UPTO END OF FEB" ,

AND

UNIT



...........

2

TUBECTOMY

J,°

PERCENTAGE

no

•»

,

APR- 93

!

?

Jl
.*

1 ’ •9■ : ' '• .
**•»’ -J.-.n '• ■ . .< C- : ■

1

’J

PLAN

o /

S

e

. >



31

277

Wl „. Itk-j u. «;-a ‘



•A

-1

339124

-> > f. ’. . - . - S1 n:: i-.l

>' - • -3

.

I\

; T

..



2

pl



'

. s

xO

■-J

...

.77.99,

34607
■ H

3 939.04
.4 351.9.0
9 5.4 3

.’-V y
■' *• V.'.J
..... ■»..
’ •

34131

28167

82.53

4 09 57 6

375441

306361

81.60

7 4.80

3 6264

c.- .
. • ». > «'-■
c. •
-it?- r.- .
v-- fc-j

339401
.. .. —

85.08

:

r



3

I.U.D.

4

C.C.

USERS

470416

282355

60.02

355314

470416

277642

5 9. 02-

78.14

5

O.P.

USERS

169087

163111

96.47

172134

169087

147656

37. 33

8 5.78

III

IMMUNIZATION.P ROGRAMME

.. - ■ ......

(1 an

IMMUNISED
i-.-'

94675

94269

99.57

1136100

1041425

972659

93.40

8 5.61

8

8.C.G.

94675

98175

103.70

1136100

1041425

984730

9 4. 56

R A

AX

9

MEASLES

94675

972 14

102.70

1136100

10 4142 5

903654

86. 77

"7 O

O C /v

103418

107548

104.00

1241000

1137598

1048583

92. 18

Q /.

G A

'

1

J

j







.5

?

.
<

L
.





-

-

'2

:
i

».





.

>
.?

4.

r.

r

-





.

C

i

e

.1.

>■

i

.. :

i



r
.

T.T. (PW)IMMUNISATION

'

!

8 5.72

'•? .i

9 3. 51

■f ;

973847

:

1041425

> I

1136100



99.66

3 1

94354

J. J

94675

?

P.O LIO

.'i J

7

10

•I

- .. -- ■; .

NO. OF INFANTS
>■ r>
•- - x,
D.’p'.T.
6

w

fl

annual

PR OP OR TN TE
PLAN
... ...
• ' '
r .

•?

TO
F.EB99

?:i

ACHMNT
> or,

7 . ..

6., .

5. - ,

PLN

~

A PR-98
TO
FE.B99
...

34576

TOTAL (1 t 2)
- ••.- e.- .1 ■■■- ■ - ■'*-> - . -

-m

-

. ~ ~

ANNUAL
PLAN. .
19 98:. 9 9
V- • . >
.

.1

f

.•

ti

:

i,

■ -■ -

VASECTOMY.............................

r■

4...

4

:

<

I



1

y ■ .

k-‘

:

4

'

> '

.

<■ -

•-« • ■

_ ... ..

....... i .

.

PROGRAMME

WELFARE

FAMILY


'

1

I. .<



'I
I * .

I,
»' r .

.

.4,
. ,

_

!j COL
TO
COL 3


L2

cj

w « A t • - ». *.
.»• ,

j. • •
...... . .

......

.

ACHMNT
FOR
FEB99
... ..............

FOR
FEE 99..
«*
■■ I- a 4.
z
f «. - • ~ .-• 7

i

„1

Lx

ITEM, NAME

1

SL
NO
.-u

PLN

I '

STATE

. -....... -

. _- -, ..

ACT

-p

STATE

-■

h



.a t
u

For

Project

fiiUU

Director

(ROH)

*■’ r* ■**

VJ

GOVERNMENT

KARNATAKA

OF

PROGRAMME
KARNATAKA DEVELOPMENT
DIRECTORATE OF HEALTH AND FAMILY WELFARE SERVICES
BANGALORE
WELFARE SERVICES PROVIDED TO MINORITIES DURING THE MONTH °F FE999
STATEMENT SHOWING THE FAMILY
t
Numb er
unit

Ml

PHYSICAL
DUR I.N
»— MW '*■
SL
NO

ITEM


*•W **

• -■ ->

-<-•

-

. ..
»

CUMULATIVE PHYSICAL ,ACHMNT
LIP, Tp .THE, END, OF l'EL’99

MI NURI
TIES

OTHERS .

TOTAL
■•
-.i; itt.

.4

„ 3.
”■ '

r •,

k.

VASECTOMY

F.ITjA NCI AL

I

"

2

1

1

OTHERS

NAME

ACHIEVEMENT
FE899.

5

•*

' " ’ -y

0

31



b

2 74

34 576

307970

total

?, ,,



31

MINORI

MI NORI
TIES
.

OTHERS

_

..

1
»»'

T >. -..-.1

"■

ACHlEV|MEtNJ

-

J

•4> .-

•»



'



277



TUBECTOMY

2
' .■» • - it

a. . ■ K-. ■ ■ 4. •

J 0 JaL

1
(1

314 5 5
r■ .

r- <».

+

rr
...

r2.. —

.■

.3143 6.

2>
■< ■ <•- .'C * .4-. ..4

3121
_ ...

or.
-

..

3,1.21

.-.1 14-..)- >>-„■

.

.

■*» 1/ ;

.34$ 0.7

-r, . ■_ .' • i

.

r. ; ~C

1- \

339124

31154

«.-! »■)

r.’

..i KT.

30§244.. ' ...

ii K

r". •
..,4>r .4.

-CT

<— <*■

-B •

For

- ......

^3.3,9 4 0.1'

311.57

.......

l")

.i, .. .

f.'

- •

Project









7 ..

.j

-..•"‘•5

Director

S.4 -If*

,r .

’ '

\

Hi

.y
k-‘

(RCH)

3

GOVERNMENT
—---------------- V.

KARNATAKA.

OF

DI RECTOR ATE

OF

HEALTH

v:..-O■ r- ® .•-i&.VJ.ct.;: a *t3f.jAvm w.'.j •■:>

r-

STATE -FAMILY-WELFARE -BUREAU.

ANANDA

RAO CIRCLE.BANGALORE-9

--------------- Jio..£WRZREW/-2-9/-98-~9-9__________________ ; ... ________ —

DATE:’ 17^3^99

_____________ TO, ..._________________ ________________________
j-----------:___________ THE—DJS-T-RJGT- HEALTH—&E. W. OFFICER.
DISTRICT

---------------- :-------- SUBJECT:--- Review of progress under Family Welfare and
----------------------------- SERVICES for the month of FEBRUARY | 1999.

— \—Please

----------------------------------------------------------------------------------------- v--------------------

k
H

find

herein

enclosed district wise

-----------------------------------------

and

M.C.H.

methodwise

review report—in re-spe c t of F.W.& M,C.H. Services for the month of FEBRUARY
’■
------- L.9-9-9-,—f.oc— y.our_ information and- needful action. This review is based on the
stipul8-Li.on.-by. the Health
—achi.evenent .should

be

Secretary

equal

to

last

on
year’s

3-2'99

that

the

current

year’s

+. 105; add on.

------- Copy forwarded_for favour—of information
to
Ministry of Health <?nd
_1The ChJ.e_f__D_i.r-e.c_to_r—( E v a Lu a t < o n ) , E & I Divis
H
D_epar_tmen_t_ _oJ_.-Hea.Lt h and F am i ly Wei fare
Nir,man Fihavan. New Delhi" 11
------------- Z.Dr.SureshK. Projec t—Off i cer CU.-C. I. ) . India country off i c «,UNICEF
----------------------- H.ou-se ,N0—7-3-Lodi—Estate -NEW DELHI" 110003.
---------3-.—Dr-,S»-k-.Cha-t-urvedi Project Offecer -(Health) UN ICEF,6^2“981
_______________ Kh.ai r.ata ba d.H YD RA BAD g 5000 04______________ —
—4-«—Th e -D-iv-i s i ona I—Comm-i-s si oner.
Division
|----------------- 5-.—TH e G-h i e-f--Sec-re t a r y, Z-i l-l a- Panchayath, ..... ......
. District

F.W

------------------- 6.—Rr-i va-t-e—S ec r e-t a r y t o-the—Hon ’ b I e Minister for Health and Family
-------------- Welfare/—IT nd -F l o or, V i d h an a so udh a, Bangs! or e>?l,
----------- 7-.—The—Sec r e tar y--Health- and Family We I far e Department
---------- —
--------------------------- H-.-g-s-u-v-H-a-ing-Dr- Ambed kar- Veed i—BANGALORE®- 5 60001.
—Ss—The- Di v fsiona I—-Joint- Di r ec tor/Health and Family Welfare Services,................
---------- 9i—T-h-e—R-eg4on-a l—Di rec-tor (Hea Lt h and-Fam i ly-Pl ann ing) I Ind Floor * F’win'g
raj----------------------- Kendriyas-8dan>-Koramangala , Bagangalore 560034.
----------------- TO-;—The Project Co-"ordinator,—IX. Sangalore 560009 .
—-----------IIt—Th^-Bi rector—of Health and Fam ity We I far e Servises-, Bangalore , U
560009.
--------- j-2-_—DT-rector-Dire ctor ate—of- Economics and Statistics, Bangalore'1!
—.-----------1-3 ;--The D i r ec tor-/Popu I a t i on Cent r e,K. CvGener a L Hospital Compound,
------------------- |_e s w a r a m - B a n g a I o r e ”, 5 6 0 0 0 3
-1-4 r-T-he-DT rec tar; I ns 11 tu t e f or Socio-Economic Change, Nagarabhavi,
--------------------------- B-a/tg*Tore-;---------------------------------------------------- ----------------- —- -----------—----------------------------- 1-5-.- The—Di rec tor-,—Population Re sear ch - Cent re , Vi dy ag i r i , Dharw ad .
----------------- T6— D"frexTo-ra"Ve’s-P rcrgr a more ’ Of f leer s : JOINT DIRECTORS
OPTH/M AL AR TA/T. B.7~
------------- ttPRasr/-ttgAt.-TH EOUCATON/HEALTH & HEALTH "PLANKING- / I. E. C./F.W.
--------------DE-pttT Y-DmCTORS— TNF-ORMATTON7F .-W-.7EPT/NUTR IT ION/EDITOR X Ku tumba ).
------------ -A CT OU NTS “OF F I C E R’ (F . W).-------------- TTv—Heal-th—Of fTceTT—City Fam il y , Wet f a re Bureau, Dasappa Mater rd ty Home
------------- ^a^g^-terre—CTty Co-rporgvion, Bangalore;’-560 00lv .

rz

—.l-8~The-Presi denv/-Family-planning- Association of India, No. 375 ,
-------------- g-rh—Main^—Judges Gotony,-R,T . Naga r, Banga I or0 - 560 032

1 st” cross

&

FAMILY

9
GOVERNMENT

STATEMENT

2

DIRECTORATE OF HEALTH ANO FAMILY WELFARE SERVICES
0ANGALORE.
WELFARE PROGRAMME : PROGRESS UNDER STERILISATION DURING AMD J. IU THE

FAMILY



FEB-99
•- •

~

SL DISTRICT/
NO DIVISION

3435
1124

5

v,

.. LZ-.-

3117
1168

1C3.49
,102.05
-.
t-...- •• >: ••'. •_ . .....

355 5
1147


4559.

--------

4 70 2

1.

1479
1 909
1764
1216
142 6

.1 2 62 6

12 4 9 6

...

B'LORE DIVSN
........ .. ... -. x
, <■ .

7 BELGAUM
8 BIJA PU R
9 D HAR WA D
IQ J..KANNADA.
..... ■ AS O.i< *• «•.
..
rti J-.-.
... ”i-‘ ■ s - • •- ■

14 78
1636
1812
1564
1527.
• :. . ..

ANNUAL
PLAN,

;

9.7,3

4073
2336
2934
764
..............

2. BELGAUM DIVN .
........... ' ■ —<
ii'
BELLARY
12 SIDAR
13 G U L B A R G A
14 RAICHUR

100.07
113.23
97.35
77.75
93.39

1293
1 446
1 594
1382
12 56

13.94
32.02
10.66
12 . 01
13,54

9 8.97

11261

10.97

4 0 36
2 057
2337
„ .5 76
■>' —

13107

9006

1243
1177
1672
138 5

845
1449
1616
.1.22 2

5477

15 CHIKKAMA GLUR
16 D. KANNA DA
17 HASSAN
18 KODAGU
19 MANDY.A
2 0 MYSORE
■» • • •
•> r.. »•«
.-

762
1558
1279
351
1438
266 6..

4.

8054

9 9.0 9
88. 06
79.65
75.39
- .. . ■ .

3 86 0
1 821
2419
6 21

..-!•■ . . .. .

?

1-*...

A- •<. ..

U. .uz

,.

•••' •• ’J.. •- t>. ■«.

...

.z

••

t

-

PROPORTE
PLAN
,

12

. !%.».. .

V ••

47070

8S. 2 8
7 9.13
.......

96.32
86.36

8,6.. . 0 2

^.,£6

,K_

ACHIEVME NT
FROM
APR 97
TO
RANK. FEB .95
13 ;

.

151520

138886

125525

.82.84

■ - • ■!'

-■- -■

.1 w

.....

-> • ■ ~ ••••• :-... ... .. w

4 4803
2 5 696
32274

...8404.

121287
. ..
-• Z .
. ........... ....

14

...,VX

V —■ ■ - ■

..

.3g

10
1
4
18
7

34.44
103.19
91.99
72.95
§7^54

15 J _
r., w • • U

. • ..-V. • i

14
11
9
.15.

73,73
76.2 6
78.87
7 2.61...

30.4 3
83.20
36.04
7.9,2 4

,9 18 42

7 5.7?

82..61. ...

64.49
72.16
71.50
7 4.31

70.34'

73.75
73.0 2
31,06

,70.76

77.20

89.4 1
62.81
83.51
74.41
79.99
80.7.9

97.59'

2

68.5 3
91.09
81.25
87.25
.. 38,13.

20
5
12

Z. Z.- w

••

123.11
96.65
88.2 3

13673
1294 7
18392
.1-23.5

9 613
10196
1 4 3 49
....... 1.2 3 49

5 13 2

9 3.70

4 0 63

26.3.1

,6 5 72 "

60.2 4 7

.

881
986
1652
253
1 J> 4
.2847

115.62
6 3.29
129.16
72.08
94.16
10 4.7'-

700
1131
1067
5 35
1159
..2.148

25.36
12.82
54.83
• 52.71
16.82
3 2.,5 4 ...

"9149

1 8699
1 5 346
4216
1 725 4
31990 .

8382
17138
14C69
3861
15818
. 29326

6740

.1.8,2 ?
■ a n. ....

30 78.5

.12, 4 2

~i...i3
A.-, .* zzj

zur w

19
16
17
P-

.

, z.. JJ



1,-.. .. . z ...

-

.

- 7.04
-10.22
4.35
. .12, 3.1

" „9235.8„* .?

•’l->

14913
14130
2 0068
.16618

-7.74
11.98
2.86
2 0.10
.4.8 9

38763
23815
29186
7 55-4.
.

- 12 .44
45.19
34 .78
35.63

.2.33
y. X

'>■ ■’ •

360 33
21380
277 70
6 6 59

9 65
998
1199
901



...

14881
1 7090
17326
1 5707
1.5460

•• >■>: i’

111177

.k. ..

5.26
7 6., 5 5

. 1 26964 .

9O.,_3.g
n
... M ■ -» -» — ■■



ACHVMNT
OVER
PREVIUS
YEAR.

.

. .4.6 0 0.0..
. ■ ..-z- A .-.J

V v.<

'

;; VAP1
TION IN

34575
1.1425

>

77.39
94.57
§4# .5
66.88
• 80.2 5

3.2 7

• V z: -•

..

137 29
191 37
183 35
1 2 5 50
14 7 04

. ......... .

67.98'

,

16258
13 5 4 6
19932
17204
16797
.

4 8871
28035
3521 0
9471

4.56
12.96
3.39
7,2 5

.8.721

ANNUAL

11,

■ ■ ■■ ■ • ’

X '■

1 7739
2 0235
21740
18 764
1 8.323 .

a: ...

8 9.11’

AC'UtVMtNI. [0
■ -

PL;;

36393
1 06 77

50149

5 471.9.

■■

..

.10

37785
12 364.

......... rz.

<?, .. --

. ■ /.•• -- " '■ ■'

FEB-99

r. .r;.

41226
1 349 3

.14.05
1.80

4285

f.

ACHIEVMEW
from a PR 98
TO F EB 99

9

y. -v-S

..10 3,14

99

END OF

r-.............. -


«.• 1- XU

PROPORT
IONATE
PLAN .

8

. .... ..

199g
j
•> • '

Sx. , • ■



;;

7

6 f

....... ,K.

r

<X.-, -

2 BANGALORE(R)
3 CHITRADURGA
4 KOLAR
5 SHI MOGA
6 tumkur
“■ I’. -



-.

TOT

J

B*LORE

4
C

:

i.
...

ACHIEVEMENT .

3

■ - *• • *
'•
B.C.C
B • LORE ( U.)PHC.

-» VARI TN
IN ACHMT
OVER SAME
MONTH OF
PREVIOUS
YE AF?

ACHIEVEMENT
IN FEB
199 8

.-.r . ■ ... ., v

. .i

. ■ ■-

DST ACT
PLAN .

2

.1
w;

A. .

KARNATAKA

OF

-7

«. . j

.

£
--

'22.95

1 24 S 3
11061
16949
~13903_

-7.82
-15.34
. - 11. ’ *

' - 5 4 396..

- 1 4,4 9

7712
15 773
12836
3460
1 46C0
26671

-j . 0 Z
■25.54
0.16
-9.3.4

j-. »■-

3.

DIVN

GuLSARGA

DIVN

MYSORE

’• “•

TOTAL

STATE
' '•<

A’’

NOTE

b,,.

.■ •

.-r, .—

........ .. - ■

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Cclunn-3 and Column
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US|.

GOVERNMENT
DIRECTORATE OF
FAMILY

STAT E M E N

FES-99

DST ACT
PLAN

ACHIEV
EMENT

:

FAMILY

PROGRESS

% VARI TN
IN ACHMT
OVER SAME
MONTH OF
PREVIOUS
YEAR

ACHIEV
EMENT
IN FES
1.9.9 8


SL DISTRICT/
NO DIVISION

AND

HEALTH

PROGRAMME

WELFARE

GF

KARNATAKA
WELFARE

UNDER

SERVICES

gANGALORE.

-

DURING AND UPT0

I.U.D.

1998

-

™E END 0F

fEB«99

99

ACHIEVE­
MENT

achievment to
PROPORT
IONATE
PLAN

ANNUAL
PLAN .

ACHIEVMENT
FROM APR98 ANNUAL
PLAN ...
TO..FEB 99

PROPORTF

.p.lan

from

-------fib
VARI
TION IN
ACHVMNT

APR.97
TO
Park .. f e s f 9 8

OVER
PREVIUS

A3

15

year

■s'

8’L.ORE (U)PHC

806
976
1373
1071

28.54
71.82
0.73
-24.93
20.89

15159
14770
20950

11,3 64

.9 604

.15636 0

.

"

GUL8 A RG A DIV N

5042

15
16
17
18
19
2.0

CHIKKAMAGLUR
D. KANNADA
HASSAN
KODAGU
MANDYA
MYSORE

4.

MYSORE.DIVN

14

STATE,
NOTE'

TOTAL
1)
2)

19206
1 5026
17435



12 5004

S3.SO
7.4,15

91.42
80,89

...

81-60

75
120
84
69
76

113 7.68 .



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28210
9,263.

14.71
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89.01
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11543
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15176

8 3.43
... u;

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91.01

1279
1718
424

60.84
14.03
30,19

6925

24,03

12 601,9.

1155.11

88 0 88

69.90

76,2 6

74.48
88.83
62.73
6 4.90,

776
1157
851
,61,6

6.06
-19.62
17.27
., .3.6,35.

1 325 5
1 2563
1 9094

12155
11517
17501
1,4289

8654
8 7 94
115 32
..,10 5,88

65.29
70.00
60.40
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71.20
76.36
65.89
74.10

594

71,28

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1581
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450
1204
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886
265
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60.47
85.69
58.89
79.57
12 6.45

392
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259
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28.41
2.32
15.84
84,64

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4165
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30.84
63.41
81.16
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66.31
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88.17
69.16
88.56
84.14
72.89
. 89,61

7224

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2.6 167

62 ,53

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.

.,

Figures in uolunn-3 and Colunn-13 are provisional
Co lunn^8 : Annual Plan not yet finalised

2

28160
2 7445
8261

.

306361

,

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17760
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1 4 5 62

:

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998
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104 7
1591
1299

11 BELLARY
12 BIDAR

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81.79

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i

80.19
90.35
78.52
73.50

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BELGA,UM DIVN

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55?

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1

BELGAUM
BIJAPUR
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1




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8
9
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.

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1677
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80
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2 BANGALORE(R)
3 CHITRADURGA
4 KOLAR
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1.60

313462

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nap

GOVERNMENT

Ft3-9?

DST

ACHIEV

ACHIEVEMENT
IN FEB

ANNUAL

1998

YEAR

PLAN

7

5

'

ACHIEVMENT
FROM APR98 ANNUAL
TO FEB99 ' PLAN
’ '■ - '
' •

9

TO

ACHIEVKENT
FROM

99.

ACH lE VMENT
PROPORT
IONATE
PLAN.'

FE3-99

10

"" '""V
PROPORTE
PLAN
,.r ....

11,.

1.2

100.65
5 9,44

102.46
60,52

7434

30 .03
-34,22

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6 0.52,

14031
8 0 81

143 76
.48 90..

TOT

22112.

2.3600

106.73

218 23

8,14

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22 11.2

. . 1,9.2.67
7 Mo,,;,

BANGALORE(R)
CHITRADURGA
KOLAR
SHIMOGA
JUMKUR

134874
12560
20158
11002
15377

12 011
16087
7741
6828
.8 515

3.91
128.08
38.40
62.06
55,38

12923
12166
18456
13172
9236

-7.06
32.23
58.06
-48.16
-7,80,

1 372 7
12786
2 0521
11200

134874
12560
2 015 8
11002
15 377

10.4 48.
12 9 37
141 72
6648
....
90 3;,
• . . C?,
. » .■ -j ■,...

7 6.1 1
101.18
69.0 6
59.35
5 7.70

B.’ LORE

216083

74782

34,61

37 7 75

■14„30

7 2 5.04

7.5,2 1

..13,55. _

4 04 78
2 07 17
215 66
,115 03, ,

79.58
73.35
85.09
89,17

81.0 1
74.67
36.62
90,7,3 -

",80 ,2 8' ,

81.73'

DIVSN .

7 8ELGAUM
8 BIJAPUR
9 DH A R WAD
10 U. KANNADA

. •_ -J .J

-■

49964
27745
24896
.1212.1.

, ,- . ,

33400
24661
2 3241
1.1487.

; ..
‘ ......

66.85
88.88
93.35
9 4.77

53317
25 289
24338
.12.6 56

114726

9278 8' .

13 GULBARGA
14 R AIC H U R

7503

17873
12 969

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h.. «■ Li

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7.75
103.00
70.31
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2
16
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11407
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612.09

4 51.48

7 2,4 5.

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8739
20744
10219
3791
14471
20434

7 5 41
152 95
8246
3134
1 53 01
16710

84.77
72.43
79.26
81.2 0
103.86
8 0,33

86.29
73.73
80.69
32.66
105.73
8,1.78

Hl

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■ J. -■•

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Si

11’BELLARY

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1 ■■

8.5.5 9

14

:

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80,88
--

,

50864
2 S245
2 5 34 5
.1 2 33.9

■37.36
■2.49
4.51
■-9,2 4


BELGAUM DIVN.

. 9 6399,
e,.

..

> i.R.j -

.

;; VARI
TI ON IN
ACHVMNT
OVER
PREVIL'S
YEAR

APR- 9 7
TO
RANK. FE8--.93

.13

18709
_4891

_

2,

1998

% VARI TN
IN ACHMT
OVER SAME
MONTH OF
PREVIOUS

END OF

1 4031
3081 .

1
8. 'LORE ,U
.. . r.

1

ACT

PLAN

b.C.C
6'LORE(U)PHC

2
3
4
5
6

KARNATAKA

g ANG A L 0F E
DIRECTORATE OF HEALTH AND FAMILY WELFARE SERVICES - BANUAtunc.
FAMILY WELFARE PROGRAMME : PROGRESS UNDER C.C. USERS DURING AND UPTO I.IL

STATEMENT

SI DISTRICT/
NO DIVISION

Of

14
12984
9
9756
12
19496
17_ ,.„17.147_

-43.72
•11.51
-18.97
,-21,79

BO
3,

GULBARC-A

DIVN

612 09

59383

15 CHIKKAMAGLUR
16 D. KANNADA
17 HASSAN
18 KODAGU
19 MANDYA
20 MYSORE

8739
20744
10219
3791
14471
..2 0 4 34

7179
15156
8437
3114
15875
1 7 936

82.15
73.06
82.57
82.15
109.70
8 7.77

6299
13618
9537
3478
15176
1,9878

13 .98
18.60
-11.53
-10.44
4.61
9,7 7.

8896
21118
10403
3859
14732
. _2p.8Q.2_

4,

.78398

67697

86,35

•. ■ r72985
' • ■

•<7,2 5

7 9 81 0

7.8398

6 62.26

8.2,98

8 4.47

470416 ,282355

60,02

354,798.

66

3.5 5 31,4

..4 70.416.

277642

7 8. .14

59,. 0.2... ..

MYSORE.DIVN

STATE
NOTE

TOTAL

1)
2)

Figures in
Column.-8 :

Cclumn-3 and Column-13 are provisional
Annual Plan not yet finalised

3

_

6
15
11
7
1
8

7901
1919 6
9455
3510
13264
1.3.64 6
71972
320878

B88
-4.56
..-2 0.3 2
-12.79
10.71
15 ,35
10,38

7,9fl

GOVERNMENT

STATEMENT-



5

OF

KARNATAKA

DIRECTORATE OF HEALTH AND FAMILY WELFARE SERVICES
0ANGal°Re«
WELFARE PROGRAMME : PROGRESS UNDER O.P. USERS DURING AND UPTO THE

FAMILY

VARI TN

r

... . 1998 -

r.

r

in
FEE

DST ACT
PLAN

SL DISTRICT/
NO DIVISION-.

A

.

.... 2

.

, B’LORE(U)PHC
....

r . . ..

...-.

1,.

b/LORE

If »••. t—

r ,

U

...

..

.................... ..

7328

8339

114.48

4033

3216

,79.74

...

i. •

TOT

1 1361

•• .

■>;> - .

2 BANGALORE!R1
3 CHITRADURGA
A KOLAR
5 SHIMOGA
6 TUMKUR
,

1.

6’LORE

7
8
9
10

BELGAUM
BIJAPUR
DHARwAD
U.,KANNADA

D.IVSN„

.. • >.<

I.. L-„---- - a ...

—. > I /- . j

..... .

.102. 14

5373
15096
9332
5567
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94.50
214.25
95.35
70.39
83.68

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15549
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13 303
15326
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5037

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3819.,
..

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7084
9440
7401
76 0 7

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81.92
24691
98.57
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100,70 . , 4832.

. 8

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4.67
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7.36
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7.7 9

7129

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..292.5

.11361
5686
7046
9788
7853

6 332

6220 .

6911
5042
9905
8105.

GULBARGA

DIVN

52919

t

n ■-.

92,26
■ '■ ' I ; •
-1-1

'■ •60284
i >

1

4988
4641
9747
,4177

92.0 4
93.41
51.53

6162
4651
9945
•=2 3 8.

29963, 23553

78.61

2 6 996

S-.

2765
8710
4713
1444
5471
1 0709

2527
91.39
6848
78.62
5891 124.99
1277
88.42
4984
91.10
12922 1 20.67

4.

3 3812

34449

MYSORE

STATE

NOTE

DIVN

TOTAL

:1)
2)

169087

Figures in
Column-8

16.3 111

2612
8500
5974
1250
5035
11350

101.88

96.47

12.7 6

Column-3 and Column
Annual Plan not yet

4

-3.26
'19.43
-1.39
2.15
-1.01
13.§5

.30503.
. ... ,
2 815
8867
4798
1470
5 5 70
10902

3 4 422
4.29,

17 2134,

13 are provisional
final ise'd

.

. '

r"' ’ '

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5649
• . Cl, ;

89.21

.

-21.33

4,25 77

8 7.22

,8.8.79

19236
12934
1322 6
.,475.3

64.57
81.71
89.82
9,3.3 4

36.09
S3.18
91.44
95.0 2

-vj. --t

..10.470

8
TT X"

z'-

16
1
15
20

90..3 2

6 (

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-. ;

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-13.68
63.67
-12.75
-18.38

6518

13.33



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32

,4 3,58S,4 :
20269
13621
13206
4602

11
■13
5
3

-

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5152
5393
8824
7224
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5 24 4
434 9
3848
6144

74.54
84.74
87.76
74.46

29963

2 4 5 86 .

8 0.60

2765
8710
4713
1444
JC / “r7 i1
,10,709

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66ft 1
445 5
119 0
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87,43. ,
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6911
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8105

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, 3713

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78.30
125.28
78.66
75.08

76.92
123.06
77.27
73.76

,501 48
•* ’ ;
1
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5133
10 0 83

1. 99
33.0,4.

34721

,1,7042 1

r:

'■ 19. 05



15 CHIKKAMAGLUR
16 D. KANNADA
17 HASSAN
18 KODAGU
19 MANDYA
20 MYSORE,

5.7358
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(

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8827
7699
5896

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14464
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75.89
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89.33
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83.51
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12 BIDAR
13 GULBARGA
14 RAI CHUR
3

,57358.
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11

... ...

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7173
9964
7994

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3.17

7328 '
.<*4 -------- .------ -

1 1566 ,

OVER
PRFVIUS
YEAR.

m

BELGAUM DIVN

■’

■ 10

9,,

■ ••
2.

ACHVMNT

-V,O P,1 r ;;

7460

11 Q87

-i .

,

15.43
».. is

tion tm

from

TO

ACHIEVMENT
- -------------------- .
APR-97
FROM APR9S ANNUAL
PROPORTE
TO
TO...FEB99
PLAN .
PLAN ,. ... R ANK ,F£8~9 3

PROPORT
IONATE
PLAN.

ANNUAL
PLAN .

. ...

7268
. v ’.

;... j_-

11605

J :.

5686
7046
9788
7853
6220,

•_

7'

-• ■- ------- ....

- —•■-■■--—■•--■......... ment
!, ACHIE.VMENT

MONTH OF
PREVIOUS
YEAR, ,

% VARI

ACHIEV-

''

achmt

OVER SAME

6

5

.4

....J.,. ...................... .....

S.c.c'

ACHIEV 1

•-■--■EMENT
ACHIEV-IN FEB
EMENT,.
% ,
1998 ,

.

5

.

99

99

END OF FEE-99

.39.7 5
-a. v- r> I*’
’A"I-..- -S r; -•

2555
-4.55
8021 -16.95
4347
2.49
1342 -11.35
5023
-7.39
977.1
12, 06
31059

152879

.87.33
1

7.3A

2.30

,

■ 3.42

13^

GOVERNMENT

b WH
FAMILY

STATEMENT- 6

DIRECTORATE OF HEALTH AND FAMILY WELFARE SERVICES
BAnGA
WELFARE PROGRAMME. : PROGRESS UNDER D.P.T. DURING AND UpT0

FE8«9_?
SL
DISTRICT/
NO .DIVISION
2

B.C.C
B'LORE.CUJPHC

.

*• ■■

r

• ;

c’ LORE- U . TOT

1125.8..

9
1.0

v. .v- ■

■ ---o. . .

6ELGAUM
BI JAPUR
DHAR WA D
U. . KANNADA

3 3250

■ ...

,

.

3619
6132
4729
2999
>317

31890

102.17
128.20
100.25
74.20
8 7.96
...

11.42
43.00
-7.78
16.65
■3,. 4 9

3248
4238
5128
3598
4 473

90615
..2 6.9 94

32.53
10.6.7,0

90.03
. 116,.41 .

123838

13510 0.

.1176 09

87.. 0.5

T 94.97

9.5 . 91

4 2 50 0
5 7400
5 660 0
48500
,5890,0 ..

38962
52613
51887
44462
5 3 988

31561

.1.04

.

39 900 0,

.365.750,

KJ. ’ ' 1

'

82.0 4
107.32
91.27
71.69
82 ...8 3

■ •••

10...
«« M —

89.49
117.63
99.56
73.20
90.36

■} .-i-- ■ •.. ,■<: w
87..61,

349575

. 95..5.8

.

7775
6667
7550
2.02 5.

8489
7603
8935
173 9

109.18
114.04
118.34
8 5.88

9352
6916
7927
1761

2 4 017

<676 6.

9.23
9.93
12.72
fl .25

ria
ill.,45.

25956

r>:

n r i i ■■ 6 v

2792
6167
558J3

3271
6478

117.16
105.04
102,29

3, GULBARGA DIVN .19109
... X. . ,
.
-■
........
15' CHIKKAMAGLUR
1575
16 D. KANNADA
42 33
17 HASSAN
2633
ie KODAGU
775
19 HANDYA
2750
2 0 MYSORE
6333
..._ ■
•- .
4 . MYSORE DIVN
18299.

18 996

99.41
»■ ■■ 2
102.22’

.-

-• <■'» '

1610
3064
2601
833
3165
.5 34 4
1 6 61 7

72.38
98.78
107.48
115.09
8 4.38
• - -■ 'A'
9 0.81

L -

^94675

3036
6396
.4,8 5 0

<■<

.

15816

■ . • ■ --

94 269

9 9.57

>

-.r- <-•

92 504'

28 8200

7.74
1.28
17.7 5,

85525
7 3337
83050
2.2 2 7 5,

.

264187


■ ‘hJ

18.171
: -a"
•••■ ..u- .1 ■ , .a,
16 IS'
' 0 .49
40 51
2733
764
2 842
.4 8 03
— •' «*

- <•'

3.12

■' ■ J

12 BI OAR
13 GULBARGA
14 RAICHL'R

93300
3 000 0
9060 0
2 4 30 0

33500
74000
.6 700 0

'' ■'j ' "" 1'. ’' ■

50237
30712
6783 7

_.i 1019 9 ’
229300
’. .7'

1890 0
1 7 32 5
5 OSOO
46563
31600
2 8963
9300
852 5
3 300 0
30250
. ■76000
6 9663
-r - : - X ••
:r< -•’
. «■ a...
."2.19 60 0
. i -1.8
.2 0 12.89.
.. --v..
- ..
.--z • •ni-.Pi:
1.91” 1136100 ’ 104 142 5
24.36
•4.83
9.0 3
11.37
11 .,15

894 98
695 42
819 44
19627

9 5.92
86.93
90.4 5
80.77

104.65
94.83
98.67
88.11

2606.11
••

9951 0
-2a.S22_

•8.94
-5,59

125.10.2..

■ 3.19

,1.



>;

3 48 37
31618
5S677
51.6.24

36203
48173
52172
42374
49248

-..x.

■fa ■ .?

17 67.56,

189 63
3 55 23
32 0 66
1 01 42
30362
.5.36.61.,
1 5 57.17.
. p.
. j K ....
"972659

.

7 7..?9

■'3.69
2 8.47
-0.98
■ 17.95
0.94
Wl W 1 ...

356272

,

5

■ 1.88

f—- '.A ■<’ <’

11
9
1 4

94430
74484
81818
20176

. . „ r-z.

. «.

v.

•a '*»•

-T»

■ 5.27
-6.63
...0.15
.2,. 7.?
.59

270958
rv

63.57
94.38
79.29
77.0 5,

4,1

13
2
8
18
12

98.65

90.43
a.-x-Tv

1 5

\ • -r

V M.’ vV

34866
61888
516 59
3 47 69
4 87 84

■ <• • •■!.< .

14

21

. ■ ..

-"■•w.w

a-:-

13,

’ •5

BELGAUM DIVN,

IO 1AL

p.-

■6,.76 ..

, 10.Q2.6

-» > <•, -.J>■>-.

61 A 1 t

v.

wocW-? »►.

100650
23133

109800
,2 530,0

'■

. -

'•.. e.> r-

2.

1,1
ir.

TION IN
ACHVMNT
OVER
PREVIUS
YEAR

i.-n ’-'-rwr

12

i

7

3542
4753
4717
404 2
.4 90.8.

B • LORE . D.I.VSN
>•

•2 .66
19.2.:

8146
,2 680

-■■■

'■

.10

■’■>■■■■■ - ■

/■



1,

.

1,,.

lvi:WT

2 BANGALORE(R)
3 CHI i R A DUKG A
4 KOLAR
5 SHIMOGA
6 TUMKUR

• "<5 '■ *

, 89.66

8.

e-. : ■ I: «...

v.

■■■■

:r- -

10 C 94

■< V.

9

*

**

>

7929
8 6 o 66
102.7Q
. 216 5,
.-.■--G
. • • •1- i-4 V- , x

PROPORT
IGNATE
TARGET

ANNUAL
TARGET

.

1,

9150
2.1 Q3.

hi

VAPI-'

99

-

- i- '•



.

6


FE5~99

5



fcN° 0F

’•!

i

5



ACHIEVME NT
% A. C •? 11. v n cj H 10
FROM
'
“ ■
e. >-■
p ", ’* 1
APR-97
ACHIEVHENT
PROPORTE
TO
FROM APR 98 ANNUAL
TARGET
TARG.E.i
RANK JEB; 98
TO,. F EE 99

1.998

I

1

% VARI TN
IN ACHMT
OVER SAME
MONTH CF
PREVIOUS
YEAR,,
--T;
7

ACHIEVEHENT
IN FEB
199 8 ,

ACHIEVEMFNT...

TARGET
•S' ***»3
A.
J -•

&

KARNATAKA

OF

--

. _

e3.S2

■>

4 1745
69.3 5
20
32345
102.95
6
6235 5
86.50
15
17. ..5489,5.
.84..06
Kr tr. v»
,»r
r- . ■>» rr-.
191340
_ 84.09.

-.16.55
; 2.25
■ 5.9 0
- -5,°6
-7.6,2

100.33
69.93
1 01.47

109.45
76.29
1 10.71

4
19
3

13745
48647
31292

1.16
-26.98
.,2.47

109.05
92.01
, 77^19.

118.97
100.37
84,21

1
10474
7
31439
16, ..61.12.9

t3.58
:4>..Q4

84. 5.7..,.

92.26

,2017.76

85.61

93.4 0

1 02.0346

:,7,.96

;; < •

5

8$.
W'

STATEMENT

, .
- -

DIRECTORATE OF HEALTH AND FAMILY WELFARE
FAMILY WELFARE PROGRAMME : PROGRESS UNDER POLIO

7

.

.FEB-99

.1

.

B.C.C
B* LORE(U>PHC

9150
2108,

7929
2165.

66.66
102.7?

1.

3.' LORE-U ,TC’T

1125.3 .

10094

89., 66

2

BANGALORECR)

-3542

3619

102.17

3
4.
5
6

CHITRADURGA
KOLAR
SHIMGGA
TUMKUR
..

4783
4717
4042
; 490,8,

6132
4729
2999
,4317

128.20
100.2 5
74.20
87.96,

»- ■

■ •1*

1.

c’LCRE

'"tyr--

•' ?;

D.IVSN

332 50.

95.91’

31 890-

7775
6667
7550
2025.

7 BELGAUM
8 oIJAPUR
9 DHARWAD
10 U._KANNADA

8489
7633
8935
,1739




...... '■

2.

11 BELLARY
12 BIDAR
13 GUL8ARGA
14 RAI,CHUR .
3.

. 24017

4567
2792
6167
5583

,

/.- ■ ■- I .

I-

GULBARGA. DIVN
M■

DIVN

18996

87.05

94.97,

3248

11.42

42300

82.04"

4288
5128
3598
4473.

43.00
-7.78
-.16.65
?.3..49

57400
56600
48500
.5 890 0 ,

61888
107.82
516 59 91.27
34769
71.69
48.734
.
82.8,3.

-r’ i r;

1- •

,

2609?

3.9900 0.

.i

TOTAL

,

.

' ■

166'1,7

.

90.81

94675, 94 354

,

99.66

,.

.2.6 4.18 7

54800
33500
74000
6700.0,

16816

, --1.13'

92647

,

w. ,,

,2 1019 9

1 8900
50800
31600
9300
33000
>,600.0, .

17325
46563
28963
8525
30250
.69663

<- ■

95.92
87.56
90.97
80.77

• ■-

w

-,F '



■;<. >•

’1769 59.

9448?
74874
82241
20176

5.27
-6.44
0.22
-2.7?

5
10
9
14

104.65
95.52
99.24
33.11
• m

-



13963
34315
33274
101 42
30362
53,661
185717.

.s I

1 '•

. .... . ......... .

. ,

27177,1 .

6 3.94
94.38
79.30
,. 77.05

69.74
102.95
86.50
. 84.06

20
6
15
, 1.7

41745
32345
6235 5
.54895

W-.-w ’-«•»-

, 77.17

v

,

sSia; -.

100.33
109.45
67.55
73.70
105.30
114.88
1 09.0 5
118.97
92.01
100.37
77 .,19, .. 34.,21.
84. 57

v- ■■■ -.'’">1 - •.«!

92.26

85.72

93.51

- 3...-74
-16.0?
-2.25
:-5.89
-5.,’6

19.1340
.

.

4
19
3
1
7
16,
v.-

'-7.5 2



------------ ----------------- ------------------------

18745
48647
31292
10474
31489
,6.1,12 9

1.16
>29.46
, 6.33
--3.17
-3.58
,. ’-4.0.4

1

».

,2017.76 ,

______________________________________________ _ ______________ ___________ «•- -■

?.7.3.8 47

.

. ., ;* •



84.19

L-.. ...._______ _______________ -J.«

----------- _.„X

113610.0, 1,0 4 142 5

„ ;,0.77

... 99. 02

-cfa;:

201289

352273

90.7 7

.

h*?

.V.

2.19600 .

-t rr«

»r.

95.5.8

v.

350 37
31618
5S680
.516,24 ,
- ..... hi

v’

i-w:-- :k>:

87.61

.
. 2615 96
’ >*. . - '
tva. 5.' .-I '■-Hltr

5 02 37
30712
67837
61413

..... ....

,1.84

•’ ;

' F~^

u

-,- .7 -Jt K.---. ■ s-.

...

.

si-riv

'■

3495 75
89498
70051
82420
.19627

. ; 7.3 ... 'I : • r**

22 930 0

4x54 ,

.'■-■S’-N,’?-’'.

,

85525
73337
83050
22275

-7___ _ ... )t5

1618
-*6.49
4051
-24.36
2733
-4.83
764
9.03
2842
11.37
,4808 , .11..15,

'O.



v’ w . •

.k:

.365750

238.200 ,

-9.03
7.74
1.28
. 17.75 ,

.

:

..

1575
1610. 102.22
4233
3064
72.38
2633
2601
93.78
775
833
107.48
2750
3165
115.09
633.3 , ...5344
8.4..J8
1.8299.

. 2 . 38

r.

,v ~

93300
80000
90600
,24300

’ 6

'18.1.71.

,

34866 -



52613
51887
44462
5,3988.

. ........... r,„,s......^.ni - r....

-9.23
10.14
.11.60
-1.25

3839
3036
6396
,4.850

38962

- i.---.w -

1.. 04
..

~ ■■



........... ..

. ...... ... ...

STATE

117609,

- :

99.41

28.47
- 0.98
-17.95
-.0.94

,

.'

.

*3.70

43173
52172
42374
.49243

.123836

9352
6980
3006
1761

77.43
117.16
105.04
102.29

36204

2
8
18
, J2 .

135 10 0 ,

....

.ill. 8 0

3536
3271
6478
, 5711

-

■"

J

MYSORE

26851

13

;-6.76

».>.. x.. ...

.19-09

15 CHIKKAHAGLUR
16 D. KANNADA
17 HASSAN
13 KODAGU
19 MANDYA
20 MYSORE
.
4.

-.

89.49

117.63
99.56
78.20
. 90.36

90.03
1,16.41

.... .................................. r

B.ELGAUM DIVN.

i\.«C

■ '

5 . 23

82.53
10,6.7.0.

31.56.1

109.18
115.31
118.34
85.38

12 4 10.2

90615
269,94.

10 826

,

11

....

;

M. VARI
TION IN
ACHVMNT
OVER
PREVIUS
YEAR..
. .
..
yjj
15,
g||
5.13
- 5 . 5.9

10065C
. 23.188,

-2.66
'-19.22

"

--..u

-> -

FEB-99

95510
.2859.2.

109800
2 5.30.0.,

8146
2^80

.

w», »- w.,A-r ■ - i m-v :ni

...

SERVICES
BANGALORE.
DURING ANO UPTO THE END OF

,,19,98, ~ 29 . "
VARI TN
ACHIEVIN A CH MT
ME NT
. , ,
ACHIEVOVER SAME
% ACHIEV ME MI ..TO
FROM
EMENT
MONTH OF
PROPORT ACHIEVMENT
--------------- - »<■--APR--97
IN FEB
PREVIOUS
ANNUAL
IONATE
FROM APR98 ANNUAL
PROPORTE
TO
5;
1998
YEAR
TARGET
TARGET
TO...FEB99
TARGET
TARGET
RANK FES’98
... - -- ----- ..------ .............................................. .. — ................. .
.5
6
7 . . ...
8
9 .
.10 . , . 11,
. .12
.13..

DISTRICT/
ACHIEVDIVISION
TARGET.
EMENT
- ■ ■ • • - ------.
.
2.
.3
4

SL
NO

KARNATAKA

OF

GOVERNMENT

- ->■

.1,0171.60

..

-A



-7.96
.. : -

~

?A-26

6

GOVERNMENT

STATEMENT- 8

■ -•

.

3542
4783
4717
4042
490 8-

CHIKKAMAGLUR
D. KANNADA
HASSAN
KODAGU
MANDYA
MYSORE ..

« . lb >»•

.i-i'- ': ■■■

4, MYSORE
STATE

TOTAL

94.22
.112,02

10 624

4 .72
. - ■ ;

135.100

1123833
'

12 0 8 05

89.4 .2

9 7.5 5

5.30
30.03
-11.91
-23.89
.2 .34

4 2 50 0
57400
5 6600
4 8500
5 890 0

38962
52613
51887
44462
5,3988

35552
660 06
5 3791
33745
521 70

83.65
114.99
95.0 4
69.58
88. 57

91.25
125.46
103.67

39900 0

365750

90,74

98.99

1.5..,.

105114
„27045

-9.79

8. .1,3215

31 3 4 5
*r. — A? -Y

- 95,77
• » .ii 4 . >
,

32176

7775

8907
8459
8476
. 1879

114.56
126.88
112.26
92,79
" - -.V v.z.;

9129
6308
7267
1770

2.43
34.10
16.64
6.16

9 3 30 0
8 000 0
9060 0
.2 4 30 0

85525

24017 .
...

2 7 721

115.42
- . --.. ■..

24474

13,27

23820,0,.

264.187

4567
2792
6167
5583

4053
3832
7342
6200

88.75
137.25
119.05
,111.05

4638
2311
5795
4,8,94

12.61
36.32
26.7G
26,6.9

54800
33500
74000
,6700 0

50237
67837
6,1413.

19109

21427

112,13

181.38

18.13

2.2 930,0

2,1 0199

.17 42.37.

7 5.9 9

1 788'

113.52 ■

2 817
2838
94 0
3165
,. 5 6 34

66.55
107.79
121.29
115.09
88.96

1673
6.87
3955
-23.77
2927
..-,3.0 4
968
’-2.89
2911
8.73
■ 4.788
17,67
• -i. z. .... ..a . ..j . .• ......

1 890 0
5 0 80 0
3160 0
9 30 0
33000
.76000

17325
46563
28963
8525
3 0250
*.69663
. .r..

19331
34629
31479
10683
29276
6 393.8,

102.28
68.17
99.62
114.87
88.72
8.4,13

219600

201289

18 9 3 36

86.22

94.06

212923

113 610 0..

1041425

9847 30 .

86. 68

94.56

1095587

1575
4233
2633
775
2750
63 33,.

•<



1 -299
17182
r- > ■ < --z .??. t-.- ~ -> - • -V - ■
9.4675,

9817 5



93.90

-1.Q3.7.O'

1.7,222
•t
tfi) J.,
92010’

0.23

Z jbliii

97.79
81.22
93.00
76,64

106.68
88.60
101.45
33,60

89,9 0.

93.07

39223
2 83 20
84.54
58844
79.52
478.50,.. ,, 71,42

78.08
92.21
36.74
7,7.9 2

2 5 90 90.

32,89 . ..
111.58
74.37
108.69
125.31
96.78
.. 91 ,7.8



■r

•8.59

5,46
18.99
63
21.24
‘.3.4 8

4,35

r

83050
2.22.7.5

91237
64973
84257
186 23.,,

37607
55473
56400
4 2 848
54053

13
1
6
19
10

3.96

.

6667
7550
2 0 2.5...
, *. ,

1,0 3 ...

75.90
96,6 3

% VARI
TICN IN
ACHVMNT
OVER
PREVIL'S
YEAR

14

.33250

7 ’ W"

DIVN

86.3 6
10,2 ,.6 7

13

3361
4 532
5433
3574
4652



15
16
17
13
19
2 0,

94228
2 5,9 75

12

11

99.92
123.21
101.46
67.29
97.47

.

DIVN

100650
2 318 8

IQ

3 539
5893
4786
2 72 0
_47S4

BELGAUM DIVN

GULBARGA

109800
,2 5 30 0

9

ACHIEVME NT
FROM
APR-97
TO
FEB■o8

RANK

5
14
7
16

101281
82226
88815
2 0534

9.92
2 0.98
5.1 3
9,31

2928 56,,

:11.5,3

l..t

DIVSN.

3,

-1.43
15,32

8

.o

TOT

11 BELLARY
12 BIDAR
13 GULBARGA
14 RAI CHUR

8111
2 513

7995
87.3g
.100,95
.2128
« — ’. . . r, ,. , , , ,-2 .
. 1.12.Sc
1012 3
8 9,9 2.
. ’.ft- o: "• . •.
• — - ,,-A <:• • <■< : .

7 BELGAUM
8 BIJAPUR
9 DHARRAD
10 U. KANNADA

2.

7



6’LORE

6

9150
2108_

2 bANGALORECR)
3 CHITRADURGA
4 KOLAR
5 SHI KOGA
6 TUMKUR
1,

5

ANNUAL
TARGET

J

B’LORE-U

ACHIEV^ENT TO
ACHIEVMENT . ■ FROM APR98 ANNUAL
PROPORTE
TO .FE399
TARGET
.TARGET
FES99

■■o

PROPORT
ION.ATE
TARGET

FL8"99

.

ACHIEV".
EMENT
IN FEB
1998

. ♦

1.

■ .

■99

#

B.C.C
B’LORE(U)PHC

3

................................... 1998

■If

2

FES-99
•■' • ■
ACHIEV­
EMENT
- ■- - •........ 4
--

’4 VARI TN
IN ACHMT
OVER SAME
MONTH OF
PREVIOUS
YE AR



1

ARGET

DIRECTORATE OF HEALTH AND FAMILY WELFARE SERVICES - BANGALORE.
FAMILY WELFARE PROGRAMME : PROGRESS UNDER 8.C.G. DURING AND UPT0 THE END 0F

.

DISTRICT/
DIVISION

KARNATAKA

7
O
J

SL
NO



OF

17
494 10
35475
11
15
68522
18_. -52861

. .
3
20
4

9
12

■20.6?
-2 0.17
14.12
17*3.0

211268.

19853
50879
31804
10611
32528
67,24.8

"2.63

■1.02
0.68
-1.0.0 0
... "4*92

10.12

GOVERNMENT

STATEMENT

2
3
4
5
6

KARNATAKA

DIRECTORATE OF HEALTH AND FAMILY WELFARE SERVICES - SaNGALORE.
WELFARE PROGRAMME : PROGRESS UNDER MEASLES DURING AND UPTO THE END OF

FAMILY

$; VARI TN
IN ACHMT
OVER SAME
MONTH OF
PREVIOUS
YEAR., . ,

ACHIEVE
EMENT
IN FEB
1998

FEE-99
DISTRICT
DIVISION

OF

ACHIEV­
EMENT

6

7

7623
.2 489 ,

'10.26
12.17

,1998

ANNUAL
TAR,GET

PROPORT
IONATE
TARGET

b

9

109800
,2 5.30,0 .

9.9

ACHIEVE­
MENT
FROM

A.CHIF.VMENT JO
ACHIEVHENT
APR-97
FROM APR98 ANNUAL
PROPORTE
TO
TO FEB99
TARGET
target . RANK .FEB' 9 8
12

11

100650
2 3.188

81774
25163

74.48
9.9.4 6.

81.25
.10,8., 5 2

9150
21.08

6841
2 136

. 10 3.70

B'LORE-U .TOT..

11258...

9027

80.18

10112

10.7 3

135100.

123838

10 69 37

79.1 5

36.35

BANGALORE(R)
CHITRADURGA
KOLAR
SHlMOGA
TUMKUR

3542
4783
4717
4042
4908.

3465
6316
4812
3473
4617

97.83
132.05
102.01
85.92
94.07

3 060
4 031
4801
3635
4337

13.24
56.69
0.23

6.4 6

4250 0
57400
5 660 0
48500
.5 890.0

38962
52613
51387
44462
53983

32122
578 14
47320
32978
4 52 33

75.58
100.72
83.60
68.00
. 76.,8 8

82.44
109.89
91.20
74.17
83. 33

.332 50.

3171.0

9,5... 3 7

9976

.5.78

399,00 0

■ 36575 0

3.2 2,4 54

8 0 .,8 2

88.16

7775
6667
7550
2 02 5

7721
6789
10383

99.31
101.83
137.52
92.79

8482
5648
7612
. 18 36

•8.97
20.20
36.40
2.34

93300
8 0000
9 0600
.,2 4300.

85525
7 3337
83050
22275

83378
62075
79346
19117..

89.37
77.59
87.58
7 8.67

97.49
84.64
95.54
85.,82.

ill..47

23 578

13..55, ,

28 8 20.0

2 6.4 1 8 7

.24 39 16.

8 4.,6 3

9 2,,3.3

13.77
25.86
38.01
20.59

5480 0
3 3500
7 4 000
6700 0

50237
30712
67837
61413

335 46
29727
55141
4 74 59

61.22
88.74
74.51
70,83

66.78
96.79
81.28
, 77.28

25.86

,2.2 9 30.0 .

.,2 10199

1.6 58 73

72.34

... Z8.91

17325
46563
23963

0 '2

B’LORE

DIVSN

7
8
9
10

BELGAUM
BIJAPUR
DHAR W A D
U...KANNADA

2

BELGAUM DIVN.

11
12
13
14

BELLARY
BIOAR
GUL3AR3A
RAICHUR

24017

-4.46

£ ,•

.

110.25

16739

CHIKKAMAGLUR
D. KANNADA
HASSAN
KODAGU
HAND YA
MYSORE

1575
4233
2633
775
2750
6333,

1829
3138
2740
931
3393
, 5 63

116.13
74.13
104.06
120.13
123.38

1781
3808
2727
716
2804
.4.8 30.

2.70
-17.59
0.48
30.03
21.01
16.65

1 890 0
5 0800
31600
9300
33000
76,000

30250
69663

176 48
32753
28591
9682
27819
5 49 18

. 18299.

17665

96.54

16666

5.99

. 219600

20.1289

171411

0.6...

94675..

97,214

102.68

86959

11.79

.11.3610.0

1041425

90 36,54

79 . .54.

.1 ;


MYSORE
STATE

DIVN

TOTAL

■>,

210,67

i

19109,

o

3,., GULBARGA, DIVN

4

3543
2865
5580
4751

co

88.26
129.15
124.87
102.62

«)

4031
3606
7701
.5729

,6



,

.
.

VARI
TICN IN
ACHVMNT
OVER
PREVIL'S ygl

YEAR

14
38693
.26449

-•7.8 0
-4.8 6.

10

115142

-7,13

14
2
9
18
13.

32967
43172
46744
39191
4.5679

-2.56

3.2 2 89 5 .

- 0,14

87950
67063
76497
18754.

-5.20
-7.44
3.72
,1.94

5
12
12
7
, 11

25Q2 64

33.02
1.23
15.85
-0.37

-2.54

' —

4567
2792
6167
5583

15
16
17
18
19
2.0

.13.

10

B.C.C
B * LORE (,U )PHC

.

FEB-99

L0
DC
64.47
90.48
104.11
84.30
72.2 6

RSh

-13.90

31994
56670
4 968 0

-2.7 0

1.773Q6.,

-6..4 5

1 > V £. L.
4 2 910
28971
9260
29701
56037

1! • QO
A fl
J
-23.67
1.31
4.56
“6.34
- 2. CO

85.16

1S3901

76.

86.77

934366

.3.29

6
15
17..

1 A 1
Q
1 U1 « O 0

L

J7

70.34
93.72
113.57
91.96
78.3 3

19
4
1
8
16

.4,, 4 7

IW'

GOVERNMENT

STATEMENT

FEB 799

.

...

.

?; VARI TN
IN ACHMT
OVER SAME
MONTH OF
PREVIOUS
YEAR ,

NO

DIV IS ION1

TARGET
. . > >: ■

EM.ENT ,
. J .K 'r', *.< • . r. .

...?!.

ACHIEVEMENT
IN FEB
1998

1

. i

3

4

5

6

7

, 2442

114.90
104.67

10840
..2863

6.00
■14.70,

ACHIEV’’

/

SL

B.C.C
B* LORE(U)PHC
;r.-_

I

X. »

B’LORE

U

1 0003
2333
-

■•■■••■

TOT

1•

.



-V -

38 67
5225
5150
4408
5.3 Q0

3820
6721
5432
3607
5475

98.78
128.63
105.48
81.83
103.30

3,8987.

107.45

§3
<a-

8483

12 BIDAR
13 GULBARGA
14 RAI CHUR .

GULBARGA DIVN
, Lc - .5 f, -. t.

.2 621.7

...

23 32 8

.10 8.0 5

4917
30 50
6742
.616 7
..... ... . ■

4 3 7?
8 8.92
3358
110.10
6624
98.25
7 2.7.0 ,1.1.7..,59
r_ • .4.-1
;

1725
4625
2383
867
3017
6925

13703

.’36898

9 659
6445
8'88 2
193 5
.

1930
3212
3237
912
3429
5889

ANNUAL
TARGET

5.66,

135663

4 6 40 0
62700
61800
5 2 900
6 3600

4 2 537
57475
56650
4848 o
5 83 CO

.. ..

,,3 9'9113

..

... tA,'

2,6 9 21
.-1



-■

-

l. ....1359.83
. . . . - . ,|. ...

. ,91 ■ 5 8,
- ■37632
81.10
107.89
67650
54929
88.8 8
36397
68.80
5.k29
.
i09
. . . 83.19
83. 5 4

33 55 05,



“• *“ ••



-

-•

OVER
PREVIUS
YEA°_

13

15

,30463.

.

117.70
96.96
75.06
. 90-.7 5

9 3 313
80025
90662
2A387
.2,88387

,

9 37 61
71178
922 65
.20010,

92.10
81.53
93.29
7.5,2 3

100.48
88.94
101.77
8 2,.0.5

' 2'77'2'14.
.
wr •»'< i.- z.
. •...

,8.3.12.

.96..13

389 22
32104
62772
,,5 9273-

65.97
87.72
77.59
g.O^lfi

71.96
95.69
84.64
.37.-38. ..

19 30 71,

_.7.7,.07-

84.0c

18911
33734
329S7
1 00 50
32 3 89
64722

91.36
60.78
95.34
96.63
89.47
77.88

99.66
66.31

' 54087"

5.07
22.38
4.78
37,17

5 9 00 0
36600
8090 0
. . 7,4 0 0.0.
• f ■>..u.-'>..,,v;?

103.58
. ,v- «>
u»..

.1.8 5 2 7

16,7 2

2.5 0 50 0.
.1 . .V f ■

229636'

111.38
69.45
112.28
105.19
113.66
85.04

1926
3956
3170
871
3122
5 564

0.21
-18.81
2.11
4.71
9.83
5.84

2 0700
5 5 50 0
34600
1 040 0
36200
,8 3,10 0

1 8975
5 0875
31713
9537
33187
, .76175

335 50
74162
„. 6.7§3Z ,

,

HSj

,. •■3,4.1
■■

■■■- -

1.4 662 3..’ J ■-7,2 5
■■' '.•<h. ..-.vn*?.'.’ -»

,?6._

13
1
9
18
. Il-

.

96.59

,

achvmnt

-i

»• 88.47”

VARITION in

14

-

.100.2 4

FEB-99

ACHIEVME NT
FROM
APR-97
TO
RANK_FE? ,9g

>; Ui Cl

4 161
2 744
6322
5 300

•■

. e.J

•- - ■

96.8 8
.114,66

. A-.

101800
8 7 300
9 89 0 0
2 6 60 0 ..
• • • - 1 iS ■
' 3.1 4 60 0

■9.26
7.91
17.65
1.1,52

80
105.09

294 25
> >••■ •

PROPORTE
TARGET .

1.1

110000

148000 .

J 4.3 5 40 0,.,
. J. ■

,

ACHIEVMENT
FROM APR98 ANNUAL
TO FEB,99
T„ARGET

_ 2 .5 66 3
.u

■. :

-

.

99

.1.0,

12 0000
.2 mo.

.1-°7
■ ■ '
. ■■
16.14
3 2 89
5 047
33.17
5269
3.09
4 075
11.48
5 515
0.7 3



2.08 76. 21624
-- . ...... .. - «


15 CHIKKAMAGLUR
16 D. KANNADA
17 HASSAN
18 KODAGU
19 HANDYA
20 MYSORE

•J">-•:»> (■

-

% a.chievment to
PROPORT
IONATE
TARGET

J-.4

3.
t.

.

.

................... 1998

8

4

103.32
95.60
126.79
34

2217

■ - ....

.-<• ... .

8765
6955
10450
2158

8242

2 . BELGAUM divn
■ ■ > .X.
11 BELLARY"

: -r.-. .

..112,97

.....

8 BIJAPUR
9 DHAR WAD
10 U. KANNADA

..

13932

3

B • L O R E . DIV S N

.

.12 3 33 .

2 BANGALORE!R)
3 CHITRAuURGA
4 KOLAR
5 SHIMOGA
u TUMKUR .

KARNATAKA

DIRECTORATE OF HEALTH AND FAMILY WELFARE SERVICES - BANGALORE.
FAMILY WELFARE PROGRAMME : PROGRESS UNDER T.T.(PH) IMMUNI5ATI0N DURING AND UPTO THE END OF

-

10

OF

5
12
.17

19
10
16
14

7
20

104.02

3

105.38
97.60
84.96

2
o

15

4 0338
54205
5 5 59 1
44210
. 52896 .

••6.71
24.30
-1.19
■17.67

w

.0.-.02

_

39 386.3.. .,'.;2 ,12
■■ -

Sc-

-• 1

1 ■« C~ »“• M •

106283
76264
93268
21.24C

11.78

2.97.0 5.5 ,

6.6j

4 8 625

19.95
r.5.21
.'8.8 5
-4.75

33869
68864
621"7

6.67

1.08
5.7.9

,

, 21355,5 ,

9.5 9

19843
46703
33563
10 02 0
36082
69074

4
■77.77
■1.72
0.30

6.30

»■
4 .

MYSORE.DIVN



20042

18609

92,85

13609

. 0,00

,

24 0.50.0 ,.
w v•

-2 2 0 462

STATE.

TOTAL

10 3418,107543

,10,3.99

,100.95.5

6.53

124 1000

'

80,. 16 .

,87.45

215285

10.4 5 .

.11.375.98 ,. ,.Jip.485.83,, _.._84,.40„

,92,. 18.

111.97 5 8

6<3.6|

» ■■r.-1.

19 27 93

2V- ?‘r‘'

Ultf

•»
cH \U JUL ; 1 V

.-...;

C-'ILJ

“■LAL in

PUWAW

DI STRICT

s/
I

SURVEYS

SL.

INDICATORS

1998

Population

_.lor?(J)

3'elcau.ti

3eI Ia ry

C. M a g a I u r

Bi dar

A T1 fr.
1T C
vn
U r\-C
b z

r-u I o a r g a

^B

KEY

T

K qd a g u

flB

-J 1 5 I X 1 C i WI S E

Ma nd y a

ft a i c h u r

T u mkur

NO.

^B

f
cats

Total Population (in thousands)
Percent urban
Percent'Serie.-;jIea caste
Percent schedulea trice
Decennial Population Growth
r a t e Cl 9 31 9 1)

1.
2.
5.

^B

5.

3583.6
23.5
11.36
2.52
2 0. 30

1390 . 1
29 . 9
19.32
8. 82
2 5. 9 2

1255.8
19.6
20.71
8.3 0
26. 12

1017.3
16.9
19.25
2.61
11.57

2 69 4,3
2 3.3
,.52
3.94
13.36

2582.2
23.6
23.65
4.14
24.10

4 3 8. 5
16.0
12.08
8.25
5.75

1644.4
16.2
13.73
0.73
15.96

2309.9
2 0.8
17.23
7.80
29.49

230 5 . ’

18.6,

15.9

15 .7

14 . 3

1 O . 0

19 r9

15.2

19.6

15.9

15.1

16.6.

lu.2

21 . 5

2 0.9

30.2

9. 1

3.4

30.9

8.5

6.0

3 0.7

5.7

57.1

2 7.1

4839.2
8 6.2
14.71
1.11
3 8.00

jB

16.6

17.72
7.27

16.58

Rapid Household Survey,
Reproductive and Child Health
• ■'

A R ftI A 3 E

AG E

Mean age at first cohabitation
for women interviewee
£ a Percent of Hoys Harriet) at age
less than 21(s i n c e 1 J a n y 1995 )
Percent of Girls Harried at age
less than lilsincel 1 1995)
a

^B


12.0

55 .3‘

54 .1

67.6

4. 5

13.6

47.7

22.0

37.0





Birth Rate
1995 to 30

L j I U

1 a
2 □

(luring 1 J a n y
June 1993)

Crude birth Rate (Average)
Percent of third or higher
order births reported

1 i*1
u
2 0.7
23.3

24.0
36.7

31 . 9
45.9

31.6
52.0

19.7
.3,2. 0

2 5.5
18.4

30.1
53.7

34. 2
.18.9

2 0.3
26.2

2 9.1
5 2..9

2 4.1
27.4


FERTILITY
X ■

Mean
corn

No. of Chilaarn
to Aomen age 40

ever
44

3.5

4•0

5 ■ 1.

5.4

3.7

.

3. 7

4.9'



P-2

4.0

4.7

4. 1


INF ANT

1.

1.

■. J RiA LIT Y

Infant Deaths
Children corn
to 30 0 97
"KORoIDI TY
No. of Cases

among
during

l. ■<

o

4
1

1

11

22

9

.3

17

9

8

15

Q



95

e
Reported




'! a I a r i a (3 norths
survey)
Tuoerculosis
Leprosy
■ •

prior

to

2i

10 2

46

45

42 ,

67

129

17

94

109

10
2

6
3

42
12

~7
L.

6
2

17
1

24
4

7
0

26
8

23
4

26
2



1'



11
» I .

A'-D

REPPODCCTIV ;

SL.

KEY

CHILD

INDICATORS

DISTRICT

SURVEYS

Eel I ary -Bi dar

C-.Magalur

HEALTH PROGRAMME

3.lore(U)

Bel gaum

INDICATORS, DI STRICTM-ISE

KEY

d.K-

Gulbarga

Kodagu

Mandya

Raichur

Tumkur

99.6
99.6
76.0

100.0
100.076.2

NO.

K n o w I <, d
PI an n 5 no
1.

2.

of

F-a-m-il-y

Percent of Currently
arrie-dnomen:
a. knowing any method
o. knowing any modern methoo
c . knowing any m o d-e r n spacing
method
d. k-now i n j all modern methods
e. ever used any method
f. currenntly using any m e t n o d

Percent of currently
arried
women currently using
f e ma 1-2 s t s r il i z a t i o n
b . male S t er iIi z a tion

d.
p
f .
3.

a-nd us e

pill
C 0 n 6 0 Hl
any * r a biti c n a I

~st h o□

Percent of currently married
wom_an having unmet need for
a. limiting
o. spaacing
c. total

99.1
’? ? . 1
79.9

99.0
99.0
70.9

-99.6
99.6
56.0

99.5
99.3
63.8

100.0
100.0
91.7

5 5.8
65.9
60.1

40.4
62 .9
61.3

2o.4
50 . 0
4-8.7

23.2
5 2.7
50.6

5 2.2
7-5. 7
71.4

47. . 6
0 . 3
5
1 .7
. 2
0,7

53 . 5
0 a 'J
1 □ 3
0 ■ ~
0

46.5
0 .2
X1 a X1
A
V 04
4

59.1

A

V0 n 0V
a
V a 2--

46.0
0.8
0.7
a
V n 71
0.9
J-1 a 2C

15.2
13.5
33.7

5.2
24.9
30.1

3.3
34 .2
43.0

12.6
24.6
37.2

7i
/ 4 a O7

4 0.1

29 . 0

27.2


6 3.1

2 0 a Jft

CA
L
>0.6

17.0

32.9

$2.4

18.0
68.7

23.4
40.4

19.7
52.7

15.6
78. 1

0

0
ft

ft
7

-

.

99.4
-99*3
v2’s

99.3
99.8
6 4.2

98.7
93.7
95.4

100.0
100.0
83.6

70.7
6 7.4
63.7

27.2

3 8.3

50.2

29.3

40.0

73.9

73.3

47.9

39.2

70.6

71.7

45.4

z i

42

63.1*
'

61.3

7

55.2

7

A
u • 11
ft
7

1

3 7.3

4 4.7

Aft
■_Z O q ft

A
V» A
o

A
U a /H

1 . A
1
V

A
V a Q

a O/•

A . -7
U
J

A- Qu . y
A
"h
0 .

u • r

1.6

A
0 . O
C

Q

A
V • -O
'V
A . 1

U

bi. a X1
1 C\
7
1
Va 2

C
Cfty • 2
C.5

n • J
7
V
A
A
U a U

7__ A
0 . U
1 A
1
U . A
0

-A
V • Q->
A
U • A
v

A
1
u • 1
A
ft
U • 0

Aft
v

A
A
V • v

16.4
31.7
48.1

..........
6.3
-14.4
21.3

4.3
16.8
21.7

16.4
2-5.842.2

9.2
21.8
31.0

_^-C
c
7 3. J

C 0.4

7 ft
1
( D . ±

ft O
2
y« 7
(

i.7 7f . A

Aft/
0
0.4

7 z

-) *7
O
C 1 a >

<7
0

4O . O

! O- ft

7C C7 . 7t

4/ft
0.4/

1 rj .0 .
19.0

11.8

13.1

-7-7
C
4
• 0

7
f 0
9 . ft
2

A7 . A
Oc
0

ft ft
2"> 5.5
4/A0.5

» c
1
15.1
6 3.5

ci
• -J

±1 ■ 2c
... GeV
? A
2 « 0
ft .
G

4 0.8,'.

.
.. - - ..
5.9
—9.5
14.-4—' 2-1. 4 20.3
31.0

.

A . >
U

.

<
1 A
1
• |

MATERNAL- HEALTH CARE
Percent

a

of

since
c e i v-e o
' check
in

TEA

worn

haa

1 J
ant
ups

c t i on s

t a 6 L-

©
c

at
at

health facility
none and att enoed

Q

1

O a X

safe

O
7 A
V . O

-

CHILD
1.
2.

oe
of 0
on
percent of women who gave
colostrum to their children

1 O 04
b

15.0

-j

_n 1
-yl.7

___________

.

f a 7(

i

_____ ‘________ x___ ________ _ ___________

.

.

-jS 2 . Q7

a7

65.7

A A
U .A

ft

J

31. 3

3.6.2

7 A -A
□0 . 2

81.2
-----------—

36.0

5 2.5

7-7 - ft-3
2

fa

■0C.

C

:_________ L__ _ _____ ___

r 7
1 C J • 1

A
A « J
A
OO

171
< a X

ft0 ft5 . 11

7ft/

•IO
1 7 . j

ft a

7

QA
> v • A
V

7 A

7 ft

■ft U a 7C

0 p • Q/

------- — ■------------------

*





REPRODUCTIVE

•’'1'

AND

CHILO

HEALTH PROGR A MME

DIS TRICT

SURVEYS

1■

<EY

1 vr. 1 kJ

j,

u- 1 O 1 \ 1

|

•% *
-------------- - —

SL.
NO.

KEY

3.

percent of
months who

Pl . 1 o r e ((J )

INDICATORS

Belg au m

. e 11 a r y

3 i dar

C. M a g a I u r

D. < ■

Gulbarga

Ko da gu

Handya

Raichur



Tu m k ur
^B



a .
o.
c.
a.
e.

" ■

1

c n i I ar e n
receiver

age

12

36
4B

SCO
three injections o f DPT
three doses of o o I i 0
measles
complete ( C C-, 3 !? PT, 3
Polio i measles)

REPRODUCTIVE

C.

96.7
89.6
90.2
34.7

90 . 6
77 _ 2)
85 . 5
72

80 . 3
74.4
76.2
69.3

75.1
73.1
80.3
57.2

9 3.9
94.8
95.2
92.2

9 8,0
9 5. 5
9 4.5
88.5

52.4
4 2.1
5 5.S
32.5

9 8.8
98.2
97.1
97.1

99, 0
95.0
96.0
91.5

61.4
5 0.8
58.0
44.0

98,7

7? . 7

64 . 3

64.2

50.3

S3. 5

8 6.0

25.3

9 4.3

88.0

37.2

8 9.6

95.8
9 5.4
90.0

^B

A

^B

IDITY

..._____ _ _

■ATM

percent of women reporta. abortion complicat ions
□ . pregnancy co~□Ii c a t i 0 n s
c . delivery c o m p I i c a t ions
d. post delivery comp l i c a t ions
e. contraceptive sice e f f e c ts
i. female sterili z a t i 0 n
i i . IUD
i i i . pills
f. reproductive tract i n f e c t i on

AWAaE.\ESS OF

1

1 V

c Y HEALTH

0 5 .3

Itl,

18.7
24 .4

17 . 7
30 .2

16.2
21 . S

50.0
6 6.7
25.5
49.2

41.6
56.9
3 3.6
41.9

4 1.6
6 0.5
2 3^9
3 2.7

22.2
29.3
10.2
2 3.3

40.7
54.7
17.8
2 2.7

0.0
56.3
16.9
24.8

64.2
40.6
2 4.6
2 3.3

33.3
25.5
16. 3
. 36. 3

SB

^B

1v*
20.1
9.5
7. 1
5.4

16 .9
16 . 6
33 .3
0 .0

17.7
15 . 3
20 .0
17 . 0

32.5
33.3
0 . 0
48 . 2

14.5
16.2
30.0
5. 5

1 3.7
2 3^5
8^3
2. 8

35.6
3 3.3
0.0
11.0.

15.5
13.5
15.3
4.2

9.6
44.4
0.0
1 . 2

17.3
0.0
3. 0
13.4

28.3. ,
11.7

.

fl

0.0
2.3

OS HCri

Percent of women aware of
a. pregnancy complications
0 . treatment/practices to o e
followed in diarrhoea
episodes
c. pneumonia symptoms
d. reproductive tract infection
e. sexual lytransr. it ted
infect ion
f. HIV (AIDS)
VISIT

43.7
5 4.8
4 2.2
27.2

--- - -- HF':----- -.39.4

.? 2.3

35.7

97,1

97.7

48.9

83.3

2 4.8
12.8
0.7

47.6
38.0
10.2

5 3.3
2 5. 1
15.9

31.4
5.8
0.3

85. 1
63.3
51.7

69.4
16.2
23.0

84.7
18.4
2.2

5°. 5
3 9.8 ‘

0.2
24.3

12.8
6 6.5

13.4
7 3.4

0.4
30.0

45.9
74.9

9.5
72.4

1.3
48.3

21.7

6?_._0

80 . 0

52.4,

71.0
22.1
13.4

89.1
17.3 ’

2 .0

73.7
24.9
1 . 7

13.0
77.2

3,0
65‘. 0

1 . 4
26.4

n

^B

25.4
4. 4

49. 3

AORKE R
A

1.

Percent of
visited o y

rural households
A vs/H e a 11 n worker

2 9.2

36.4

21.5

13.0

4 3.2

8, 9

13.8

87.0

60 . 0

18.3

4 4.1
^B

I
R EPODtIC T I VE

st.

key

A\D

PROGRAMME* -

C.lILD

f.lorsIU)

indicators

-DISTRICT

Eelgaum Bellary

8-i-da-r

r^Y

SURVEYS

C.Hagal-ur

-D.K--

p.

2 5.0

INDICATORS, DISTRICTWIS

uul ba rKodag-uManciya

Raichur

Tumkur

no.

UTILIZATION Or SOVERn.ONT
HEALTH facility
1.

Percent of currently m a r r i e c
women availing Government
Health facility for
a ■ i n a u c e ■— a b-o r t 10 n
w O

*■ z. «
>
4 1 V Ci Q <- :.‘i C 1 i ■-

i »
ii.

0 .0

0 o0

66.6'

0. 0

C
A
J U , V

0.0

4 7

1 AA A
1 VV. U

■,’R
• U

33.3

^.4
-J

w m r«
.z s,-n > v1 Cz4 k.f ti< v ‘ n< Om r». 1c* vz * 1 r;1 |
i n du.c sc sbortion
spontaneous abortion

n t a r 2 *■ - <
A.i
I tf Hd v<5 L rC Cl0 in cn
-4< Cr v .. ■ -z L irA-finn*;
» 1 CC -3
1 > s.
1 v:l J
during s r s c ns ncy
i. - D- c c 10 r
i i • n 'j r ss /AL
iii. d i • s d s n s 3 r y
TrAAtn^nf .if n n c t ri 1 i w p r v
c. n *n n I i r. a t i n n q
i . Doctor
i i . n u r s e / AN
e. child □ i r-1 h (percentage of
institutional deliveries
taker, dace in 0 o v t.
institutions)
f. immunization of ch-illldren

Lr* 0
ri
-4 •_



.----

0.0

..........................

...

•+ -> 0 c.

O7 L.'0 0 "T-J

->A C.? 0 7(

...

.•«. - -

. i!:

39.9

JC, M-/ « OQ

4 1.-6

■' g, 9

3 2.1

75.5

UX •

1. c

f.u
9 1

3 6.7
1.2
0.0

7f - B X1
n 4

0O

A
O 71 ■ JS

3 2-7
0 .0
0 . 0

29.5
4.7
1 •9

4 2.9
9.0
0 . 0

5 •
5 . 3
0.6

4 6.^
6.2
0.0

42.3
0.0

2 5.7
5.7

50 . 4
5 . 3

2 3.7
5.-9

43.7
13.7

2 5.0
4-.-6

D

44.3
59.2

33.7
88-.6

66.1
93.7

57.3
92.4

62.5
-8-6.5

3 3r8
7 9. 0

39.4
52.2

5. 5
0-.-0

. -

----

0.0

'

0.0

56.0
A
U . *T4 ■
0.0

I1 71 ■ Un
X> c
0.0

______ ___ ____________ X C • £.
JSA
U • ftQ

2.6—

73.6
38.2-

—1.9

0.0

'69.2
96.4

39.1
57.2

4?

A

(

x1 • OA

0.0

47.1
7. 1

73.9
90.3 **’



t-F-ee t-fserd o-f c-h-il-d-ren
having
i. Diarrhoea
ii. Pneumonia
h. contraceptive services

11 . 3
13.4
64.7

17.1
15 .7
-82.4

30 . 2
50.0
93.3

30.7
14.2
32.9

26.4
28.1
88.5

17.6
18.9
6< 6

19.6
2q' 5
qx' 0

33.1
■'1" 6
86*8

43.8'
43.4
94*3

16.9
14.2
76.2

19.?
25.0
91.3

treatment of sine effects/
health problems of
i. female sterilization
i i . IUD
iii. pills
j. treatment of -?TI Doctor
Nurse/ANM/LHV

35.3
0.0
$
11.9
0.0

43.1
100.0
*
10 .8
3.1

51.5
50.0
100.0
25 . 2
2.6

45.5
0.0
«
5 .8
0 . 0

52v8“
50.0
0.0
17.9
2.9

4 2. 4
40, q
o.0
8'.-8
8,s

7,

.

J ‘

A, .
an* n

74,4
*'0 0

39.1
*

::
, ’
1’’

-*•'

19 3
^4

7.3
1.6

55.8
6 6.6’
«
12.T
2.3

g-.

i.

■4 i

.


4'

ld-‘

KARNATAKA AND INDIA AT A GLANCE
(AS ON 31-03-1997)
l.Gen erst

Information

Karnataka

India

1 ,yi f (y 1

Area

in

NO. O'

Revenue Divisions

NO. C f

Districts

27

4 66

No.of

Sub-Divis ions

49

NA

No.of

Taluks

175

NA

254

4,689

bq . KmS

j

•“TT. K*

non

W

No.of Towns £ Urban
<1991 Census)

inhabited

Nd.of

8

Agglomerations

viI I ages(1991

census)

2 .Demographic

F-d
w

Population(in 000s)
Male

Features(1991

Female

Population

j

Decinnial

ffilj

Percentage of

Growth

(in

5,57,137
<1981 census)

44,977

8,46,302

22 ,952

4,39,230

000s)

22,025

4,07 ,072

21.12

23.85

Rate(1981-91)

Urban

W

Population

to

Total

®

*

■'



30.92
25.73
■ __ ------------------------------------------------------------ - --------------------------------------------------------------------------------

.

'

9

2 35

2 74

W.

960

927

W

56.04

5 2.21

Male

6 7.26

64. 13

WL .

Female

44.34

39. 2 9

__ ;

Oensity of Population per
<1991 Census)

41

W

>.

Popul at fan! 1991)


—------------------------------------------------

' 1

Census)

000 s)

Papulationlin



27,066

iWf’

-

W

NA

SqTkifs

10(T0"'Ra lesj-

S ex

R a t i o (No. c f

(a)

Per tentage of Literacy(1991

Females

$1

per

Census)

IM


(b)

Expectation

of

life

at

(1996-2001)(Projected)

birthlin

years)



(as

worked out

by Ministry

£

FW)

(d)

Percentage

of Married Females

to

Females in
(1981

the age
census)

(e)

(f)

(BL
gm:

Per

Capita

3)

Vital

of

group

Age at marriage
(19 91 Census)

Mean

At

s

Couple Protected as

No.of

‘ san

s® JiJ

E I igitIe

(c)

of

H

of

on

31“ 03
57.7

76.08

15?44

80.51

Female/Male

26.21

Female

20 . .14

current

45.8(1995)

total

Male

Income

99 7

1995j-96(in

23.29(1981
Census)
19.40

Rupees)

prices

9004.00

9321.00
(1991-92 )

_

Uli
W’l
Mt
HF

■r

) t

Statistics
Wf



co


£

(A)

Fer t iIi t y

( 3)

Birth

-----

Rate(1997)

Provisional

MB

Rural

2 3.9

28.9

Urban

2 0.1

21.5

Combined

2 2.7

27.2

3• 1

3.8

2.4

2.7

2.8

3.5

>•

Hi
(b>

Total

Fertility Rate(1994)
Rural

W

Urban

__________

Combined

tu
(Cl

Gross

J

reproduction

...
Ra?e(1994)

----------------------4

Uii . •

1

Ifi
Ru r a I

1.5

1.8

urban

1.1

1.2

Total

1.4

1.7






(3)

Mor tali ty

(a)

1 non

Death

Rate

(1997)Prcvision aL

8.5

9.6

Urban

5a 4

6.5

Comoine a

7.6

8. 9

!

.

(b)



Infant

________

Mortality

.

.



L
fl?!

®
.1
L’l

cc

Rural

(c)

Neo-natal

Rate(1997)PrcvisionaI
___ ..

...____ _________________ L_____ l—._,___ _________ _________ |

________

Rural

63

77

Urban

24

45

Combined

53

7.1

and Post

natal

Mortality

--------------------- j

Rates<1994)

3F

' "i

tn

Neo -nat a I

4 4.7

47. 7

Post-natal

22.1

42$ 5

5

------- - ------------------------------------------------------------------ --- --------------

Him

Bt

4.Percentage of
(Provisional)

-------

-- ------------

Population

k

......

__ __________ i

..

below Poverty

Ii ne(198 7 •-88 )

Rural

32.8

39. 1

Urban

4 9.1

40. 1

Combined

38.1

39. 3

w

Hf

id8--------it

5.Per-Capita(Public Sector) Expenditure on Health
(Medical and Public Health) and Family Welfare
1989^,90 (in Rs.)
/
Health

MB*

Family

#

6.(a)

■■

General Hospitals,
District Hospitals

Health

and Medical

Major

Welfare

-------- iik
i

54.15

69.8 5

11.4 2

13.18

293

13692

S

1601

21009

aa

589

2740 3

fi

Institutions
Hospitals

and

Primary

Health

Centres

Primary

Health

Units/Disoensaries



ftlv*

_____

No.of

Secs

rto.of

Sub Centres

Rural

Family Welfare

Urban

Family Welfare

Medical
Centres

(e)

S143

1 31470

fc

Centres

269

5345

S

Centres

87

1941

i

of

Traininc

Doctor

NA

S

NA

1:21609

NA

1995)
ISA-scO

J

ISl^Xc

RatiolGovt.)

Excluding

Teaching

Staff

1:10260

NA

Including

Teaching

Staff

1:3604

NA

Nurse Midwife/Midwife

Population

For

Rural

Nurse

csea

Population

nano

Ratio(Govt)
1 : 555 1

ForTctalPopuUtion

\T )

1501+

472
Centres

kchio

Population

Auxiliary

*

j

Pregnancy(MTP)

Institution Population Ratio
(For projected Population of
rupuiciiion

$$

8

103

Termination

Health t F.W.

(d)

621376

Partum Centres

Post

Cb)

53382

1:2036#

1:3611
1.9

NA

^■1

-

fid
ywIB

--------



-

'

-

3

as

on

1.1.1993 *
+ 31.3.1987
on 1992.

1985
3
1986
€ 31.3.89
aa

♦♦
1.1.1988
as on 31.3.1993 OSS

as

-O
'1

MONTHLY STATEMENT. SINOWIN^INSTITOT TONAL. CASES & DEATHS
DUE JP .CJ3 A\WICABLE DISEASES

1 Name of the State/uT

:

2 Month/year
3 Total No. of existing
Institutions in the State/ur
4 Total No. of reporting
Institution for the month in
the State/ur.

:
:

5 Total No. of defaulting
Institutions for the month in
the state/ur.

:

:

6 Reported cases and deaths due to Communicable Diseases:

SI
No

Name of Diseases

Deaths
_

Patients Treated

_

M

TOTAL

IPD

OFD
.F

M

M

F

(IPD only)

F

M

’T

"F

1 Acute Diarrhoeal Diseases
(including Gaestro Enteritis)
& Cholera)
2 Diphtheria

3 Acute Poliomyeliicis
4 Tetanus other than Neonatal
5 Neonatal Tetanus
> Whooping Cough.

7 Measles.
8 Acute Respiratory infection
(including influenza &
excluding pneumonia)
9 Pneumonia
10 Enteric Fever

11

viral Hepatitis

12

Japanese Encephalitis

13
14

Gono^o^al linf ection
Rabies*

15
16

Syphilis
Gonococcal infection

17
18

Pulmonary Tuberculosis
All other Diseases- treated in
institution excluding above
mentioned diseases.**
n.■. -■

a_-xu

HMi

< -'*•

a. ssa

-

saaa

axlv

aaia

m • raav

a-aaa

a---u

ertw

wan

a^aa

caj.

u-aa

a_-a

ri_a

TOTAL
* Please take care not to include simple dog-bite cases r
.** Including Communicable and Non Communicable Diseases.
M - MALE

F-FEMALE

1

T-TOTAL
PTO

111

■*<

i) IPD - Inpatient.

ii) OPD - Out-Patient
iii) All the medical institutions i.e,, Hospitals,
Dispensaries, Clinics, PHCs, CHCs, Sanatorium
etc., in the Organisation should be covered.

iv) The cases and deaths due to various diseases
other than those treated in Medical institutions
wherever notified should be given in a separate
report.

v) Only confirmed cases of Rabies3 i.e., Hydrophobia
should be included and not the dog-bite/animal
bite cases.
vi) A list of total.number of institutions existing,
reporting and defaulting districtwise should be
furnished.
vii) Acute diarrhoeal disease should include all
Gastro Enteritis cases i.e., Cases with three or
more loose watery motions in a day, irrespective
of actiology/causation.

viii) Data on Japanese Encephalitis should tally with
reports furnished to National Malaria Eradication
Programme.

ix) Data on vaccine preventable disease should tally
with UIP data being furnished by state EIP Officer
to Ministry of Health.

x) only new cases of Acute Poliomyeliti3j which
have been listed should be given.

lITTQqcnra

REPORT

THE EXPERT COMMITTEE
PUBLIC HEALTH SYSTEM •

GOVERNMENT OF INDIA
I '
MINISTRY OF'HEALTH & FAMILY WELFARE
NIRMAN BHAVAN, NEW DELHI-110 Oil.
JUNE. 1996

Annex - 1A

LIST Ob’HIE MEMBERS OE T1IE EXPER T COMMITTEE

1.

2.

O>

4.

5.

6.

Prof. J S Bajaj, Member^.
Planning Commission.

Chairman

Dr Jai Prakash Muliyil,
'
Depth of Community Medicine,
Christian Medical College, Vellore.

Member

Dr Harcharan Singh, Ex-Adviser (Health),
Planning Commission.

Member

Dr N S Deodhar, Ex-Officer on Special Duly,
M0I1&FW, 134/1/20, Baner Road,
Aundh, Pune.

Member

Dr K J Nath, Director,
All India Institute of Hygiene &
Public Health, Calcutta.

Member

Dr K K Dalta, Director,
N1CD, Delhi.

Member-Secretary

List of the officials who assisted the committee
1.

Dr. Prema Ramachandran,
Advisor (I leallh),
Planning Commission

2.

Dr. Dinesh Paul,
Deputy Advisor (Health),
Planning Commission

3.

Dr. A C Dhariwal,
Joint Di rec lor,
N.I.C.D., Delhi.

4.

Dr. S P Rao,
Chief Medical Officer,
N.I.C.D.,Delhi.

ii

plisiinnex.iloc

CONTENTS

SI.No.

Description

1.

EXECUTIVE SUMMARY

2.

INTRODUCTORY CHAPTER

1.0 Background
2.0 Introduction

3.

I


Page
Nos.
' 1-20

21
22

CURRENT STATUS OF PUBLIC HEALTH
SYSTEM IN INDIA

3.1
3.2
3.3
3.4
3.5
3.6

History
Federal Set-up
Union Ministry of Health 86 Family Welfare
Department of Health
Department of Family Welfare
Department of Indian System of Medicine and
Homoeopathy
3.7' Function
3.8 Department of Health
3.9 Computerisation
3.10 Medical Education, Training and Research
3.11 International CO-operation for Health and Family
Welfare
3.12 Facilities for Scheduled Castes and Scheduled
Tribes under special component plan
3.13 Directorate General of Health Services
3.14 Functions of Department of Indian System of
Medicine and Homoeopathy
3.15 Department of Family Welfare
3.16' Planning Commission
3.17 State Level
3.18 District Level
3.19 Community Health Centre/Primary Health
Centre/Sub-Centre
3.20 Observations, Suggestions and Overview
3.21 State Level
3.22 District Level
3.23 Community Health Centres
3.24 PHC/Sub-centre Level

43
44
44
45
45
45
46
48
49
50
51

51

53
58

60
63
64
65
66
66
72
72
73
74

EPIDEMIOLOGICAL SURVEILLANCE SYSTEM
INCLUDING INSTITUTIONAL SUPPORT
SERVICES

4.

4.1
4.2
4.3
4.4
4.5
4.6
4.7
4.8
4.9
4.10
4.11

General Introduction
Notification System
Diseases that are notifiable
Legal Provisions for Notification
Reporting Agency
Defects in Notification
Epidemiological Units and Investigations
Public Health Laboratories
Isolation and treatment facilities
Quarantine Administration
Anti-Mosquito and anti-rodent measures at Ports
and Airports
4.12 Collection and dissemination of Statistics
4.13 Observations, Suggestions and Overviews
4.14 Institutional Supprt Services

76
77
78
78
79
79
81
81
82
82
83

83
96
99

STATUS OF CONTROL STRATEGIES FOR
EPIDEMIC DISEASES

5.1
5.2
5.3
5.4
5.5
5.6
5.7
5.8
5.9
5.10
5.11

General Introduction
Malaria
Kala-azar
Japanese Encephalitis
Dengue
Diarrhoeal Diseases including Cholera
Poliomyelitis
Measles
Viral Hepatitis
Strategy for Control of Epidemic Diseases
Observations, Suggestions and Overviews

103
105
109
110
111
112
113
114
114
114
116

EXISTING HEALTH SCHEME

6.

6.1
6.2
6.3
6.4
6.5
6.6
6.7
6.8
6.9
6.10

Rural Health Service Scheme
Health Manpower in Rural areas as on 31.03.95
Health Manpower in Tribal areas as on 31.03.95
Training of professionals and para-professionals
Village Health Guide Scheme
Mini Health Centre Scheme of Tamil Nadu
Rehbar-i-Schat Scheme in J & 1<
Child Survival and Safe Motherhood Scheme
Universal Immunisation Programme
Surveillance of Vaccine Preventable Diseases

ii

118
123
123
125
125
12®
129
129
13^
^1

6.27
6.28
6.29

Testing of Oral Poliovaccine
Oral Rehydration Therapy for Diarrhoea control
among children
Programme of Acute Respiratory Infection
Iron Deficiency
Vitamin A Deficiency
Safe Motherhood Services for Pregnant Women
Care of Newborn and infants
National Malaria Eradication Programme
National Leprosy Eradication Programme
National Tuberculosis Control Programme
National filaria Control Programme
National Guineaworm Eradication Programme
National AIDS Control Programme
National Kala-azar Control Programme
National Programme for Control of Blindness
National Iodine Deficiency Disorders Control
Programme
National Diabetes Control Programme
National Cancer Control Programme
Observations, Suggestions and Overviews
.

*

NATIONAL FAMILY WELFARE PROGRAMME

6.11
6.12
6.13
6.14
6.15
6.16
6.17
6.18
6.19
6.20
6.21
6.22
6.23
6.24
6.25
6.26

7.

131
133



7.1 Introduction
7.2 Family Welfare Programme During the First
Seven Five Year Plans
7.3 Observations, Suggestions and Overviews
S.

135
135
136
136
137
139
144
145
146
147
148
150
150
152
154
155
157

161
161
177

ENVIRONMENTAL HEALTH AND SANITATION

8.1 Introduction
8.2 Constitutional Obligations for Environmental
Health and Sanitation
8.3 Water Supply
8.4 Sanitation
8.5 Hospital Waste Management
8.6 Drinking Water Quality Surveillance - Legislation •
and Standards
8.7 Operation and Maintenance
'
8.8 Industrial Waste Management and Air Pollution
Control
8.9 Air Pollution control in India
8.10 Observations, Suggestions and Overviews

iii

183
185

186
187
191
191
192
192
195
198

EPIDEMIC REMEDIAL MEASURED - ROLE-OF
STATE AND LOCAL HEALTH AUTHORITIES

9.

9.1
9.2
9.3
9.4
9.5
9.6
9.7

Introduction
State Health Directorates
Municipal Health Authorities
District Health Authorities
Primary Health Centre Infrastructure
Panchayati Raj System
Observations, Suggestions and Overviews

201
201
202
203
203
204
204

CURRENT STATUS OF HEALTH
MANAGEMENT INFORMATION SYSTEM AND
ITS ROLE

10.

10.1 Introduction
10.2 Evolution of HMIS in India &> its current Status
10.3 Current Status of HMIS implementation in
various states
10.4 Observations

206
206
211

211

RECOMMENDATIONS

11.

Short Term
Policy Initiatives
Administrative Restructuring
Health Manpower Planning

Opening of Regional Schools of Public Health
Strenthening ck, Upgradation of the Departments
of Preventive and Social Medicine in Idetified
Medical Colleges
11.1.6 Reorganised functioning of the Department of
PSM in Medical Colleges
11.1.7 Establishment of a Centre for Diseases Control
11.1.8 Primary Health Care Infrastructure in Urban
Areas
11.1.9 State Level
11.1.10 District Level
11.1.11 Establishment of a supervisory mechanism at,
Sub-district level
11.1.12 Community Health Centres
11.1.13 PHC/sub-centre level
11.1.14 Village level
11.1.15 Prevention of Epidemics
'
11.1.16 Upgradation of Infectious Diseases Hospitals .
11.1.17 Water Quality Monitoring
11.1.18 Urban Solid Waste
11.1
11.1.1
11.1.2
11.1.3
11.1.4
11.1.5

iv

213
213
216
216
217
217

218

218
218
219
219
219

220
220
221
221
224
224
224

Inter-sectoral co-operation
Nutrition
'
Decentralised uniform funding pattern
Non Governmental Organisations (NGOs)
Involvement of ISM & Homoeopathy
Long Term
Broad set-up of Ministry
Bunding

225
225
226
226
227
227
227
228

12. '

ACTION PLAN FOR STRENGTHENING OF
PUBLIC HEALTH SYSTEM ■

229

13.

ACKNOWLDGEMENT

238

14.

BIBLIOGRAPHY

239

15.

ANNEXURES

i-lii

11.1.19
1 1.1.20
11.1.21
1 1.1.22
1 1.1.23
11.2
11.2.1
11.3

V

EXECUTIVE SUMMARY

E-1.0 INTRODUCTION
India is a large country with around 900 million population in 25 states
and 7 Union Territories. Historically India had a rich public heath system as
evidenced from the relics of Indus Valley civilisation demonstrating a holistic
approach towards care of human and disease. The public health system
declined through the successive invasions through the centuries, intrusion of
modern culture and growing contamination of soil, air and water from
population growth. With the establishment of British rule and the initiation
of practice of Western medicines in India strong traditional holistic public
health practice in India went into disuse bringing disease-doctor-drug
orientation. The so-called modern public health practice of the advanced
European and industrialised countries was primarily set up around
cantonments, district and State Headquarters in British India.

E-l.l By the time India achieved independence socio-political and economic
degradation reached to an extent where hunger and mal-nutrition were
almost universal; 50% of the children died before the age of five, primary
health care was very rudimentary or non existent and the state of public
health was utterly poor as evidenced through life expectancy at birth around
26, infant mortality rate 162, crude death rate around 22, maternal mortality
rate around 20. Only 4.5% of the total population had access to safe water
and only 2% of the people had sewerage facility. Number of medical
institutions were few and trained para professionals like nurses, midwives,
sanitary inspectors were barely skeletal in numbers. The picture on the
nutrition front was very grave. Food production, its distribution andavailability of food per capita were all unsatisfactory. MCH services, school
health services, health care facilities for the industrial workers, environmental
health were all far from satisfactory.

E-1.2 Under the Constitution, health is a state subject and each state has its
health care delivery system. The federal government's responsibility consists
of police making, planning, guiding, assisting, evaluating and co-ordinating
the work of various provincial health authorities and also supporting various
on-going schemes through several funding mechanisms. By and large health
care delivery system in India in different states has developed following
independence on the lines of suggestions of the Bhore Committee which
recommended delivery of comprehensive health care at the door step of the
population through the infrastructure of primary health centres and sub
centres. During the last eight 5 year plans following independence a large
network of primary health care infrastructure covering the entire country has
been established. In addition, several national health and disease control
programmes were initiated to cover a wide range of communicable diseases
namely, malaria, filaria, tuberculosis, several vaccine preventable diseases like
diphtheria, pertussis, tetanus, polio, measles etc. and to also cover some
important non-communicable diseases like iodine deficiency disorders,
1
PllS/lnul Joe

control of blindness, cancer, diabetes etc. The progress was periodically
reviewed through constitution of several committees like Mudaliar
Committee, School Health Committee, Chadha Committee, Mukherjee
Committee etc.
To provide more thrust on the improvement of
environmental health and sanitation the responsibilities pertaining to water
supply, sanitation and environmental related issues were transferred to the
concerned ministries of Urban Development, Rural Development 'and
Environment and Forests, Major initiatives were taken up in our efforts to
reach. Health for A.II by 2000 A.D. on the lines of polic’- directives enunciated
m National Health Policy. Eighth plan starting in 1992-93 clearly emphasised
that the health facilities must reach the entire population by the end of 8th
plan and that the health for all paradigm must not only take into account the
high risk vulnerable group i.e. mothers and children but also focus on the
under privileged segments both within and outside the vulnerable group. All
the efforts put through the last four and a half decades following
independence made significant dent in the improvement of health indices
viz. IMR 74 (1994), water supply urban area 84.9%, rural area 79.2% (1993),
sanitation urban area 47.9% (1993), rural 14% (1994), crude death rate 9.2%
(1994), expectation of life at birth Male 60.4% (19 92-93) and female 61.2%
(1992-93). Significant number of doctors and para medical staff are available
and the food productions have been raised from 50 million tonnes in 1950 to
1S2 million tonnes in 1993-94 increasing the per capita availability even in
spite of large population growth from 394.9 gm in 1951 to 474.2 gm in 1994.
E-1.3 In spite of this significant development and impressive growth in
health care, enormous health problems still remain .to be tackled and
addressed to. Though mortality' has .declined appreciably yet survival
standards are comparable to the poorest of the nations of the world. Even
within the country' wide differences exist in the health status in the states like
Bihar, Orissa, Madhva Pradesh, Rajasthan to that of Karnataka,- Maharashtra
and Punjab which have done exceedingly well in terms of quality' of human
life. Major problems facing the health sectors are, lack of resources, lack of
multi-sectoral approach, inadequate 1EC support, poor involvement of NGOs,
unsatisfactory laboratory' support services, poor quality' of disease
surveillance and health management information system, inadequate
institutional support and poor flexibility in disease control strategy' etc.'

E-1.4 In the background of the above and also in the light of the observations
in recent times following review of the rural health services, national
programmes like malaria, tuberculosis, UIP etc. concern has been expressed
that whether our efforts will succeed in achieving the goal for reaching
Health for All by' 2000 A.D. In fact experts are of the opinion that Health for
All bv 2000 A.D. is not a distinct possibility. It may' have to be revised
backwards bv a decade or two. The concern has been further compounded
following the recent outbreaks of malaria and plague indicating poor
response capability of the existing public health system in meeting the
emergent challenges of the modern days particularly the threat posed by new.

1

ph$riiial.un<*

emerging and re-emerging human pathogens.
In this context, the
Government of India constituted an expert committee to comprehensively
review the public health system in the country under the chairmanship of
Prof. J.S. Bajaj, Member, Planning Commission to undertake a comprehensive
review of (a) public health system in general and the quality of epidemic
surveillance and control strategy in particular, (b) the effectiveness of the
existing health scheme, institutional arrangements, role of states and local
authorities in improving public health system, (c) the status of primary health
infrastructure, sub centres and primary health centres in rural areas specially
their role in providing intelligence and alerting system to respond to the
science of outbreaks of disease and effectiveness of district level
administration for timely remedial action and (d) the existing health
management information system and its capability to provide up-to-date
intelligence for effective surveillance, prevention and remedial action. The
committee had four meetings in addition to interaction between the members
of the expert committee.
The summary of the observations and
recommendations suggested by the committee are summarised here.
E-2.0 PUBLIC HEALTH SYSTEM IN INDIA
E-2.1 Federal Set up

The federal set up of public health system consists of Ministry of
Health & Family Welfare, the Directorate General of Health Services with a
network of subordinate offices & attached institutions and' the Central
Council of Health & Family Welfare. The Union Ministry of Health & FamilyWelfare is headed by a cabinet minister who is assisted by a Minister of State.
It b s three departments namely, Department of Health, Department of
Family Welfare and Department of Indian Systems of Medicines. The
Department of Health deals with the medical and public health matters
including drug control and prevention of food adulteration through the
Directorate General of Health Services and its supporting offices. Director
General of Health Services renders technical advice on all medical and public
health matters and monitors various health schemes. Director General of
Health Services also renders technical advice on family welfare .programmes.
The functions of the Union Ministry of Health and Family Welfare are to carry
out activities to fulfil the obligations set out in the 7th Schedule of the Article
246 of the Constitution of India under Union and Concurrent list.
The federal government has set up several regulatory bodies for
monitoring the standards of medical education, promoting training and
research activities namely, Medical Council of India, Indian Nursing Council,
Pharmaceutical Council etc. In addition to the Union Ministry of Health &
Family' Welfare, Planning Commission has a Member (Health) of the rank of a
Minister of State who assists the Ministry of Health in formulation of plan
through advice and guidance and the .expert guidance is also available for
monitoring and evaluation of the plan projects and schemes.

3

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E-2.2 Stale level

The Stale governments have full authority and responsibility for all the
health services in their territory The State Ministr}’ of Health 6c Family
Welfare is headed by a Minister of Health <k Family Welfare either of a
cabinet rank or a Minister of State. Often he/they is/are assisted by a Depute
Minister depending upon the political situation. The Health Secretariat is the
official organ of the State Ministry of Health fc Family Welfare and is headed
by a Secretary/Principal Secretary/Commissioner as the case may be. State
Health Secretariat is assisted by a technical wing called the State Health
Directorate. Earlier all the functions pertaining to health and family welfare
and medical education were integrated. However, now in man)' states
directorates of public health services, posts of Director of Public Health,
Director of Family Welfare and Director of Medical Education have been
separated and they report directly to the Secretary.
E-2.3 District Level

The princmal unit of administration in India is the district which is
under.?. Collector District Magfstrato/Dcputv Commissioner. The size of the
districts vary widely from less than 0.1 million to more than 3 million and the
district public health system is headed by the Chief Medical and Health
Officer/District Health Officer.
.
E-2.4 Community Health Centre/Primarv Health Centre/Sub Centre

Apart from the headquarters of the district having district hospitals
and the office of the Chief Medical and Health Officer, the district has a
network of hospitals, dispensaries, communitv health centres, primary health
centres and sub centres to cover the entire population of the district with
regard to health care delivery services. It has also the network of hospitals
and dispensaries under the Indian Systems of Medicine and Homoeopathy.
E-2.5 Health is a multi-ministerial responsibility. Many of the activities
undertaken by the other ministries have tremendous impact on the health of
the people.
Several policy initiatives related to agriculture, urban
development, industrial packages have far reaching health linkages involving
higher morbidity and mortality. The same need to be analysed tlirough
appropriate health impact assessment studies for guidance of policy makers.

E-2.6 Man)- of the areas under the National Health Policy have not yet been
implemented. During the last decade massive changes have occurred
through destruction of ecological system, rapid urbanisation, large population
growth, industrial revolutions etc. leading to changes in health and
demographic scenario. Appearance of new, emerging and re-emerging health

4

phtfnal doc

problems has been causing concern. This calls for review of the National
Health Policy.
E-2.7 India is a large country with diverse socio economic situations.
Therefore, uniform health care delivery system is not likely to yield the
desired results. Therefore, continued efforts to develop alternate strategies
should be there so that the same could be appropriately dovetailed within the
overall framework of the health care delivery system to obtain better results.

E-2.S 73rd and 74 Constitutional amendments have provided immense
administrative and managerial authorities to the Panchayats and
municipalities. The same should be fully exploited with appropriate
delegation of financial authorities to improve the public health system.

E-2.9 Several ministries are involved in public health related activities.
Hardly any appropriate inter-sectoral co-ordination and co-operation
mechanism exists.
E-2.10 In the present organisational set up of the Ministry of Health & Family
Welfare there are several areas of duplications and there is excessive
bureaucracy. Not enough number of senior public health positions exist.
Many of the important positions requiring public health responsibility are
being managed through non-Public health professionals. For several-key
areas like environmental health & sanitation, manpower planning hardly any
component exists in the DGHS.

E-2.11 Indian Systems of Medicine & Homoeopathy has large number of
professionals. They are not being appropriately exploited to supplement the
modern health care delivery ervires particularly in the area of awareness,
community participation etc.
E-2.12 Rapid urbanisation has led to phenomenal growth in urban
population. 25-30% live now in urban area. Though tertiary care services are
available but primary care is grossly neglected here leading to higher
morbidity & higher mortality amongst urban poor and slum dwellers and to
also over straining of tertiary care health services.
E-2.13 Earlier practice of integrated delivery of health care services is being
eroded through creation of separate directorates in several states leading to
disintegrated pattern of medical and health administration. Growth of
bureaucracy as evidenced through placement of bureaucrats as Directors of
Health Services or as heads of primarily medical and health organisations is
also responsible for erosion of public health machinery.
E-2.14 Epidemiological support services and public health laboratory facilities
at the district level is grossly inadequate.

5

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E-2.15 Referral services in the community health centre is poor. Public health
specialised services in the community health centre is totally lacking.

E-3.0 EPIDEMIOLOGICAL SURVEILLANCE bioTEM

E-3.1 Epidemiological services were grossly inadequate prior to
independence but have since developed to a great extent, concurrently with
the national control/eradication programmes for various diseases like
malaria, tuberculosis, leprosy, cholera, vaccine preventable diseases, filaria
etc. However, there is a conspicuous lack of uniformity in the lists of diseases
which are notifiable in different states and also from the view point of
primary agency responsible for reporting. Cholera, veiiow fever and plague
which are-under International Health Regulations are notifiable throughout
the country. The other imoortant diseases which are notifiable in one state or
the other are viral hepatitis, enteric fever tuberculosis, influenza, meningitis,
Japanese Encephalitis, rabies, diphtheria, leprosy, measles, poliomyelitis etc.
Notification system in operation in various states is usually supported
through certain legal provisions. The position with regard to legal provisions
also varies from state to state and some state governments do not have any
specific act excepting invoking the Epidemic Diseases Act 1597. In urban areas
the responsibility lies with the municipal health authorities. Common defects
in notification are delay and inaccuracy in reporting the cases and under
reporting.
E-3.2 Epidemiological investigations have a key role to play in effective
control of diseases. For co-ordinating and carrying out such investigations,
epidemiological units/cells have been established in a number of states but
there are states where such units have not been established yet. Public health
laboratories play a premier role in verification of diagnosis, in assisting
epidemiological tracing of the spread of the outbreak and in understanding
the natural cycle of the disease. In most of the states, public health
laboratories are not functioning very efficiently and there is hardly any
facilities for virus isolation work in these public health.laboratories.

E-3.3 Wide variation in the notification system being implemented by
various states/UTs make the data lack in epidemiological quality and thus
hardly offers inputs for an effective response. The data generated through the
massive rural health infrastructure and hospitals and dispensaries are
received late and are non-uniform with scanty laboratory support. It includes
also no reporting and truncated reporting from several areas due to complete
blackout of surveillance in time <k space due to variety of reasons viz. non­
availability of health personnel, apathy of health personnel, poor
management, errors in reporting etc.

6

,f • J do

E-3.4 Surveillance data generated through the system and through various
programmes are considered at best indicative of trend rather than the actual
situation in the community and mortality and morbidity numbers reported
are grossly under estimated.
h-3.5 Though major national health and family welfare programmes have
institutional support services but such support mechanism is grossly
inadequate to meet the challenging needs of the modern programme
management. With large amount of information being generated covering
various areas of development and various scientific disciplines, there is an
urgent need for their appropriate analysis, understanding and dovetailing to
make the on-going programmes more modern and updated. Unfortunatelv,
in several of the programmes such formal mechanism does not exist. Though
a large number of medical colleges, national and referral institutions are there
not much has been done in the context of harnessing the expertise through a
formal linkage mechanism.
E-4.0 STATUS Oh CONTROL STRATEGIES TOR EPIDEMIC DISEASES

E-4.1 Appropriate guidelines for detection of outbreak and early warning
signal mechanism for epidemic prone diseases are not nationally available. It
is usually provided by N1CD on nd hoc basis.

E-4.2 Though several diseases with epidemic potentiality are covered
through national disease control/eradication programmes like National
Malaria Eradication Programme, Universal Immunisation Programme, there
is no centrally sponsored or central scheme to tackle epidemic prone diseases
in general. National Malaria Eradication Programme provides guidelines
with respect "... detection and containment of epidemic of malaria and kalaazar and so also several of EPl targeted diseases have appropriate guidelines
for epidemiological investigations. Guidelines have provisions of initiating
control measures but none of the guidelines have a component of generating
early warning signal and thus helping in identification of outbreaks early.
For many of the diseases like poliomyelitis, cholera, viral hepatitis, adequate
diagnostic support services are not available as a result many of them are not
detected and reported. Even in most of the medical colleges facilities for
identifying new sero types of cholera are not available.

E-5.0 EXISTING HEALTH SCHEME

;

E-5.1 There are large number of schemes functioning in the country like
Development of health infrastructure, Training of professionals and para
professionals, Village health guide, Mini health centre, Rehbar-i-Sehat
scheme, Child survival and safe motherhood scheme including UIP,
Programme of Acute Respiratory Infection, ORT, etc. in addition to several
major diseases control/eradication programmes covering diseases of public

7

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health importance like malaria, leprosy, tuberculosis etc. under communicable
diseases and blindness control, iodine deficiency disorders, cancer and
diabetes etc. under ciironic diseases. In addition to tire above programmes
under the Ministry of Health and Family Welfare there are several schemes
under other ministries like Ministry of Rural. Development, Ministry of Urban
Development, Ministry of Environment <f< Forests and Ministry of Welfare to
cover wide areas oi environmental health, water supply, sanitation and child
health.
E-5.2 All tire schemes have been aimed to improve die public health system.
Large number of agencies are involved. Co-operation and co-ordination
between these agencies are grossly inadequate and thus many of the
programmes do not give satisfying performance.

E-5.3 Multiplicity of funding mechanism, poor administrative <L-financial
authority at the peripheral points, multiplicity in administrative authority
lead to poor performance.

E-6.0 NATIONAL FAMILY WELFARE PROGRAMME

E-6.1 -India was die first countrv to have an official family welfare
programme which was initiated in 1952. Since then, during tire subsequent
eight five year plans, family planning as a measure of population control has
been receiving high priority attention in each of the five year plans. During
tiie 3rd five year plan (1961-66), family planning received a major boost and it
was declared the very centre of plan development and in the year 1966 a
separate Department of Family Planning was established in the Ministry of
Health and the extension approach was further modified into an integrated
approach and thus family planning became an integral part of MCH and
nutrition services. Tire National Health Policy has indicated a long-term
demographic goal of achieving replacement level fertility (net reproduction
rate of 1.0) by the year 2000 A.D. winch would necessitate achieving a birth
rate of 21 per thousand, death rate of 9 per thousand and annual population
growth rate of 1.2 per cent. The 7th plan document visualised the goal of
leading the same by 2006-11. However, keeping in view tire level of
achievement the 8th plan document has envisaged to achieve the same by
2011-16.
«

E-6.2 lire family planning programme has not been able to achieve fully the
demograpliic goals which are vitally' linked with improvement of public
health system in the country. States which have done exceedingly well on
the demograpliic front have also done well on the health front.
E-6.3 Creation of a separate department leading, to disintegration of earlier
integrated way of functioning has not improved performance.

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E-6.4 Poor referral services to a great extent are responsible for high
maternal and infant mortality Only few first referral units are functional.
E-6.5 India is a vast country. Efforts of the government alone can not meet
the needs. Though a large number of NGOs are functioning well in the
country, not much efforts have been made in that direction to involve them
more effectively in the delivery of health & family welfare services.

E-7.0 ENVIRONMENTAL HEALTH AND SANITATION
Though environmental health and sanitation received priority
attention in all the successive plans but level of environmental health and
sanitation both in rural areas and in urban areas continues to be poor in spite
of significant achievements in terms of coverage and quality of service. This
has been largely due to large population growth, urbanisation,
industrialisation, population movements and ecological changes. Following
the Bhore Committee recommendations an Environmental Hygiene
Committee was constituted in 1948-49 and in 1953 a national level technical
body (Central Public Health Engineering Organisation) was established in the
Ministry of Health to undertake national water supply and sanitation
programme. In 1973 the subject of water supply and sanitation was
transferred from Ministry of Health to Ministry of Works and Housing and
local self government (presently redesignated as the Ministry of Urban Affairs
and Employment). The Water (Prevention and Control of Pollution) Act of
1974 was another milestone in the prevention and control of water pollution
in the country. For implementation of the Act, a Central Pollution Control
Board at the national level and State Pollution Control Boards at the state
level were established in 1974. The Act was amended in 1988. The Air
(Prevention and Control of Pollution) Act, 1981 amended further in 1987 has
provided an instrumentation to improve the environment. In 1981
International Drinking Water Supply and Sanitation Decade was launched. In
addition to that centrally sponsored rural sanitation programme and several
other programmes were also initiated by different ministries. In spite of all
these efforts, recurring outbreaks of gastrointestinal disorders and
haemorrhagic dengue fever etc. and large scale outbreaks of malaria and
plague in recent years point towards insufficiency in our efforts In improving
environmental health and sanitation. The low level of urban, peri-urban and
rural sanitation is a matter of deep concern. Multiple operating agencies with
poor co-ordination between them have added to poor programme efficiency.
E-8.0 ROLE OF HEALTH AUTHORITIES IN EPIDEMIC REMEDIAL
MEASURES

E-S.l Health is a state subject and the entire health care delivery services
including epidemic remedial measures are primarily through the State

9

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governments who have the constitutional authority and obligations to
implement the health care deliver}- services. The municipalities and the local
authorities and the State governments though have the constitutional
authority and obligations to effectively implement the public health
programmes but they are unable to function satisfactorily in that direction
because of paucity of resources, non-ava liability of the expertise in terms of
personnel and Institutional support etc. and also due to appropriate
perception of public health problems. Many of these local bodies do not have
reouisiie financial authorities.
2

E-S.2 Municipal Bye-laws and the local bye-laws are widely in variation
from one and another and many of them are outdated. Many of the
provisions of municipal bye-laws and local bye-laws though technically
sound but do not yield desired results because of poor implementation.
E-9.0

CURRENT STATUS OF HMIS & ITS ROLE

9.1
initially HMIS was started in the states of Haryana, Gujarat, Rajasthan
and Maharashtra on pilot basis Ln one district each of the states. The system
was manual and the data which was generated as a result of implementation
of the pilot project proved very useful. On the basis of tine achievement of
HMiS which was known as HMIS Version 1.0, the programme officers of
various State Governments and experts from the related fields were consulted
and the inputs for each level of institution responsible for health care delivery,
were designed and developed.

E-9.2 During the year 1988-89 National Informatics Centre set up Satellite
based computer communication net-work called NTCNET and the HMIS was
again modified and modified computerised formats designed and developed
in the shape of Version 2.0 were implemented. It has become fully
operational in Haryana, Sikkim and in several other states it is in different
St?. O^CS of implementation.
1

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11.

RECOMMENDATIONS

11.1

Short-term

11.1.1 Policy Initiatives
11.1.1.1

Review of National Health Policy

The National Health Policy was formulated and adopted in
1983. During the years since then major changes have occurred
through continuing population growth, rapid urbanisation, industrial
revolution, changing health and demographic scenario, appearance of
new, emerging and re-emerging health problems etc. Two important
constitutional amendments namely 73rd and 74th have been passed
' giving more responsibility and authority to municipalities and
panchayats and thus providing appropriate tools to the community to
deal with health, water supply and sanitation etc. more effectively. In
view of the same, the National Health Policy needs a careful and
critical reappraisal.
The committee, therefore, recommends
constitution of a Group of Experts to prepare the draft of the new
National Health Policy by the end of 1996.

11.1.1.2

Establishment of health impact assessment cell

While the link between economic growth and better health is a
strong one, growth in income and a developing economy do not
necessarily ensure improved health status. Many developing countries
are concerned with the possible health impact of economic
restructuring and development policies. The Committee, therefore,
recommends that T ere is a need to enhance the capacity and capability
of the Ministry of Health & F.W. to undertake health impact
assessment for major development projects, industrial units etc. so that
the project/industrial authorities could be appropriately advised &
guided to incorporate proper intervention measures/changes as the
case may be. All large projects of different ministries should invariably
have health component in the proposal itself and this should be
examined and approved by the Ministry of Health & Family Welfare.
Regular analysis of various public policies and practices of other
ministries viz. agriculture, industry, urban development, rural
development and environment, which have direct link with the health
of the people, must be considered as an essential prerequisite for a
meaningful inter-ministerial co-ordination.
11.1.1.3

Surveillance of critically polluted areas

In view of the population explosion and unplanned
urbanisation and industrialisation, diseases due to ecological and
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environmental imbalances are increasing.
Health impact and
environmental epidemiology related to air, water, and soil pollution
need to be monitored and evaluated particularly in the critically
polluted areas in the country. Ministry of Health and Family Welfare
should initiate actions in this regard urgently, in co-ordination with the
Ministries of Environment, Industry and Urban Development.
Measures such as a properl}' maintained data-base, mapping of the
vulnerable areas, immediate intervention where possible and
continuing surveillance need to be initiated as a well structured
programme of action.
This is particularly important in view of the large inputs
provided bv the Ministry of the Environment and Forests for 100
critically polluted towns and cities. Such surveillance will enable to
understand impact of the interventions made and take appropriate
corrective measures.
11.1.1.4

Search for alternative Strategy/ strengthening of health
services/svstem research

India is a vast country. Uniform health care strategy for the
'entire country is not likely to succeed because of a variety of reasons:
geographic, socio cultural, ethnic, economic etc. Therefore, a
continuous search for alternative health care strategies needs to be
undertaken by the health implementing agencies through appropriate
health services research. At present, health system/services research
receives very inadequate support and poor response from the health
directorates.
Therefore, the Committee recommends allocation of
adequate funds to the Centre, UTs and State Directorate of Health
Services enabling them to undertake or commission Health
Services/System Research and Intervention Studies and to ensure that
such research results are utilised to improve the health care delivery
services.

11.1.1.5

Uniform adoption of Public Health Act by the local health
authorities

Model Public Health Act revised and circulated in 1987 should
be examined by all State health authorities, municipalities and local
health authorities carefully and adopted/enacted to suit local and
national needs. This will give a uniform, updated and modern tool to
tackle many of the old and new, emerging and re-emerging health
problems more efficiently. This is all the more important in view of the
recent 73rd and 74th Constitutional Amendments providing enormous
political, administrative and managerial authorities to local and
municipal bodies so as to enable them to'take care of human health and
development.
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11.1.1.6

I:stablishing National Notification Svstem/National Health
Regulations

The notification system as it exists today varies widely from
state to state and within the state from area to area. The Committee
recommends the constitution of a Task Force drawing experts from
states, NGOs, and public health institutions to examine the existin'7
notification system and prepare draft National Health Regulations for
adoption bv all states. This should be time bound and completed bv
1996.

11.1.1.7

[pint Council of Health, Family Welfare and ISM &
Homoeopathy

Indian Systems of Medicine and Homoeopathy should be
appropriately involved in strengthening further the public health
system of the country. Therefore, the committee recommends that the
existing Joint Council of Health & Family Welfare should be further
broad based to make a Joint Council of Health, Family Welfare and
.Indian Systems of Medicine & Homoeopathy.

11.1.1.8

Establishing an /kpex Technical Advisory Body

In order to ensure a mechanism of continuing review and
appraisal, the committee recommends to establish an broad based
Apex Technical Advisory Body and advise the government
accordingly.

11.1.1.9

Constitution of Indian Medical & Health Services

The Committee reinforces in the strongest terms the need to
constitute Indian Medical & Health Services without any further
delay. This has been a long felt need and was recommended as early
as 1961 bv Mudaliar Committee. Many of the central health
programme managers have no formal education in public health and
management and have never worked in the states, as a result they do
not have appropriate perception of the problems of thestates leading
to poor professional communication and understanding between
central and state government health programme managers. Creation
of Indian Medical & Health Services will facilitate bridging this gap
and improve technical leadership and management both at centre and
state levels.

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11.1.2 Administrative restructuring

11.1.2.1

Organisational set up of the ministry

11.1.2.1.1
There are presently three departments in the Union Ministry of
Health & F.W. each headed by a Secretary, and tine DGHS is headed by
a technocrat. Co-ordination between departments is not satisfactory
and several times it has been seen that they work in water-tight
compartments and the interaction between different programme
managers has often been found unsatisfactory. Even between the
working of the DGHS and Department of Health there are several
areas of duplication. Most of the functions of the Union Ministry of
Health and Family Welfare are highly technical in nature and,
therefore, require technical leadership of a high quality. The
committee therefore, strongly recommends that tire union Ministry of
Health & Family Welfare may consider merger of tire two departments
of Health & Family Welfare and that the single department so created
benefits from technical leadership as indicated above. The department
of ISM and Homeopathy may also be similarly restructured.
11.1.2.1.2
The Department of Health & Family Welfare and DGHS should
be restructured and reorganised; while doing so emphasis should be
given to strengthen Planning, Food and Drug Division of DGHS. New
Divisions of Environmental Health & Sanitation, Health impact
assessment Cell and Health Manpower Division should be established.

11.1.2.1.3
All the major technical divisions under the Union Ministry of
Health & Family Welfare and major institutions/organisations should
have an advisory body to periodically review the functioning of these
divisions, institutions and suggest an appropriate corrective step for
improving their various activities.

11.1.3 Health Manpower Planning

11.1.3.1
The DGHS should have a strong Health Manpower Planning
Division; appropriate institutional support mechanism by creation of a
National Institute of Health Manpower Development may also be
considered.

11.1.3.2
The committee reiterate that recommendations contained in
Baja; committee report of 1987 on health manpower planning,
production and management should be implemented in right
earnestness which will greatly strengthen public health system in the
country. Primary health care provision being a team function, the
training and continuing education of the professional and para
professionals should have components of training/education of the
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entire team together in addition to training of the individuals. This
multiprofessional education approach will provide cohesive
functioning of the team and improve quality and coverage of health
services.
11.1.3.3
The Union Ministry of Health & F.W. is primarilv responsible
for public health services but it does not have requisite number of
senior level public health professionals. Many programme managers
at the national level are without any public health orientation or public
health qualifications. The committee, therefore, recommends that
positions requiring public health tasks should be filled bv appropriate
qualified public health professionals and until these professionals are
available, these could be operated bv general category health
professionals through appropriate training in health services
administration, management and epidemiology.
11.1.4

Opening of Regional Schools of Public Health:

There is a need to open new schools of public health so that
more public health professionals and para-professionals could be
trained. The existing public health schools also be appropriately
strengthened. The committee recommends that at least four more
regional schools of public health are set up in Central, Northern,
Western and Southern regions. Duly modernised schools could be in
the pattern of All India Institute of Hygiene and Public Health,
Calcutta and School of Tropical Medicine, Calcutta.
11.1.5

Strengthening and upgradation of the Departments of
Preventive and Social Medicine in ident!fied medical colleges

Establishing new schools of public health will require several
vears in terms of obtaining resources, construction of buildings etc.
For a vast country like India even establishing few more schools of
public health will not be able to meet the entire needs. Therefore, it is
recommended that some of the existing medical colleges who have
verv significant expertise in teaching of preventive and social
medicine/community medicine should be further strengthened in the
form of establishing an advanced centre for teaching of public health or
upgrading the existing departments so that it can take-up additional
responsibilities of continuing education in public health subjects for
■ health professionals and also to undertake responsibilites for
producing more public health professionals to meet the demands of the
countrv. In this context, it is strongly suggested that a centrally
sponsored programme of upgradation of few' identified departments of
preventive and social medicine in the medical colleges could be taken
up during the last financial year of this Plan and during the 9th Plan
period at least 25% of existing departments may be similarly upgraded.
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These centres could be linked tlirough a network so that the facilities
could be maximally utilised.

11.1.6

Reorganised functioning of the Department of PSM in
Medical Colleges:

The system of providing an exposure to the community health
care to the physicians tlirough the Department of Preventive and Social
Medicine at the medical college under the ROME scheme has not met
with anticipated success as it provides very limited exposure to
community health programmes. It is suggested that the State/District
National health programme management focal points are posred for
sometime in the Deptt. of PSM in medical colleges so that the
programme managers get the benefit of updated academic and
technical skills and the students are benefited from the practical
experience of the programme managers at the field level. Similarly
teachers of Preventive and Social Medicine should be pcsted in the
district for some time to act as a focal point for national health
programmes.

11.1.7

Establishing a Centre for Disease Control

To make the public health system more responsive to the needs
of new, emerging and re-emerging health problems and also to meet
the challenges of escalating
epidemic of non communicable
diseases the need for establishing a Centre for Disease Ccntroi at the
national level is strongly felt. The committee, therefore, is of the view
that National Institute of Communicable Diseases, Delhi should be
substantially strengthened through capacity building into a National
Centre of excellence for Disease Control on the pattern of similar
advanced centres such as CDC, Atlanta.
11.1.8

Primary Health Care infrastructure in urban areas:
The basic health care infrastructure in the urban area which
caters to the needs of 25% - 30% of the population is grossly deficient.
In view of the recent initiatives to give more financial and managerial
authorities to the municipal bodies, immediate attention need to be
given to develop the health care infrastructure in urban area. The same
will reduce stress and strain on the secondary and tertian.’ health care
facilities available in the urban areas. The committee recommends that
an Expert Group be constituted to suggest restructuring cr even
redesigning of health care infrastructure including referral and linkage
upto and including tertiary care in urban areas.

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State Level:

11.1.9

Creation of several positions of Directors at the State level has
led to disintegration of earlier integrated pattern of medical and health
administration. Earlier practice needs to be restored. It is also
recommended that functioning of the Department of Health being
mostly that of technical nature a technical man should be the head of
the Department of Health instead of a bureaucrat.

The committee recommends that on the general principles
suggested for reorganisation and restructuring of the Central Ministry
of Health & Family Welfare and the Directorate General of Health
Services, the State/ UT health ministries and directorates should also be
reorganised and restructured.

11.1.10

District level:

Every district should have a strong epidemiological services
input through establishment of an epidemiological unit headed bv an
officer of the level of district epidemiologist and supporting staff.
Establishment of this type of unit will also help initiating disease
.surveillance programme including early warning signal mechanism
with appropriate laboratory support. The committee, therefore,
recommends to establish such units if not already existing under the
National Disease Surveillance Programme.

11.1.11

Establishment of a supervisory mechanism at the Sub-district
level:

In manv states district levels officers like district malaria officer,
district family welfare officer and district health officer have been
given responsibility to supervise all health &z family welfare
programme in part of the districts in addition to supervising the entire
individual programme for the entire district. This has not given much
dividend, because -the officer does not give adequate attention to
activities other than the specific health & family welfare programme
through which his salary is drawn. In addition disease control
strategies/interventions are becoming complex due to variety of
reasons viz. addition of more and more sophisticated technologies,
problems related to resistance to drugs, resistance to insecticide,
ecological changes, management issues covering logistics, ■ cost
effectiveness etc.
Therefore, supervision of the various health
programmes has been suffering and there is an urgent need to institute
appropriate supervisory mechanism at the sub district level.

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11.1.12

Community Health Centres:

Community Health Centre is regarded as the first referral unit.
The .National Education Policy in Health Sciences as approved by the
Central Council of Health & Family Welfare in 1993 has recommended
placement of one public health specialist at the community health
centre (CHC) level and if this is implemented the same will contribute
immensely in strengthening the public health system and will offer
suitable correction to present hospital based disease cure emphasis in
health care delivery to make it disease prevention and health
promotion oriented as enshrined in the National Health Policy
statement. The availability of additional manpower in form of one
public health specialist in all the CHCs may not appear immediately
feasible at this stage of available public health specialist manpower.
However, once a beginning is made and National Education Policy in
Health Sciences is implemented in a time bound manner through an
appropriate action programme, this will be possible in foreseeable
future and thus disease control activities channelled through CHC will
have more updated professionally competent support for better
management of disease control programme and transfer of newer
technologies for various disease control activities at the grass root
. level.
At the CHC there are four specialists and one PHC Medical
Officer. Until such time as a Public health expert is available at CHC
level, it is suggested that each of the specialists take up the
responsibility of monitoring the public health programme pertaining to
their speciality in the population covered by CHC e.g. obstetrician will
supervise collection and reporting of data pertaining to Reproductive
Health and Family Planning, Paediatrician for immunization and child
survival, phvsician for communicable and non-communicable disease
control programme, surgeon for disability limitation rehabilitation and
blindness control programmes. The entire data pertaining to all
programmes in the CHC population may be put together and reported
bv the PHC M.O who must be adequately trained in epidemiology and
public health management. Thus with the existing staff improvement
in MIS, disease surveillance and response and accurate reporting of
data pertaining to PHC can be attempted in the CHC. This would also
bring about increased awareness of the clinicians to the'ongoing public
health programmes and result in better integration of clinical curative
and preventive medicine components of the important programmes.

11.1.13

PHC/Sub-Centre level:

The organisational structure of the health services at village
level should be entrusted to the Panc.hayati Raj institutions which
should decide the nature structure, and priorities of the organisation of
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the health care delivery services at the village level depending upon
the local situation, resource availability etc. This would ensure
participatary management by the community with empowerment for
decentralised area specific microplanning. Within such a framework,
further co-ordination must develop at all levels of local self­
governance.
11.1.14

Village level

With the 73rd and 74th Constitutional Amendments providing
enormous political, administrative and managerial powers to take care
of the health and development of the people, it is very important that
the Village Health Guide scheme continues to be supported with
appropriate strengthening through enhancement of honorarium and
drugs so that they become more effective in handling the local health
problems. The committee is of the considered opinion that the Village
Health Guide in the new envisaged role as Panchavat Swastha Rakshak
will provide useful support to the Panchayat system at the village level
in enhancing community awareness and participation.
11.1.15

Prevention of Epidemics:

11.1.15.1
It mav not be possible to completely prevent outbreak of
diseases. However, epidemics can be prevented if an appropriate
surveillance mechanism is established. In fact price of freedom from
disease is appropriate surveillance. The Committee agrees with the
recommendations of the Fourth Conference of the Central Council of
Health & Familv Welfare (1995) proposing initiation of a National
Disease Surveillance Programme for strengthening of health
surveillance and support services and recommends that this
programme should be initiated as a centrally sponsored scheme within
the existing health infrastructure with appropriate laboratory support
involving already existing expertise in various national institutes,
medical colleges, and district public health laboratories. Additional
support needs to be provided to modernise laboratory support system
through strengthening of conventional techniques and procedures,
induction of rapid diagnostic tests, molecular epidemiology capability
so that the public health system is updated and modernised to respond
to any eventual public health emergency. Initiation 'of a national
disease surveillance programme will improve notification system,
institution of early warning signal mechanism and would enhance
prompt response capability.
11.1.15.2
With the establishment of National Disease Surveillance
Programme, several national institutes at the national, regional and
state level alongwith several medical colleges and important public
health laboratories will be appropriately linked so that the response
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capability becomes faster and expertise available in these institutes
promptly could be harnessed by the executive health authorities at the
district level to respond to an epidemic situation. These institutions
should be appropriately linked and strengthened to maintain an
updated expertise for meeting any future challenges.
11.1.15.3
India has established a large number of health institutions at the
national, regional and state level. Many of these institutions are
suffering due to non-availability of resources and, therefore, even if the
human expertise is available the same is unable to provide requisite
response capability because of non-availability of support services and
resources. Alternatively, in several institutions even if the modern
equipments are available they are not being appropriately utilised
because of the non-availability of human expertise because of poor
allocation of resources, poor quality of continuing medical education,
etc. The Committee, therefore, is of the opinion that during the 9th
Plan a centrally sponsored scheme may be initiated to upgrade these
institutions and laboratories through appropriate allocation of funds so
that these institutions can modernise themselves through capacity
building. This could be appropriately linked with recommendation
under 11.1.7.

11.1.15.4
National Institute of Communicable Diseases prepares
guidelines and procedures for outbreak investigations and epidemic
disease surveillance but the same is either not available through out the
country or not put to practical use under a regularly monitored
programme. At present, such guidelines and procedures are usually
provided on request to various health agencies. To be optimally useful,
these guidelines need to be regularly updated. The entire mechanism
as it exists today is on ad hoc basis. The committee, therefore, .
recommends that National Institute of Communicable Diseases should
prepare these guidelines regularly under the supervison of a National
Task Force, update the guidelines at predetermined interval and send
to all health implementing agencies. The guidelines should include
details of the mechanism of detection of outbreak and detection of
early warning signal.
11.1.15.5
The system of civil registration of deaths, Model Registration
Scheme, Sample Registration Scheme subsequently renamed as Survey
of Causes of Death (Rural), certification of causes of death should be
continuously improved bv enlarging its scope and coverage so that it
gives more relevant data in the context of the entire country.
11.1.15.6
The processing of weekly epidemiological statistics being
provided by CBHI lacks an appropriate feed back channel to the
various peripheral agencies. The same-need to be developed in the
pattern of MMWR (Morbidity Mortality Weekly Report) published by
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CDC and National Institute of Communicable Diseases may take up
the responsibility for the same and initiate action in this regard to
prepare an MMWR type of Bulletin for rapid feed back to all
■ participating agencies, experts etc. CBHI may continue to act as a
nodal agency for diseases which are being reported on a monthly basis.
hhe diseases unde" International Health Regulations and the diseases
under National Health Regulations having epidemic potentiality
should be the responsibility of NICD which has the due expertise in
appreciating the problem and initiating action accordingly.
11.1.15.7
National Institute of Communicable Diseases, Delhi and
Christian Medical College, Vellore have worked on'Models of
obtaining information involving peripheral health workers and
physicians in the private sector respectively and if both the models
with necessary modifications if any, can be appropriately dovetailed
within the existing HMIS, the same will provide early warning signals
for detecting an impending epidemic.

The HMIS was also reviewed recently in the 4th Conference of
the Central Council of Health & Family Welfare held in New Delhi
from 11-13 October, 1995 and the Council recommended undertaking
.an urgent expansion of HMIS to other states. It is desirable to develop
health information system at the district level in order to improve all
activities related to Community Health including those in the
Environmental, Community Water Supply and Sanitation sectors
which will directly lead to an improvement in the health and
environmental sta'us of the district's population. Population based
information in respect of socio economic, environmental, cultural,
demographic ano epidemiological issues is vital for choking priority
areas or action and planning public health interventions and evaluating
progress.
With the expansion of HMIS to other states and its
establishment on a firm basis the epidemic intelligence component
could be appropriately dovetailed within the HMIS and a few districts
in some states be taken up where HMIS has been satisfactorily
established incorporating the epidemic intelligence component in the
light of the experiences of NICD epidemic prone disease surveillance
project and NADHI Projects of CMC, Vellore on a pilot basis. If found
successful, it will further strengthen the HMIS in its response
capability. This could form part of operational research support to the
proposed National Disease Surveillance Programme.’
11.1.15.8
Epidemic Diseases Act 1897 covers the entire country. This Act
is about 100 years old. However, not many times regulatory
mechanisms are clamped under this Act because of improper
professional perception of the nature and spread of the epidemic. If
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appropriate provisions under the /\ct are clamped in time major
epidemics could be averted. Therefore, the committee recommends
that the Epidemic Diseases Act provisions should be made available to
all the health authorities and the provisions under the Act could be
continuously reviewed by a designated group to make it more
comprehensive in the light of the latest scientific information available.

11.1.16

Upgradation of Infectious Diseases Hospitals

Every State has got one or more ID Hospitals. Most of these
hospitals are inadequately staffed with poor maintenance. Many of
them lack the basic diagnostic support services. There is an urgent
need that facilities in these hospitals are appropriately reviewed and
modernised to meet the requirements of infectious diseases
management. These hospitals should also have some provisions
particularly in the major metropolitan cities for management of cases
suffering from dangerous human pathogens.

11.1.17

Water quality monitoring

Inspite of significant progress in the coverage of Urban and
.Rural Population with public water supply, reduction in the morbidity
of water borne diseases, has not been commensurate with the
investment made in the water supply sector. One of the key factors
behind this failure is the total lack of water quality monitoring and
surveillance in most of the rural areas and majority of cities and towns.
A recent study by the UNICEF and the All India Institute of Hygiene &
Public Health, Calcutta, has demonstrated the feasibility of a
community based and affordable model of water quality monitoring
and surveillance. Ministry of Health & Family Welfare should take up
the matter with the Ministry of Rural Affairs and Employment and
Urban Affairs and Employment to initiate a few pilot studies in
different locations in the country to examine the feasibility of the same
and develop National Action Plan, in this regard.

For full benefits of supply of safe and adequate water, domestic
and personal hygiene should be of high order. Therefore, the
committee recommends to launch massive IEC programme on
personal, domestic and food hygiene practices including excreta
disposal.
11.1.18

Urban Solid Waste

The committee endorses the recommendations of the 1995 Bajaj
Committee Report of the High Power Committee on Urban Solid
Waste Management in India, constituted by the Planning Commission
with regard to collection, transportation and safe disposal of municipal
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can be assessed on a continuing basis and appropriate midcourse
correction can be taken.

India is in a state of demographic, economic and social transformation.
In this context it is essential that a mechanism of nutritional
surveillance at local, district, state and national levels is built up so that
earlv recognition and rapid remedial interventions of existing and
emerging nutritional problems becomes possible.

11.1.21

Decentralised and uniform funding pattern:

Salaries for the ANMs in the periphery come from the family
welfare budget and, therefore, they are subservient to the command of
the Family Welfare Department and do not respond adequately for
related work in the Department of Health for which instructions come
from Department of Health. Similar is the situation in respect of male
health workers who receive their salaries from tire health budget and,
therefore, they do not adequately respond to the instructions issued
from Family Welfare Department until and unless specific incentives
are provided and in that case he works for Family Welfare only for
incentives at the cost of health related work. Therefore, this
fragmentation of tasks and commands grossly affects the functioning
of the health workers which in turn affects the efficient functioning of
the public health system. Therefore there is an urgent need that both
the departments are under unified command and the budgetary
provisions are made through unified budgeting system. This will also
enable adjustment of funds at the peripheral points depending upon
the situation which will improve better utilisation of funds etc. There
is also a quantitative distortion in the number of filled posts. As the
salary for ANM comes from FW programme which is a 100% centrally
sponsored one, the posts of ANMS have been created according to the
norms. In contrast the salary for MMPW is from the State budget and
often more than 50% of the posts are vacant and not filled up. This
anomaly needs to be corrected immediately to ensure appropriate
involvement of peripheral level functionaries in disease control
programme as well as in FP programmes.
11.1.22

Non-Governmental Organisations (NGOs):

I
Non-governmental organisations (NGOs) contribute immensely
in the development of public health system and the practices.
However, the sendee coverage is limited due to financial and other
constraints. If the NGOs and the private practitioners are effectively
involved this will strengthen the public health system and significantly
enhance the response capability of the health care delivery system.
Therefore, the committee recommends ■ that the NGOs should be

226

PHSfinal.doc

wastes including industrial and hospital wastes etc. The committee
also endorses the suggestion of the Bajaj Committee, that it is essential
to evolve a National Policy as well as an action plan for management of
solid waste.

11.1.19

Inter-sectoral Co-operation:

Large number of health schemes are implemented through the
Ministry of Health & Family Welfare. In addition, there are large
number of schemes having tremendous impact on human health and
quality of life. These schemes are being implemented through several
other ministries. Some of the important ones which have a direct
bearing on the Public Health System are Rajiv Gandhi National
Drinking Water Mission (RGNDWM), Rural Sanitation, Accelerated
Urban Water Supply Programme, Urban Sanitation, . Urban Basic
Services for the Poor, Urban Solid Waste Management, Sewerage and
Sewage Treatment, Prevention of Water and Air Pollution, Nutritional
Programmes like Integrated Child Development Services, Special
Nutritional Programme, Balwadi Nutritional Programme, Midday
Meal Programme etc. All these schemes have been conceptualised to
improve tire Public Health System. But as different agencies are
^involved and co-ordination between these agencies is not so easily
achieved, the Committee is of the opinion that until and unless a
formal mechanism of co-ordination and co-operation is established
involving all concerned and guidelines indicating detailed
responsibilities in respect of all participating units precisely defined,
even inspite of individual schemes appearing to be technically sound,
the same will not be able to deliver what is expected in terms of
effective improvement in tire Public Health System. The Committee
fully believe that such mechanism is very vital in the implementation
of the health schemes and will strengthen Public Health response
capability significantly. The committee, therefore, recommends
establishment of such mechanism on a formal basis with Ministry of
Health & Family Welfare acting as nodal agency. ■
11.1.20

Nutrition

Interactive interdependence of nutrition, infection and health
have been well recognised. The National Nutrition Policy formulated
in 1993 has defined the Nutrition goals and the key areas of action.
.National Action Plan for Nutrition provides the sectoral and
intersectoral interventions to achieve these goals.
Appropriate
indicators and institutional mechanism . for monitoring the
implementation and impact of the ongoing intervention programmes
at local, district, state and national level need be developed, and
internalised so that the efficacy and efficiency of the various strategies

22'5

PHSflnal.doc

increasingly involved through an appropriately developed action plan
with suitable funding.

11.1-23

Involvement of ISM & Homoeopathy:

India ha- over 5 lakh practitioners in indigenous systems of
medicine and homeopathy. Despite the fact that India has a large
number of practitioners in ISM&H, of whom a significant proportion
are institutionally qualified and certified, this potential manpower
resource is yet to be effectively drawn and optimally utilised for
delivery of health care in the country. The committee, therefore,
recommends their involvement in the health care delivery system to
strengthen the public health services and endorses fully the Bajaj
Committee Report on Health Manpower, Planning, Production and
Management in 1987 in this regard. Tire practitioners of Indian System
of Medicine can be gainfully employed in the area of National Health
Programmes like the National Malaria Eradication Programme,
National Leprosy Eradication Programme, Blindness Control
Programme, Family Welfare and universal immunisation and
nutrition. Within the health care system, these practitioners can
strengthen the components of (i) health education, (ii) drug
. distribution for national control programmes, (iii) motivation for
family welfare, and (vi) motivation for immunisation, control of
environment etc.

11.2

Long-term

11.2.1 Broad set up of Ministry:

The recommendations of the Bhore Committee that the Ministry
of Health should be under the charge of a separate Minister is being
followed and is currently in practice. However, the members of the
committee are of the opinion that the several activities linked with the
human health are presently undertaken by Ministry of Welfare,
Ministry of Human Resource Development, Ministry of Urban
Development, Ministry of Environment, Ministry of Rural
Development etc. The work of sanitation and environmental health
was earlier with the Ministry of Health but now it is being undertaken
bv several ministries viz. Ministry of Environment and Forests,
Ministry of Rural Areas and Employment, Ministry of Urban Affairs
and Employment and Ministry of Chemicals. It has been further seen
that the inter-sectoral co-ordination which is very vital in successful
implementation of various programmes is not readily available
through a formalised mechanism resulting in poor achievements under
various programmes. Therefore, involving all the activities pertaining
to human health, creation of a new ministry such as Human Welfare
may require serious consideration. Alternatively a National Council of
227

PHSJlnai.doc

Human Welfare be constituted under the chairmanship of Prime
Minister of India, and other members being Deputy Chairman,
Planning Commission, Ministers of concerned Ministries, eminent
medical and health professionals and representatives of professional
organisations and NGOs etc.
11.3

Funding;
Appropriate budgetary provisions may have to be made in a
phased manner in order to implement the recommendations of the
committee during the 9th Plan and beyond.

228

PHSfmal.doc

ACTION PLAN FOR STRENGTHENING OE PUBLIC HEALTH SYSTEM

Taking into account the existing resources and manpower
constraints, certain areas have been identified to strengthen the public
health sys’em in the country. The same have been given in the Short­
term recommendations of the committee. The committee also proposes
some action plans to implement the recommendations.

1.

A Task Force should be constituted to review the National Health
Policy and draft the revised National Health Policy for the
consideration of the government. This could be initiated during the
last year of the 8th Five Year Plan.
(MOH&FW)

2.

Establishment of capacity and capability at the Directorate General of
Health Services to undertake health impact assessment of major
developmental projects to guide the respective ministries accordingly.
This could be taken up during the IXth Plan.
(MOH&FW)

3.

Surveillance activities with regard to human health in and around
.critically polluted areas should be initiated. This could be a part of
overall health surveillance and support services and could be initiated
during the IXth Plan.
(MOH&FW/ DGHS)

4.

India is a vast country. Uniform health care strategy will not be yield
satisfactory results for all areas. Search for the alternative strategies
needs to be continued on a long term basis to develop situation specific
strategies for such identified areas. States/UTs should strengthen
health system research through appropriate deployment of resources
specially earmarked for the same during the IXth Plan.
(State/UTs)

5.

All the states, municipalities and local health authorities should be
addressed to modify their existing public health laws in the pattern of
the Model Public Health Act revised in 1987 and circulated including
any modification the local situation may demand. The same should be
followed up meticulously so that during the next few years all over the
country uniform public health practice codes are available.
(NICD/DGHS)

6.

National Health Regulations need to be formulated and distributed to
all states, municipalities and panchavats. A Task Force may be
immediately established to draft the National Health Regulations in
the pattern of International Health Regulations.
(NICD/MOH&FW)
229

PHSftnal.doc

7.

To involve the Indian Systems of Medicine more appropriately within
the health care delivery system the existing Central Council of Health
& Family Welfare should be further broad and a Central Council of
Health, Family Welfare and Indian Systems of Medicine and
Homoeopathy may be formed.
(MOH&FW)

8.

An Apex Technical Advisory Body should be constituted to advise the
Ministry of Health & Family Welfare and the Directorate General of
Health Services in all major technical issues periodically and also to
review the major health programmes.
(MOH&FW/DGHS)

9.

Indian Medical and Health Services should be immediately
constituted. This has been a long pending demand of the medical
professionals and it has been recommended time and again and there
is an urgent need that this is considered immediately by the
government for its implementation.
(MOH&FW)

10.

. Immediate action needs to be taken to set the process of administrative
reorganisation of the Department of Health & Family Welfare and
Directorate General of Health Services in the light of the
recommendations made.
(MOH&FW/DGHS)

11(a) A Health Manpower Division should be established in the DGHS; a
National Institute of Health Manpower Development may be
established to provide appropriate institutional support mechanism to
this important activity. This could be initiated during the IXth Plan.
(MOH&FW/DGHS)

11(b) The Bajaj Committee Report on Health Manpower Planning,
Production and Management should be implemented without any
further delay.
(MOH&FW)
11(c) Positions requiring public health task should be filled by appropriately
trained/qualified public health professionals. In this connection
Central Health Service needs to be appi. mriately restructured.
(MOH&FW)

12.

Four Regional Schools of Public Health should-be set up in the pattern
of All India Institute of Hygiene and Public Health, Calcutta and
School of Tropical Medicine, Calcutta- to train more public health

230

PHSfinal.doc

professionals to meet the growing demands of die health care delivery
services. This could be taken up during the IXth Plan.
(MOH&FW)

13.

I he existing departments of Preventive & Social Medicine in identified
medical colleges should be strengthened and upgraded to take up the
additional responsiuil } of continuing education for health and also to
produce more pubF ■ health professionals. This could also be taken up
during the IXth Plan.
(MOH&FW/DGHS)

14.

The committee suggest that the state/district national health
programme management focal points are posted for some time in the
Department of PSM in Medical Colleges so that the programme
managers get the benefit of updated academic & technical skills and
the students are benefited from the practical experience of the
programme managers at the field level. Similarly the teachers of
preventive & social medicine be posted for some time as national
health programme management focal point at district/state level.
' (MOH&FW/DGHS)

15.

.A Centre for Disease Control be immediately established in the pattern
of CDC, Atlanta and National Institute of Communicable Diseases
should be substantially strengthened in this direction.
(NICD/MOH&FW)

16.

The urban areas have very good tertiary facilities but primary health
care infrastructure is eery poor. The same needs to be established
particularly to reaJi the under privileged, slums etc. The existing
health outposts/dispensaries should be linked to secondary care
centres and these in turn linked to tertiary care centres situated in the
delined geographic area.
(MOH&FW/DGHS)

17.

Reorganisation of the Directorate of Health Services should be
undertaken in the light of the recommendations made. Process could
be initiated immediately.
(MOH&FW)

18.

A strong epidemiological unit needs to be established at the district
level. The States which have not done so far should establish so under
the National Disease Surveillance Programme. This also could be
taken up during the IXth Plan.
(MOH&FW/DGHS/NICD)

231

PHSj'intil.iloc

19.

Every Stales/UTs should establish a supervisory mechanism at the sub
district level. This could be taken up during the IXth Plan.
(MOH&FW/State/UTs)

20.

One public health specialist should be posted at Community Health
Centre to make the health care delivery team more effective in
delivering the national health programmes and other related services.
■ (State/UTs)

21.

Through the 73rd and 74th Constitutional Amendments, panchayats
have given more administrative and managerial authorities. To fulfil
their obligations towards public health services, the health care
delivery system should be channellised through them. This will
necessitate establishment of health care delivery component at tire
panchayat level. This may require provision of some funds as one time
grant to the panchayats.
(Planning Commission/MOH&FW)

22.

Village Health Guide Scheme should be strengthened and revamped to
make it more functional to meet the demands of the health care
delivery services. This will necessitate enhancing their honorarium
and also the budgetary allocation for procurement of common drugs.

(MOH&FW/Planning Commission)
23(a). National Disease Surveillance Programme be initiated immediately
with establishment of District Epidemiology Cell, establishment of
linkage mechanism involving the medical colleges, referral institutions,
district public health laboratories etc. Microbiology investigative
facilities be also established at the district level.
(NICD/MOH&FW)

23(b). The coverage and scope of the Model Registration Scheme and Sample
Registration Scheme should be enlarged to generate more scientifically
valid data in the context of the entire country.
(RG1)'
24.

Slate ID Hospitals need to be upgraded and modernised to meet the
reuirements of the infectious disease management. This could be taken
up during the IXth Plan.
(Planning Commission/States/UTs)

25.

In consultation with the ministries of Urban Affairs and Employment
and Rural Affairs and Employment, the Ministry of Health should
initiate water quality monitoring on the pilot basis immediately.
.
'
(MOH&FW/DGHS)

26.

Ministry of Urban Affairs and Employment should implement the
recommendations of the Bajaj Committee on Urban Solid Waste
Management.
(MOUA&E)

27.

Health being a multi ministerial responsibility a formal mechanism of
inter-sectoral co-operation and co-ordination needs to be established
involving all the concerned ministries.
(MOH&FW)

28.

Nutrition surveillance shall be in-built part of National Health
Surveillance and Support Services.
(MOH&FW/DGHS)

29.

The female multi-purpose workers are funded through the National
Family Welfare Programme and due to paucity of resources, the state
health authorities have not been able to fill up the positions of male
multi purpose health workers. This should receive high priority
through higher allocation of funds.
(MOH&FW/State/UTs)

30.

.Involvement of NGOs is very important. They have been providing
very useful services to the people at large. More of their involvement
within the health care delivery system will improve the functioning of
tire various programmes. Therefore, every effort should be taken to
involve the NGOs and to meet that higher allocation of funds are
necessary.
(State/UTs)

31.

The country has large number of practitioners of Indian System of
Medicine and Homoeopathy. They should be appropriately involved
within the health care delivery system to make it more effective.
(State/UTs)

233

PHSflnal doc

PARTICULARS OF DOCTORS WORKING IN RURAL AND URBAN AREAS
AS ON 31.12.98

i SI. No.
1 1.
1 2.

I
1

3.
4.
5.
6.
7.

i

9.
10.
11.

8-_.

12.
13.

1

14'

i

15.
16.
17.
|_ 18.
: 19.
| 20.
| 21.
:


22.
23.
24.
25.
26.
27.

District
Bangalore ®
Bangalore (U)
Tumkur
Kolar
Shimoga
Chitradurga
Davanagere
Mysore
Chamarajanagar
Hassan
Mandya
Chikkatnagalur
Kodagu
Dakshina Kannada

Udupi
Belgaum
Dharwad
Haveri
Gadag
Karwar
Bijapur
Bagalkot
Bellart’
Raichur
Bidar
Koppal
Gulbarga
Total

Qse-Vl-

Rural
47
132 '
122
94
95
95
130
54
136
133
126
47
61
69
130
37
77
41
73
72
49
74
64
70
28
126
2242

Urban
46
292
68
84
56
48
76
116
22
65
63
20
31
46
21
99
32
23
21
46
38
31
70
50
52 .
16
111
1643

Total
153
292
200
206
150
143
171
246
76
201
196
146
78
106
90
229
69
100
62
113
110
80
144
114
122 44
237
3885

Sub-Centres
286
140
416
373
377
454
/
685
461
375
333
163
706
•598
591
314
451
260
374
229 .
507
8093

Vrxn'Vnovfc^

C:\OFFICE\Lertcn of Much 1999.doc

Comments on "Case Study of World Bank activities
in the Health Sector in India"
Presented at the Consultative Meeting on "World Bank Activities in the Health Sector in
India" at World Bank Office, New Delhi, on 9th August 1999

» Tire Sector and Thematic Evaluations Group and the Operations Evaluation Department of the
World Bank (India) prepared a case study on the World Bank's Health - Nutrition - Population
program in India based on review of literature, sector and project documents and the
proceedings of the workshop on "The World Bank's Role in the Health System in India"
which included 9 papers commissioned by OED.

(
i

> This note by some of us from the Society for Community Health Awareness, Research and X
i> which
the disciplines
represented management;
among
the four
member
group
of
thefor
society,
Public
Health,
socio-epidemiological;
ethical;
and
public
policy
perspective
Action,are
Bangalore,
a multi-disciplinary
professional
resource
group
working
the lastwho
15- $«
»> studied
the document.
the
voluntary'
sector
and government,
brings
to and
bearcommunity
comments oriented
on this case
study
fromby
a »$<X
years
supporting
community
level health
action
health
policies

We had a little over a week to study this document and in spite of a request were able to get
copy of only one of the nine commissioned papers! So our comments are based on a rather
rushed analysis of the document handicapped by the absence of access to the background
papers from which much of the perspectives and conclusions included in the case study, are
drawn. Notwithstanding this constraint we hope the concerns we raise will be taken seriously
by the Ministry of Health and Family Welfare and the World Bank India operations team.
We believe these are concerns that we along with so many other public health / community
health / health policy resource groups have been raising for over two decades now, but we are
emboldened once again to do so -because for once the findings of this case study so strongly
endorse and support them. These comments are also based on insights that we have with
involvement with World Bank projects at Karnataka State levels in various ways.
We believe it is time that the Ministry of Health and Family Welfare at the Centre and State
and the International funding partners, particularly the World Bank ('who is now the largest
lender in health, nutrition and population with the largest programme in India') - who jointly
conceive, conceptualize, operationalise and monitor such large collaborative projects on
behalf of the people of this country - (emphasizing "poor and undeserved and concentrating
on children and mothers") took these concerns seriously.

This significant, rather short, but important Consultative Meeting could be a serious step in
that direction. However, a more detailed dialogue is required if these concerns must get
translated into constructive policy change.
Dr. Ravi Narayan
Dr. C.M. Francis
Dr. Thelma Narayan
Dr. N. Devadasan
Community Health Cell,
Society for Community Health Awareness, Research and Action,
No.367, 'Srinivasa Nilaya', Jakkasandra I Main,
I Block, Koramangala, Bangalore- 560034.
Phone : (080) 553 15 18; Telefax : (080) 552 53 72; Email: sochara@vsnl.com

Comments
The Case Study of World Bank Activities in the Health Sector in India brings together
findings from a variety' of sources (mostlv World Bank commissioned) and attempts a
comprehensive, critical, historical view of 23 projects undertaken by the Bank in partnership
with the Ministry of Health and Family Welfare at Central and State levels and to which the
Bank "contributed over $2.6 billion plus studies and policy dialogue"
The case study is frank, introspective and 'as objective as possible under the circumstances'.
Though inadequately referrenced even from the commissioned studies, and perhaps
representing sets of opinions rather than 'evidence based analysis' it is still a sobering
indictment of what the Bank claims to be the "largest Health Nutrition and Population
programme" funded by it.

Appendix 1 of this note lists out in the report's words key findings and conclusions producing
a rather disturbing, disconcerting scenario and a rather frank admission of failure, and
distortion. If a SWOT analysis were to be done on the case study -then weaknesses
would far outweigh the strengths; and threats / distortions far outweigh the
opportunities!
In the absence of access to all the commissioned studies and reports / documents quoted in the
report, it would be unfair to attempt a comprehensive review of the document, but we raise
the following comments, reflections and questions from a Public Health; Epidemiological;
Management; Political Economy; Public Policy and Ethical perspective, keeping an overview
of the overall partnership between MOHFW and the World Bank in mind and not addressing
just the nitty gritty. Some of these are endorsed in the case study. Others are derived from the
findings presented.

1.

Public Health devalued
The whole partnership suffers from a disturbingly lack of 'public health' competence and
perspective and this chronic lacunae does not seem to have been overcome even when the
claim "the Bank is now on the right track" is made.

Throughout problem analysis, project planning and formulation, there is a confusion
between
public health system and public health care system
between socio-epidemiological context of a problem and its economic or techno­
managerial context, the latter taking precedence over the former every time
the wider determinants of health status that need to be addressed by good public
health is totally ignored (devaluation of nutrition is admitted but other aspects like
water supply and sanitation, transport and communication, environment pollution
have not been addressed and even health education in this report is put outside the
confines of the health sector.
The focus on the poor, the indigent and the marginalised which should be the central
focus of an equitous public health system is ignored or if present in programme focus
is ignored in programme implementation
In fact both 'epidemiology' which is the sheet anchor of public health and 'political
economy' which should be a important part of problem analysis is totally ignored.
The regional diversities and differentials -now known for a long term are ignored.

Z

Between the generalist administrators who now manage India's Health System and
the 'economists and programme managers' that advise them from among the Bank's
staff and Consultants Public Health has been totally devalued and distorted both
due to a lack of public health orientation and public health competence among the
policy makers concerned.

Primary Health Care sidelined

2.

The World Bank projects evolved and developed when the country began to take the
Srivastava (1974) and Kartar Singh report (1973) seriously; commissioned the
ICSSR/ICMR Health for All : An alternative strategy document (1981) after becoming an
enthusiastic signatory of the Alma Ata declaration; enunciated the National Health Policy
guidelines of 1982; the National Education Policy of 1986 and the National Education
Policy for Health Sciences in 1989. In addition, the ICMR initiated its review of
Alternative Approaches in Health Care (1976) and the Evaluation of Alternative Primary
Health Care (1980). Preceding these documents but supplementing / complementing
them, there was a spate of micro-level and collective initiatives in Alternative Health Care
in the 1970s and 1980s which are now well documented and a host of very incisive,
evidence based, thought provoking analysis of India's health care systems from social,
economic, cultural, political, epidemiological and public policy perspectives from the mid
1980s to date. The World Bank project partnerships seem to be totally 'uninformed'
about all this and has not only ignored the Primary Health Care mandate but has actively
distorted the Primary Health Care agenda by focussing on

-

3.

'selective, cost effective treatment schedules' rather than enabling / empowering
health care processes
relying only on the now well debated and well established inadequacies of the GBD
study based on DALYS (WDR - 93 and the documents thatfollowed)
focussing now on secondary hospitals rather than primary health care
on first referral units rather than the Primary Health Centres
totally neglecting the people and community, whose involvement at all levels was
envisaged by the Alma Ata commitment and 'whose needs / capacities / aspirations
were to be emphasised' and not made subservient to needs of technology or the
exigencies of top down management systems.
Finally, it ignores Panchayatraj, which has to be the focus of Public Health and
Primary Health Care in the 1990s (even cautions against it) and then creates
Registered Societies as a decentralization initiative without clarifying how they will
be made accountable, transparent, responsive to public need or the country's
democratic political system.

Unconstitutional partnership
The World Bank seeks to influence / health policy in India by (a) virtue of being the
largest lender to the sector, even though there is enough evidence that this forms a small
part of the entire country's budget; (b) by various conditionalities that overrule local
expertise and project formulations, (c) by thrusting on the country ideas from rather
different countries with different social, economic, cultural, political, ecological and
epidemiological context. (An example from Malaria Control will be given to substantiate
this)
What is the 'Constitutional validity' of this leverage which is greatly enhanced by use of
'funding muscle'? and which was established during a period of economic vulnerability of
the country (The big break' mentioned in page 18).
3

Considering that many of these are loans and not grants, is the World Bank willing to
bear the costs offailure and distortions due to poor programme planning that ultimately
affect the poor the most?
lilial is the long-term sustainability of such a leveraged process - often arrogant, top
down and externally inspired. What is the effect on local health system capacity
development?
Is it not leading to coercion?
Distortion? Competition?
Who will bear the
responsibility? What is the accountability and transparency especially to civic society?
The MOHFW must seriously dialogue on these issues before the PAC, the legal
system, the political system and civic society begin to question and initiate informed
citizens' action against it. In Karnataka this process is already starting up.

4.

Ethical issues
The case study raises some major ethical issues

(a)

What are tire ethics of promoting so enthusiastically the 'private sector' when there is
no evidence even from Bank sources that the private sector either has the capacity to
provide 'low cost effective quality care' or has any commitment to 'public health' or to
the goal of equity (giving only the example of Apollo, Chennai, which is not even
among tire best examples of corporate social responsibility is a case in point).

(b)

What is the 'ethics' of undertaking a partnership taking the credit when there is
success and then pointing a finger at tire MOHFW when problems are identified and
not solved (the report calls the World Bank position 'cautious' but 'incompetence' is
what the report establishes). Docs this make World Bank an unreliable partner?

(c)

What is the ethics of continuing to fund even after 1990 - a programme, when the
Bank is well aware of the flaws and distortions?

(d)

What is the 'ethics' of expanding 'quantity' at the cost of 'quality' or 'infrastructure' at
the cost of'services focussing on the poor'.

Is it at all surprising that ever since the World Bank has become a lender of large amounts
of money -that the medical scams in the country have also gone up? There may be no
cause-effect relations but why does the report ignore corruption which is endemic in the
country; is now well documented by civic society; and is well accepted in problem
analysis, by serious policy researchers.
Has the World Bank ignored it by oversight? Is it aware that it may be inadvertently
supporting it or even facilitating it - international tenders and guidelines not
withstanding?

5.

Management issues
In terms of'Management' perspectives, it is rather surprising that a partnership that claims
to be able to marshall international expertise has continued to:
4

i.

develop infrastructure quantity rather than quality;

it.

expected 'training' inputs to get over needs ofmanagement reforms;

Hi.
iv.

given so little thought to accountability and transparency;
relied on internal monitoring / evaluation by in-house staffand consultants rather
than independent credible external evaluation;

v.

ignored health human power management issues;

vi.

focussed only on 'userfee' rather than diverse find enhancing options including
health budget increase;

vii.

given so little thought to ownership

Directorate of Health Service staff at all levels often feel coerced by the conditionalities
/guidelines and lack of flexibility, and do not identify with it. There is also nil ownership
at the community I civic society level.

(This is probably the greatest failure of the World Bank projects and both MOHFW and
World Bank partnership cannot overlook this any longer).
All this may be changing now - the case study claims - but is this real change understood
at core policy level?

6.

Political Economy
The case study does not look adequately at the larger 'political economy1 issues against
which the analysis and the successes and failures should be contextualised. These include
the financial situation in the country and globally; the reduction / stagnation of public
sector budgets; the impact of rise in prices on drugs / diagnostics; the contraction of
public sector; the expansion of private sector under LPG (Liberalization, Privatization
and Globalization) and its impact on public health and access by poor to medical care,
the potential impact of WTO and changes in Patent laws; the increasing corruption and
scams, etc., and thereby the policy researchers involved in the partnership constantly
under-estimate the political, social, institutional and other dimensions of the problem
analysis and hence offer recommendations that are general and not focussed on 'how and
why things run' or 'do not run'. The report admits this and hope the next phase will
address it. While this may be changing, of late is it still on the sidelines of the
partnerships planning and problem solving efforts and depends very much on the quality
and experience of consultancies and in-house expertise that is facilitated both inside the
MOHFW and the WB-India office.

Unless there is a strong 'public health policy resource group within the MOHFW in the
next phase and this free-lancing, free floating, adhoc consultancies and commissioned
studies are institutionalised a real change in competence may not take place. The report
establishes rather well the inadequacies of the last two decades but its chapter on
implication for the future or how to develop an effective programme fails to grasp the
complexity of the situation. One does not know whether this naievity is intentional or
inadvertent?
5

7.

Building on strengths and new insights
While die above 6 comments may seem to focus mainly on weaknesses and distortions
that have plagued the framework of the World Bank Project partnerships, we do also
recognise some strengths and especially some of the new insights in the report which we
hope will find increasingly higher place on the agenda of problem analysis, project
formulation and project management in the future.

Some Strengths

i.

ii.

By focussing on 'private sector1 even though on the 'profit' rather than 'non-profit'
and 'corporate' rather than 'general practice', the Bank has brought into policy
focus the engagement with the private sector which has long been a 'blind spot' in
Indian health planning. It is time the GOI / MOHFW studied this sector
recognized, monitored, involved, regulated, evaluated and 'quality assured' in this
sector.
It has more recently supported the target free approach and the shift from Family
Planning, especially sterilization, to Mother and Child Health (RCH) but still has
a long way to go towards women's health and development.

Some New insights
iii.

It has also identified the following new thrusts in its section on policy
implications which are welcome
"need to focus on staff policies and practices regarding compensation,
assignment, transfer, promotion and demotion work rules and supervision"
"need to take more account of field conditions and to find solutions to
implementation problems"
"need to ensure that basic, simple services for the poor are not neglected in
the wake ofattention paid to secondary hospitals"

All these are definitely steps in the right direction. In addition, we believe that if the
points 1-7 are considered not as negative judgements but as stimulus to change track and
be rooted in local social reality than these will add to important policy change as well.

8.

Some of blind spots continue even after two decades of work in India, (a) One is
especially striking and that is the total disregard of Indian and alternative systems of
medicine and folk health traditions, in spite of the country having such a large network of
institutions, health centres and human resources in these systems, (b) Is the total lack of
understanding of people from a social / community point of view. Reducing everyone to
a potential patient, client or stakeholder and taking about social marketing through IEC
rather than community involvement in planning, organising, monitoring and evaluation
continues and is another major lacunae.

9.

Our comments do not attempt a response to all the nitty gritty. In Appendix 2, we list out
an alternative framework of reference -a paradigm shift that is seriously required if the
World Bank and MOHFW want really to be on the right track. The Bhore Committee
recognised it in 1946; the WHO through Alma Ata in 1978, GOI in 1982 through the
NHP; and the ICSSR/ ICMR earlier in their Health for All report in 1981;

How long can the poor and marginalised in our country wait for this shift to take place
in World Bank thinking. In the 1999, there is a some possibility - as seen in this report.
Will 'peoples health' needs finally prevail over the 'market economy of health'? Will
ethical concern for health of the poor prevail over neo-liberal economics? Will the
World Bank partnership with MOHFW be willing to make this paradigm shift?
6

Appendix - 1

SOME FINDINGS OF THE CASE STUDY
1.

Bank Project 1972 - 1988
a. "the projects did not make significant differential improvement in project districts
compared to non-project districts" (page v)
b. "Outputs other than infrastructure were largely neglected" (page v)
c. "No attempt was made to apply different delivery models in project districts"
d. "project districts continued to operate under the same personnel and recurrent budget
constraints.

2.

TINP
a. "less successful in reducing moderate malnutrition"
b. "Programme experience seems to have been lost on India' and with it the clear
emphasis on malnutrition as a leading risk for ill health".

3.

ICDS
a. "Only modest positive effects" (page vi)
b. "targetting essentially by self selection" rather than as originally envisaged "targetting
of the poor"
c. "no Bank support for revision or structural change", (page 11)

4.

Primary services
a. "efforts to improve quality have not accomplished much and it has devoted
inadequate attention to content, monitoring and evaluation, and feedback of
results".

5.

Before 1988
a. "Bank ill prepared to make practical, constructive suggestion for systems
improvements an alternative approach"

6.

Sector Studies 1988-98
a. "Tendency to make policy recommendation that are too general" (page 8)
b. "Tendency to draw judgements about facts without adequate comparisons to
experiences elsewhere" (page 5)
c. "Inadequate analysis of underlying political, institutional and sociological factors
that explain why things work the way they do" (page 8)
d. "Earlier studies tended to be designed and executed by Bank staff with limited
consultation" (Page 8)

7.

IPP-VI &IPP-VII
a. "More success in expanding the delivery and training systems than in improving their
functioning"
b. "quality and performance of the training programme remained weak" (page 9)
c. "Efforts to strengthen MCH & IEC not very productive" (page 9)
d. "Little progress in shifting contraceptive mix" (page 9)
e. "failure to involve stakeholders in significant ways in design of project"

8.

IPP-VIII (1992-97)
a. "The goals and design are appropriate and relevant but they are too new and
disbursing too slowly to judge their effectiveness or impact".

7

9.

CSSM (1992-97)
a. "Since many of the problems could have been anticipated the fundamental problem
was a weakly designed project, a factor that may have resulted from efforts to push
this project through quickly and make it quick-disbursing"

10.

Specific Disease Control programs
a.
"Benefit-cost analysis and notions about which projects are appropriate for
public funding (eg., because of externalities, poverty or failure of private
providers) played hardly any role in selection".
b.
"Considerations about-the proper division of labours between public and private
sectors never seriously entered the discussion"(page 12).
c.
"Risk of inadvertently introducing distortions in spending between diseases and
across regions" not considered adequately.

11.

State Health Systems Development Project
a. "The projects did little or nothing to provide the other pre-requisites for an
effective referral system" (page 15)
b. "specific activities appear to have been selected opportunistically" (page 17)
c. "The type of monitoring and evaluation included in these projects even if
implemented well is not up to the mark for this purpose" (page 17).

12.

Training
a. "Both government and Bank documents indicate an awareness of these problems, yet
the problems remain unsolved".
("Inadequate selection and training of trainers, course content not based on trainees
needs, insufficient time devoted to field work and practicing new skills, weak
management of training program, inadequate inservice training programs, lack of
programmatic guidance and leadership").
b. "Tendency to 'throw some training' to 'correct a problem' without thinking in
advance whether training alone will do the job".

13.

IEC
a. "Bank's resources have done little more than help the government expand weak
and ineffective programs with the result that considerable resources have been
wasted".

14.

Decentralization
a. Before April 1992
"No bank-financed projects included any decentralization initiatives".
b. "Local governments do not seem to be playing any significant role in the projects
investigated parti}' because their responsibilities are ill defined".
c. "A more widely used mechanism for decentralization 'Registered Society' has not
been evaluated".

15.

Quality of Family Welfare Service
a. "Has been aware of the flaws in the system but has continued to find system
expansion and training programs despite their flaws and has not become
engaged with the personal problems", (page 24)

16.

Finally
a. "Bank waited too long to push project and studies devoted to 'health' rather than
'population'" (page 17)
b. "Nutrition has been undervalued".
c. "Since 1972, the bank has provided US$2.6 billion for 23 projects in population
health and nutrition - but
the problems persist, and partly for analytical reasons
and partly because the more promising projects are ongoing, there are few signs that
most of these projects are having a significant impact".
8

L.._.L__ I__

SAMPLE REGIST PATIONSYSTEh 1 BULLETINS 9 9Z1
India/ Sates
/Union ...Territories
1

______ BIRTH RATE

—IIE&ihraie__ NATurBSROWTr RATE

____

fMR
Total Rural, Urban: Total! Rural Urban Total Rural Urban: Tot Rur Urb
3 | 4 I 5 | 6
7
8
10 HiTl2 13
2
9
2A2 28.9 21.5, d.y i y.6 6.5 18.3 19.2-1 15 Al AA 45 :
"■ ■ I
I
1
1
i
........ 1
. .....! ___ I
I
22.5 23.1 20.5 : 8.3 i 9.1 I 5.9 ! 14.1 14 I 14.6 63 i 70 37
28.2
29 20.7 9.9 i 10.3 i 5.9 ■ 18.3 18.7; 14.8 76 i 79 37
31.7 32.7 ; 23.6 10 i 10.4 : 6.8 i 21.7 22.3; 16.8 1 71 ' 73 l 53
25.6
27 22.6 7.6 1 8.3 i 6.2 ' 18 18.7 i 16.4 : 62: 69 ’ 46
28.3 29.6 23.8 8
8.3 i 6.9 i 20.3 : 2i .3: 16.9 68 ! 70 i 59
22.7 23.9 20.1 7.6 1 8.5 I 5.4 15.1 i 15.3 ; 14.7 I 53 : 63 1 24 '
17.9 : 17.9 ' 17.9 I 6.2 6.3 ■ 6.1 ! 11.7 11.6 i 11.8 12 i 11 15
31.9 33.6 23.1 I 11 ! 1 1.7 : 7.7 20.9 21.9 • 15.4 94; 99 57
7.3 ! 8.6 5.4 15.8 15.9 15.6 47 I 56 31
23.1 24.4 21
26.5 27.2 21.3 Ti 11.3 7.5 15.6 15.9 13.8 96 100 65
23.4 24.9 19 7.4 1 7.8 6.1 I 16 17.1 12.9 51 : 54 38
32.1 33.7 25.1 8.9 ' 9.3
7 23.3 24.4 18.1 85 89 61
10.6 11.6 53 58 40
8.7 6.7
19.0 19.3 18.3 .8
33.5 34.6 27.9 10 10.7 i 8.2 23.2 23.9 19.7 85 89 66
22.4 24.8 15.9 7.7 7.9 7.2 14.7 16.9 8.3 55 58 43

Thota'
Bigger States
1. Andhra pradesh
2. Assam
3. Bihar
4. Gujarat
5. Haryana
6. Karnataka
7. Kerala
8. Madhya pradesh
9. Maharashtra
10. Orissa
11. Punjab
12. Rajasthan
13. Tamil Nadu
14. Uttar pradesh
15. West Bengal
Smaller States
15.6 16.1 10.2 47 49
1. Arunachal pradesh 21.4 22.3 12.2 5.8 6.1
2
6.6 19 23
8
7.2 6.5 6.4
14.2 14.4 13.8 7.7
2. Go8.
b3 64
3. Himachal Pradesh 22.6 23.1 16.8 8.1 8.3 5.9 ■ 14.5 14.8 11
4. Jammu & Kashmir not available due to part-receipt of returns
5. Manipur
19.7 20.5 17.6 5.9 5.8 6.2 13.8 14.7 11.5 i 30 I 21
6. Mughalaya
30.2 32.9 16.6 8.8 I 9.7 ; 4.4 21.4 23.2 12.3 54 56
16.4 13.3 4.8 5.7 3.7 10.2 10.7 9.6 19 i 22
7. Mizoram
15
8. Nagaland
N.A N.A 7.9 N.A N.A 2.7 M.A N.A 5.2 NANA
9. Sikkim
20 12.8 6.5 6.6 3.5 13.3 ; 13.4 9.3 51 51
19.8
10 Tripura.
18.3 18.9 15.5 6.8 6.9 5.8 11.6 119 9.7 l 51 53
I
r
1
I
Union Territories
I .....
i _ . ....
1 .Andman SNicobar 18.6 18.8 17.8 5.1 5.6 I 3.6 ; 13.5 13.2 14.2 33 39
2.Chand grh
18.8 20.9 18.5 4.2 3.7 : 4.3 I 14.5 i 17.3 : 14.2 40 46
3. Dadra & Nagar Ha 28.2 : 28.7 22.8 8.2 8.6 I 3.6 20 I 20.1 j 19.1 ; 63 . 67
4.Damar. & Diu
: 24.9 i 25.5 24.4 I 5.9 7.7 i 4.4 i 19 i 17.7 i 20.0 I 38 : 41
5.Delhi
21.1 i 22.7 20.9 i 5.4 5.4 ! 5.4 ’ 15.7 i 17.4 j 15.5 ; 35 34
6. laksh adweep
I 22.9 i 23.5 22.3 ; 6.2 6.1 i 6.3 i 16.7 117.4 i 16.0 I 36 22
7.Pondicherry
18.4 I 20.1 i 17.1 I 8
9.1 i 7.2 10.4 : 11.1 ; 9-9 I 22 : 30

n

17
14
38

28
52
15
16
41
39
16
40
7
35
35
49
16

FINANCIAL IMPLICATIONS OF WORLD BANK. AID
1. World Bank gives aid through GO1 to States and not directly. This is given in U.S.
Dollar terms.
1.

2
3.
4.
5.

Payment of commitment charge on the principal amount of the credit not
withdrawn from time to time.
Payment of service charges on the principal account of the credit
withdrawn from time to time.

%%

%%

10 years moratorium on repayment.

From 11 year to 23 years repayment in 2 semi-annual installments of
principal amount
From 23 year to 35 years repayment in 2 semi-annual installments of
principal amount

1 '/4%

2 %%

2.

GOI gives the same loan to State government as 70% loan amount and 30% as grant
and in Indian rupees terms.

i.

Interest is at 12% (works out to 9% if the entire amount is considered (i.e. grant
also).
Reason for the increase in interest is to cover the future change in exchange rate
of Dollar Vs. Rupee.

ii.

3.

The state government has already negotiated for a World Bank Aid of Rs. 12,000
crores. Hence bidding for the Rs. 500-700 cr. for HNP project is justified as we are
ensuring that a significant proportion is being used to improve the overall health
status of people of Karnataka. Otherwise, this amount may be taken up by some
other Department of the Government.

CREDIT NUMBER 2630 IN

Development Credit Agreement
(Eacily Welfare (Assam, Rajasthan and Karnataka) Project)

between

INDIA

and

INTERNATIONAL DEVELOPMENT ASSOCIATION

Dated

E"

2.4"

, 1994

INTERNATIONAL DEVELOPMENT ASSOCIATION

CERTIFICATE

I hereby certify that the foregoing is a true copy ol
the original in the archives of the International
Bank for Reconstruction and Development and the
International Development Association.

FOR SECRETARY

CREDIT NUMBER 2630 IN
DEVELOPMENT CREDIT AGREEMENT

AGREEMENT, dated

JL'/VE'

J2.4-

,

acting
by
its
President,
(the
Borrower)
DEVELOPMENT ASSOCIATION (the Association).

1994, between INDIA,

and

INTERNATIONAL

WHEREAS (A) the Borrower., having satisfied itself as to the
feasibility and priority of the Project described in Schedule 2 to
this Agreement, has requested the Association to assist in the
financing of the Project;
(B)
the Project will be carried out by the States of Assam,
Rajasthan and Karnataka (hereinafter collectively referred to as
Project States), with the assistance of the Borrower, and as part of
such assistance, the Borrower will make available to the Project
States the proceeds of the Credit as provided in this Agreement; and
WHEREAS the Association has agreed, on the basis, inter alia,
of the foregoing, to extend the Credit to the Borrower upon the
terms and conditions set forth in this Agreement and in the Project
Agreement of even date between the Association and the Project
States;

NOW THEREFORE the parties hereto hereby agree as follows:

ARTICLE I
General Conditions; Definitions
Section
1.01.
The
"General
Conditions
Applicable
to
Development Credit Agreements" of the Association, dated January 1,
1985, with the last sentence of Section 3.02 deleted (the General
Conditions) constitute an integral part of this Agreement.
Section 1.02. Unless the context otherwise requires, the
several terms defined in the General Conditions and in the Preamble
to this Agreement have the respective-meanings therein set forth and
the following additional terms have the following meanings:

(a)

"ANM" means Auxiliary Nurse-Midwife;

(b)
"Assam" means
successor thereto;

the Borrower’s

state of Assam,

or

any

2

(c)
"CHC" means community health center, an adequatelystaffed and equipped family welfare facility intended to cater to a
population of about 100,000 people;
(d)

"district" means a district of a Project State;

(e)
"FY" or "financial year" means the financial year of the
Borrower, which begins on April 1 each year and ends on March 31 of
the following year;
(f)
"FRU" means first referral unit, a health facility able
to provide adequate care for pregnancies and deliveries with medical
complications;

(g)

"IEC" means information, education, communication;

(h)
"Karnataka" means the Borrower’s state of Karnataka, or
any successor thereto;
(i)

"MIS" means management information system;

(j)

"NGO" means non-governmental organization;

(k)
"National Action Plan" means the ‘Action Plan for
Revamping the Family Welfare Programme’, adopted by the Borrower’s
Ministry of Health and Family Welfare in 1992;

(1)
"PHC" means Primary Health Center, an adequately staffed
and equipped family welfare facility intended to cater to a
population of about 30,000 people;
(m)
"Project Agreement" means the agreement between the
Association and the Project States as the same may be amended from ;
time to time, and such term includes all schedules and agreements
supplemental to the Project Agreement;

(n)
"Project State" means Assam, Rajasthan or Karnataka as
the context shall require; and "Project States" means, collectively,
the States of Assam, Rajasthan or Karnataka;
(o)
"Rajasthan" means the Borrower's state of Rajasthan, or
any successor thereto;
(p)

Borrower;

"Rupees" or the sign "Rs." means the currency of the

3

(q)
"Special Account" means
Section 2.02 (b) of this Agreement;

the

account

referred

to

in

(r)
"State Action Plan" means respectively the Action Plan
for Revamping the Family Welfare Programme of Assam, Karnataka and
Rajasthan, and "State Action' Plans" means the three State Action
plans, collectively;

(s)
"sub-center" means an adequately staffed and equipped
family welfare facility serving a population of about 3,000-5,000
people; and

(V)
"tribal
Project State.

area"

means

any

area notified

as

such

by

a

ARTICLE.II

The Credit

Section 2.01. The Association agrees to lend to the Borrower,
on the terms and conditions' set forth or referred to in this
Agreement, an amount in various currencies equivalent to sixty-two
million
seven hundred
thousand
Special Drawing Rights
(SDR
62,700,000).
Section 2.02. (a) The amount of the Credit may be withdrawn
from the Credit Account in accordance with the provisions of
Schedule 1 to this Agreement for expenditures made (or, if the
Association shall so agree, to be made) in respect of the reasonable
cost of goods and services required for the Project and to be
financed out of the proceeds of the Credit.
(b)
The Borrower shall, for the purposes of the Project,
open and maintain in dollars a special deposit account in the
Reserve Bank of India on terms and conditions.satisfactory to the
Association. Deposits into, and payments out of, the Special Account
shall be made in accordance with the provisions of Schedule 4 to
this Agreement.

Section 2.03. The Closing Date shall be December 31, 2001 or
such later date as the Association shall establish. The Association
shall promptly notify the Borrower of such later date.
Section 2.04. (a) The Borrower shall pay to the Association a
commitment charge on the principal amount of the Credit not

withdrawn from time to time at a rate to be set by the Association
as of June 30 of each year, but not to exceed the rate of one-half
of one percent (1/2 of 1Z) per annum.

(b)
The commitment charge shall accrue: (i) from the date
sixty days after the date of this Agreement (the accrual date) to
the respective dates on which amounts shall be withdrawn by the
Borrower from the Credit Account or cancelled; and (ii) at the rate
set as of the June 30 immediately preceding the accrual date and at
such other rates as may be set from time to time thereafter pursuant
to paragraph (a) above. The rate set as of June 30 in each year
shall be applied from the next date in that year specified in
Section 2.06 of this Agreement.

• (c) . The commitment charge shall be paid: (i) at such places
as
the
Association
shall
reasonably
request;
(ii)
without
restrictions of any kind imposed by, or in the territory of, the
Borrower; and (iii) in the currency specified in this Agreement for
the purposes of Section 4.02 of the General Conditions or in such
other eligible currency or currencies as may from time to time be
designated or selected pursuant to the provisions of that Section.
Section 2.05. The Borrower shall pay to the Association a
service charge at the rate of three-fourths of one percent (3/4 of
1Z) per annum on the principal amount of the Credit withdrawn and
outstanding from time to time.

Section 2.06. Commitment charges and service charges shall be
payable semiannually on June 1 and December 1 in each year.
Section 2.07. (a) Subject to paragraphs (b) and (c) below, the
Borrower shall repay the principal amount of the Credit in semi­
annual installments payable on each June 1 and December 1 commencing
December 1, 2004 and ending June 1, 2029. Each installment to and
including the installment payable on June 1, 2014 shall be one and
one-fourth percent (L-1/4Z) of such principal amount, and each
installment thereafter shall be two and one-half percent (2-1/2Z) of
such principal amount.

(b)
Whenever (i) the Borrower’s gross national product per
capita, as determined by the Association, shall have exceeded $790
in constant 1985 dollars for five consecutive years, and (ii) the
Bank shall consider the Borrower creditworthy for Bank lending, the
Association may, subsequent to the review and approval thereof by
the Executive Directors of the Association and after due ■con­

5

sideration by them of the development of the Borrower’s economy,
modify the terms of repayment of installments under paragraph (a)
above by requiring the Borrower to repay twice the amount of each
such installment not yet due until the principal amount of the
Credit shall have been repaid. If so requested by the Borrower, the
Association may revise such modification to include, in lieu of some
or all of the increase in the amounts of such installments, the
payment of interest at an annual rate agreed with the Association on
the principal amount of the Credit withdrawn and outstanding from
time to time, provided that, in the judgment of the Association,
such revision shall not change the grant element obtained under the
above-mentioned repayment modification.
(c)
If, at any time after a modification of terms pursuant
to paragraph (b) above,
the Association determines that the
Borrower’s economic condition has deteriorated significantly, the
Association may, if so requested by the Borrower, further modify the
terms of repayment to conform to the schedule of installments as
provided in paragraph (a) above.

Section 2.08. The currency of the United States of America is
hereby specified for the purposes of Section 4.02 of the General
Conditions.

ARTICLE III
Execution of the Project
Section 3.01. (a) The Borrower declares its commitment to the
objectives of the Project as set forth in Schedule 2 to this
Agreement, and, to this end, shall carry out Part E of the Project
with due diligence and efficiency and in conformity with appropriate
administrative, financial, engineering, family welfare and medical
practices, and shall provide, or cause to be provided, promptly as
needed, the funds, facilities, services and other resources required
for the Project.

(b)
Without any limitation or restriction upon any of its
other obligations under this Agreement, the Borrower shall cause the
Project States to perform in accordance with the provisions of the
Project Agreement, all the obligations therein set forth, shall take
and cause to be taken all action, including the provision of funds,
facilities, services and other resources necessary or appropriate to
enable the Project States to perform such obligations, and shall not

6

take or permit to be taken any
interfere with such performance.

action

which

would

orevent

or

(c)
The Sorrower shall make the proceeds of the Credit
available to each Project State tor such part of the Project as is
carried out respectively by that Project State, in accordance with.
the Sorrower’s standard arrangements for developmental assistance to
the States of India.

Section 3.02. Except as the Association shall otherwise agree,
procurement of the goods, works and services recuired for the
Project and to be financed out of the proceeds or the Credit shall'
be governed by the provisions of Schedule 1 to the Project^
Zigreement .
Section 3.03. The Borrower and the Association hereby agree
that the ooligations set forth in Section 9.03, 9.04, 9.05, 9.06,
9.07 and 9.03 of the General Conditions (relating co insurance, use
of goods and services, plans and schedules, records and reports,
maintenance and land acquisition, respectively) in respect of the
Project shall be carried out respectively by the Project States
pursuant to Section 2.03 of the Project Agreement.
.ARTICLE IV
Financial and Other Covenants

Section 4.01. (a) The Borrower shall maintain records and
accounts adeouate to reflect in accordance with sound accounting
practices the accounts and records of its departments and agencies
resoonsible for the carrying out of the project or any part thereo: a
(b)

The Borrower shall:

r

(i)

have such records and accounts tor eacn tisca_
rear audited, in accordance with appropriate
auditing principles consistently
appnea,
oy
inceoendenc
auditors
acceptable
co
tne
Association;

(ii)

furnish to the Association as soon as available,
but in any case not later than nine months alter
the end of each such year, the report or sucn
audit by said auditors of such scope and in sucn

7

detail as the Association shall have reasonably
requested; and
(iii)

furnish to the Association such ocher information
concerning said records, accounts and financial
statements as well as the audit thereoz, as the
Association shall from time to time reasonably
request.

Section -.02. (a) For all expenditures with respect to which
withdrawals from tne Credit Account were made on rhe oasis or
statements of expenditures, the Borrower shall:

(bj

(i)

maintain or cause to be maintained in accordance
with sound accounting practices, records ana
accounts reflecting such exuenditures;

(ii)

ensure that all records
(contracts,
orders,
invoices, bills, receiots and other cocuments)
evidencing such exuenditures are retained unti_
at least one year after the Association nas
received the audit retort for the fiscal year in
which the last withdrawal from the Credit Account
was made; and

(iii)

enable
the Association’s
examine such records.

representatives

to

The Borrower shall:

(i)

have the records and accounts rezerrec to in
paragraph (a) (i) of this Section and those for
the Special Account for each fiscal year audited,
in accordance with anoropriate auditing prin­
ciples
consistently
annlied,
by
independent
auditors acceptable to the Association;

(ii)

furnish to the Association as soon as available,
but in any case not later than nine months after
the end of each such year the report of such
audit by said auditors, of such scope and in such
detail as the Association shall have reasonably
requested, including a separate opinion by said
auditors as to whether the statements of expendi­
ture submitted curing such fiscal year, together

3

with
the
procedures
and
internal
controls
involved in their preparation, tan be relied uoon
co support the related withdrawals; and
(iii)

ruraish to the Association such other information
concerning said records and accounts and the
audit thereof as the Association shall from -.-me
co cime reasonably request.

ARTICLE V

Remedies of the Association
Section 5.01. Pursuant to Section 6.02 (h) of the General
Conditions, the following additional events are specified:
a)
Any Project State shall have failed to perform any of
its respective obligations uncer the Project Agreement.

■ b)
As a result of events which have occurred after the date
of this Agreement, an extraordinary situation shall have arisen
which shall make it improbable that any Project State will perform
its respective obligations under the Project Agreement.

I l II

o)
The Borrower shall have failed to carry out the National
Action Plan, or shall have amended the National Action Plan in a
aimer that adversely affects the ability of the Borrower, in a
aterial and substantial manner, to implement, or achieve the
bjectives of, the Project.

<>

,'d)
Any Project State shall have failed to carry out i^|
respective State Action Plan or shall have amended such State Action
Plan in a manner that adversely affects the ability of the Borrower,
in a material and substantial manner, to implement, or achieve the
objectives of, the Project.

; e)
Ramataka shall have failed to carry out a program tor
rehabilitation of family welfare facilities, agreed with the
Association.

Section 5.02. Pursuant to Section 7.01 (d) of the General
Conditions, the following additional event is specified, namely,
that the event specified in paragraph (a) of Section 5.01 of this
Agreement shall occur and shall continue for a period of sixty days

9

alter notice thereof shall have been given by the Association to the
Borrower and the Project State.

ARTICLE VI

Effective Date; Termination
Section 6.01. The following is specified as an additional
matter, within the meaning of Section 12.02 (b) of the General
Conditions, to be included in the opinion or opinions to be
rumished to the Association, namely, that the Project Agreement has
been duly authorized or ratified by each Project State and is
regally binding upon it in accordance with its terms.

Section 6.02. The date ninety (90) days after the date of this
-Agreement is hereby specified for the purposes of Section 12.04 of
the General Conditions.
Section 6.03. The provisions of Section 5.02 of this Agreement
shall cease and determine on the date on which this Agreement shall
terminate or on the date twenty years after the date of this
Agreement, whichever shall be the earlier.

ARTICLE VII
Representatives of the Borrower; Addresses

Section 7.01. The Secretary, Additional Secretary, Director,
Deputy Secretary or Under Secretary of the Department of Economic
Affairs in the Ministry of Finance of the Borrower is designated as
representative of the Borrower for the purposes of Section 11.03 of
the General Conditions.
Section 7.02. The following addresses are specified for the,
purposes of Section 11.01 of the General Conditions:
For the Borrower:
The Secretary to the Government of India
Ministry of Finance
Department of Economic Affairs
New Delhi, India

10

Cable address:

Telex:

ECOFAIRS
New Delhi

953-3166175

For the Association:

International Development Association
1818 H Street, N.W.
Washington, D.C. 20433
United States of Amer-i r n

Cable address:

Telex:

INDEVAS
Washington, D.C.

197688
248423
64145
82987

(TRT)
(RCA)
(WUI) or
(FTCC)

IN WITNESS WHEREOF, the parties hereto, acting through their
duly authorized representatives, have caused this Agreement to be
signed in their respective names in the District of Columbia, United
States oz America, as of the day and year first above written.

INDIA

By

Jsi
Authorized Representative

INTERNATIONAL DEVELOPMENT ASSOCIATION

By

/$/ 0. TF&Sb/’rt C^cci)
Regional Vice President
South Asia

1 1

SCHEDULE 1

Withdrawal of the Proceeds of the Credit
1.
The table below sets forth the Categories of items to be
financed out of the proceeds of the Credit, the allocation of the
amounts of the Credit to each Category and the percentage of
expenditures for items so to be financed in each Category:

Category

Amount of the
Cred"
A: i
oo<4
(Expressed in
SDR Equivalent)

Z of
Expenditures
to be Financed

(1)

Civil works

25,300,000

90Z

(2)

Equipment,
furniture,
health kits,
vehicles
(except
Part A(2)(c))

8,500,000

LOOZ of foreign
expenditures,
80Z of local
expenditures ,
(ex-factory
cost) and 80Z
of local expen­
ditures for other
items procured
locally

(3)

Vehicles
for field
staff under
Part A(2)(c)

2,800,000

100Z of foreign
expenditures,
100Z of local
expenditures ,
(ex-factory
cost) and 80Z
of local expen­
ditures for other
items procured
locally

(4)

Books and
training
materials

1,300,000

95Z

(5)

Services and
materials for
IEC and training

7,300,000

80Z

12

Category

(6)

Amount of the
Credit Allocated
(Expressed in
SDR Equivalent)

Consultants ser­
vices, grants
and fellowships

4,700,000

Incremental

7,200,000

honoraria to
volunteer workers
and incremental
operations and
maintenance costs
(including medicines
and materials)

(8)

2.

Unallocated

5,600,000

TOTAL

62,700,000

Z of
Expenditures
to be Financed

95Z

901' of expen­
ditures during
the first three
fiscal years
commencing the
fiscal year in
which the Credit
becomes effec­
tive; 80Z of such
expenditures during
the following two
fiscal years and
60Z of such expen-

For the purposes of this Schedule:

(a)
the term "foreign expenditures'' means expenditures in.
the currency of any country other than that of the Borrower for
goods or services supplied from the territory of any country other
than that of the Borrower;

(b)
the tirm "local expenditures" means expenditures in the
currency of the Borrower or for goods or services supplied from the
territory of the Borrower;
(c)
the term "incremental salaries" means expenditures in
respect of salaries paid to staff appointed to posts established
under the Project on or after April 1, 1994;

13

(d)
the term "incremental operations and maintenance costs"
means operating and maintenance costs, including in respect of
vehicles, incurred under the Project'on or after April 1, 1994; and
(e)
the term "honoraria to volunteer workers" means payments
made to volunteers under Part B of the Project on or after July 1,
1994 to reimburse such volunteers for expenditures incurred by them.

3.
Notwithstanding the provisions of paragraph 1 above, no
withdrawals shall be made in respect of payments made for expendi­
tures prior to the date of this Agreement except that withdrawals,
in an aggregate amount not exceeding the equivalent of SDR 350,000
may be made on account of payments made for expenditures on or after
July 1, 1993.
4.
The Association may require withdrawals from the Credit
Account to be made on the'basis of statements of expenditure for
expenditures for goods under contracts not exceeding $200,000,
services and incremental operating costs under contracts not
exceeding $100,000 and works under contracts not exceeding $200,000
equivalent under such terms and conditions as the Association shall
specify by notice to the Borrower.

14

SCHEDULE 2

Description of the Project

The main objectives of the Project are to lower current levels
or fertility and maternal and childhood mortality in Assam,
Rajasthan and Karnataka by strengthening the family welfare programs
or
these
States
including
by
promoting
a
broader mix
of
contraceptive methods.

The Project consists of the following parts, subject to such
modifications as may be agreed upon between the Borrower and the
Association from time to time:
Part A:

Strengthening Facilities for Delivery of Family
Welfare Services:

(1)
Extension and Upgrading of Infrastructure
Family Welfare Services ir. Under-served Areas:

for

Delivery

of

Establishment of an adequate network of facilities for the
delivery of family welfare services in areas currently under-served
in the Project States, with sub-centers selected in accordance with
criteria agreed with the Association, consisting of:
(a)

in Assam, construction and' equipping of about 800 sub­
centers, renovation of about 50 sub-centers; upgrading
abcut 90 PHCs; upgrading about 100 state dispensaries
into PHCs; upgrading about 40 CHCs or hospitals into
FRUs and renovation of about 40 facilities to be
upgraded to FRUs;

(b)

in under-served districts of Karnataka, construction and
equipping of about 1000 sub-centers and 100 PHCs;
construction of about 270 doctors’ quarters at existing
PHCs; renovation of about 2200 existing sub-centers and
about 330 PHCs and about 50 CHCs; and upgrading about 70
CHCs into FRUs; and

(c)

in under-served districts of Rajasthan, upgrading about
860 sub-centers in partnership with NGOs; construction
and equipment of about 25 new PHCs; and upgrading about
210 CHCs into FRUs.

15

(2)

Strengthening of Outreach and Community Linkages:

Improving access, outreach and program linkages'of the family
welfare program of each Project State with communities by:
(a)

reaching under-served communities in each Project State
by establishing mobile clinics (using boats or vans)
where stationary facilities
are unavailable,
and
providing
transportation
facilities
for
staff,
including: (i) in Assam, establishing boat clinics and
mobile clinics for riverine islands and remote tribal
communities; and (ii) in Karnataka, establishing mobile
health teams to cover remote tribal communities and in
Rajasthan, establishing mobile clinics or rural health
camps in remote areas;

(b)

in each Project State, establishing a network of
community-based volunteers to assist ANlis in IEC and
motivation, liaise informally with communities and hold
stock of relevant medical supplies including: (i) in
Assam, establishing a system of volunteers (women health
promoters) providing one such volunteer for every 60
households; (ii) Karnataka, forming health advisory
committees at each sub-center, with both program and
community representatives, and such committees engaging
a community volunteer link worker each par village; and
(iii) in Rajasthan, expansion of existing community­
based systems for contraceptive supplies and the
establishment of link worker schemes; and

(c)

in each Project State, providing motorcycles, mopeds and
bicycles to family welfare field staff by establishing
a staff mobility fund to provide credit to such start
for purchase of such vehicles.

Part B:

Improvement of Quality of Family Welfare Services:

Improving the quality of services in the areas of training,
medical supplies, logistics and the involvement of private voluntary
organizations (PVOs) so as to improve the acceptability, uptake and
impact of Family Welfare Services in the Project States including by
the establishment in each Project State of a State Institute for
Health and Family Welfare (SIHFW) to manage and coordinate training
programs and planning for the family welfare program, provide

16

training tor tamily welfare training staff as well as
operational research and evaluation, by:
(-)
Training:
Strengthening
institutions and programs by:

of

family

welfare

carry

out

training

(a)

in Assam, establishing a State Institute for Health and
Family Welfare (SIHFW) by upgrading the Health and
Family Welfare Training Center in Guwahati, expanding
the capacity of existing Rural District Training
Centers, upgrading about 16 ANN training schools of the
State Government, establishing and training District and
Block training teams, as well as carrying out extensive
in-service training courses for family welfare;

(b)

in Karnataka, establishing an SIHFW by constructing an
office building for SIHFW and providing co SIFHW the
existing training facility constructed by Karnataka
under the Third Population project (Credit 1426-IN),
upgrading
two existing Health and Family Welfare
Training Centers, establishing about 19 new District
Training Centers, upgrading about 7 ANM training schools
and one existing Lady Health Visitor Promotional
Training School of the State Government, establishing
and training District and Block training teams, as well
as carrying out extensive; in-service training courses
for family welfare staff; and

(c)

in Rajasthan, establishing an SIHFW, establishing one,
and strengthening selected existing, Regional Health and
Family Welfare Training Centers, upgrading about 15 ANM
training schools into District Training Centers, forming
and training Block Training Task Forces, as well as
carrying out extensive in-service training courses for
family welfare staff.

(2)- Improving Program Logistics: Improvement of family welfare
program logistics in Assam and Rajasthan regarding procurement,
transport and distribution of medical supplies by:
(a)

in Assam,
construction
of
storage
facilities
at
headquarters and district levels, provision of storage
and
material-handling
equipment
for
new
stores,
provision of data processing equipment for computerized

18

Part E:

(1)

Innovative Schemes and Preparation of Future
Investments:

Innovative Schemes:

Carrying cut of selected innovative schemes for improving
service quality of the family welfare program as well as evaluating
their success and effectiveness.

(2 )

Preparation of Future Investments:

Preparation of future investments in the family weltare sector
in Arunachal Pradesh, Manipur, Meghalaya, Mizoram, Nagaland and
Tripura.

The Project is expected to be completed oy June 30, 200..

19

SCHEDULE 3

Implementation Program
1.

The Sorrower shall carry out the National Action Plan.

2.
Without prejudice to any other provision of this Agreement,
the Borrower shall review with the Association by December 31 of
each year expenditures incurred under the Project during that fiscal
year and by March 31 of each year, resources required for Project
implementation curing the forthcoming fiscal year.

- 20 -

SCHEDULE 4

Special Account
1.

For the purposes of this Schedule:

(a)
the term "eligible Categories" means Categories (1),
(2), (3), (4), (5), (6) and (7) set forth in the table in paragraph
1 of Schedule 1 to this Agreement;

(b)
the term "eligible expenditures" means expenditures in
respect of the reasonable cost of goods and services required for
the Project and to be financed out of the proceeds of the Credit
allocated from time to time to the eligible Categories in accordance
with the provisions of Schedule 1 to this Agreement; and

(c)
the term "Authorized Allocation" means an amount
equivalent to S3,000,000 to be withdrawn from the Credit Account and
deposited into the Special Account pursuant to paragraph 3 (a) or
this Schedule.

2.
Payments out of the Special Account shall be made exclusively
for eligible expenditures in accordance with the provisions of this
Schedule.
3.
After the Association has received evidence satisfactory to it
that the Special Account has been duly opened, withdrawals of the
Authorized Allocation and subsequent withdrawals to replenish the
Special .Account shall be made as follows:

(a)
For withdrawals of the Authorized Allocation,
the
Borrower shall furnish to the Association a request or requests for
a deposit or deposits which do not exceed the aggregate amount of
the Authorized Allocation. On the basis of such request or requests,
the Association shall, on behalf of the Borrower, withdraw from the
Credit Account and deposit in the Special Account such amount or
amounts as the Borrower shall have requested.

(b)

(i)

For replenishment of the Special Account, the
Borrower
shall
furnish
to
the
Association
requests for deposits into the Special Account at
such intervals as the Association shall specify.

(ii)

Prior to or at the time of each such request, the
Borrower shall furnish-■ to the Association the

21

documents and other evidence required pursuant to
paragraph 4 of this Schedule for the payment or
payments in respect of which replenishment is
requested. On the basis of each such request, the
Association shall,'' on behalf of the Borrower,
withdraw from the Credit Account and deposit into
the Special Account such amount as the Borrower
shall have requested and as shall have been shown
by said documents and other evidence to have been
paid out of the Special Account for eligible
expenditures.
All such deposits shall be withdrawn by the Association from the
Credit Account under the respective eligible Categories, and in the
respective equivalent amounts, as shall have been justified by said
documents and other evidence.
4.
For each payment made by the Borrower out of the Special
Account, the Borrower shall, at such time as the Association shall
reasonably request, furnish to the Association such documents and
other evidence showing that such payment was made exclusively for
eligible expenditures.

5.
(a)
Notwithstanding the provisions of paragraph 3 of this
Schedule, the Association shall not be required to make further
deposits into the Special Account:
(i)

if, at any time, the Association shall have
determined that all further withdrawals should be
made by the Borrower directly from the Credit
Account in accordance with the provisions of
Article V of the General Conditions and paragraph
(a) of Section 2.02 of this Agreement; or

(ii)

once the total unwithdrawn amount of the Credit
allocated to the eligible Categories less the
amount of any outstanding special commitment
entered into by the Association pursuant to
Section 5.02 of the respective General Conditions
with respect to the Project, shall equal the
equivalent of twice the amount of the Authorized
Allocation.

(b)
Thereafter, withdrawal from the Credit Account of the
remaining unwithdrawn amount of the Credit allocated to the eligible

- 22

-

Categories shall follow such procedures as the Association shall
specify by notice to the Borrower. Such further withdrawals shall be
made only after and to the extent that the Association shall have
been satisfied that all such amounts remaining on deposit in the
Special Account as of the date of such notice will be utilized in
making payments for eligible expenditures.
6.
(a)
If the Association shall have determined at any time
that any payment out of the Special Account: (i) was made for an
expenditure or in an amount not eligible pursuant to paragraph 2 of
this Schedule; (ii) was not justified by the evidence furnished to
the Association, the Borrower shall, promptly upon notice from the
Association: (A) provide such additional evidence as the Association
may request; or (B) deposit into the Special Account (or, if t^A
Association shall so request, refund to the Association) an amount
equal to the amount of such payment or the portion thereof not so
eligible or justified. Unless the Association shall otherwise agree,
no further deposit by the Association into the Special Account shall
be made until the Borrower has provided such evidence or made such
deposit or refund, as the case may be.

(b)
If the Association shall have determined at any time
that any amount outstanding in the Special Account will not be
required to cover further payments for eligible expenditures, the
Borrower shall, promptly upon notice from the Association, refund to
the Association such outstanding amount.
(c)
The Borrower may, upon notice to the Association, refund
to the Association all or any portion of the funds on deposit in the
Special Account.

6 (a),

(d)
Refunds to the Association made pursuant to paragr^fcs
(b) and (c) of this Schedule shall be credited to the Credit

Account, for subsequent withdrawal or for cancellation in accordance
with the relevant provisions of this Agreement, including the
General Conditions.

rv\ | H y.
/
/
/

(To be submitted by 25th of following month to State Welfare Department of
Family Welfare, MOHFW, GOI, New Delhi through NICNET)
FORM 9
CONSOLIDATED MONTHLY REPORT FROM DISTIRCT TO STATE

'

General-Information
1. State
KARNATAKA
2. District RAICHUR
3. Population of District

4.
5.

1435170

I CENTRE

Month & Year
25,July, 2001
Eligible Couples
225372
(as on 1st April of Lhe year)

I

ANC Registered

-Cumulative

last

year

II

Ante Natal Check-up
Pregnancies

-Cumulative till this month this
Who have received 3 check-ups
How many received
- TT2
- Booster
- IFA
High risk Pregnancies
- PHC
- CHC
- FRU
- District Hospital
- Urban Dispensary
- PPC
- 0tilers
Complication
Re ferral

year



III

IV

Deliveries

Maternal

Deaths

Pregnancy

Outcome

1

VI

' VII

Neo-Natal

Post Natal

this month

- Total No. delivered
by
Trained attendant
ANM/LHV
- Institutional Deliveries at
Sub-cen tre
PHC
FRU
Dis trie t
Urban Dispensary
PPC
Others
- Complications
- Referred



V

till

Care

During Pregnancy
During Delivery
Within six weeks of Delivery

No. of live births
No. of Still births
Order of live births
- 1st
- 2nd
- 3rd and 3+
Weight of new born
- < 2.5 Kg
- > 2.5 Kg

Sick new born cases
- Treated
- Referred

Who. have

received 3 check-ups

1 23°°

3056

2835
9 73
3807
167
0
9
18
0
0
0
0
0

1 359
772

9
201
1 20
1 40
1 40
0
0
1 8
31

0
4

2700
41
1 096
835
810
67
1 635

67
0
1 948

/VIII

IX

X

RTI/STI

MTP

Immunization

38
4206
3650

No. of clinics in District
No. of male cases treated
No. of female cases treated
Referred to
- PHC
- FRU
- District

652
028
347

- No. of Govt. Hospitals and
others with MTP facilities
- No. of MTP cases done
- Infants 0 to 1 year
BCG
DPT 1
DPT 2
DPT 3
OPV 0
OPV 1
OPV 2
OPV 3
Measles
Full Immunization
- Children more than 18 months
DPT Booster
OPV Booster
-- Children more than 5 years
DT
-- Children more than 10 years
TT
- Children more than 16 years
TT
- Adverse reactions reported
after immunization

XI

Vi lamin A

Dose 1
Dose 2
Doss 3-5

XII

Childhood Diseases

Vaccine preventable diseases
Neonatal Tetanus
l> 3 3 6 S
Dea tris
Diptiieria
Cases
Dea ths
Poliomyelities (Acute
Flaccid Paralysis)
Cases
Dea ths
Tetanus (Others)
Cases
Dea ths
Whooping Cough
Cases
Deaths
Measles
Cases
Dea ths

'

23
Male
Female Total
181 9
171 8
3537
1831
1712
3543
1683
1616
3299
1685
1666
3351
0
0
C
1831
1712
3543
1683
1616
3299
1685
1666
3351
1724
1575
3299
1724
1575
3299
1057

993

20A

1057

993

2050

2775

2221

499ft

3015

21 99

5214

1325
0

931
0

2256
0

1638
0
0

1620
0
0

325S
0
0

0
0

0

o

2
0

0
0
0
0

G
0



w

Ha oar vine 11

i

Childhood Diseases

Pneumonia under

5 year

of acje

Cases treated with cotrimoxozola
cases rererred

Jca. CHS
Acute Diarrnoeal

diseases

1 S31
I S31

Cases L r e a c e ci u R C
Ga se s r e » e r v e a
Dea ths

Wi thin
Within
WiInin
Within

W 3 C i\ Of b?tF ch
V-' c e- k to 1 nio n c r> of bi i th
inO i i C i to
year of bi r th
y ca» to 5 years O 1 birth

Male Sterilisation
Female Steri1isa Lion
IUDs insertions
Oral Pills
Condom Users
No.of hosp Lals which
i


• I :

»

O

:

Ou I SLock
M eas 1 es
In Stock
Out Stock
ContracepLive
- Condoms
In Scock
Out Stock
Oral Pills
In S took
Out Stock
- IUDs

did atleast

1

V ci S c3 O CO I Fl ’/

Z Non sea P s 1
3 Abdomin.

Vo.sec coiiiy

Lq pI'O3C G p 1

i (luSCC O Hi y

4

In Stock
Cut Stock
DCG

L-onvenc. O ii Ct 1

0
0
530
0

0

13^000
0
25100
0

Slock Post!lion
■ -■ Tubal Rings
•. In, Stock
K.
Out Stock
Iron
IFA large
In Stock
Out Stock
Vitamin A Sol.
In S took
-Out Stock
ORS- Packets
In Stock.
Out Stock

XVII

Cold Chain

Equipment

XVIII Staff Position

ILR-300
Total,Supplied
Total not working
DFz-300
Total Supplied
Total not working
ILR-140
Total Supplied
Total not working
DFz-140
Total Supplied
Total not working
Specilalist in CHC/FRU
Sacntioned
Vacant
Who have received RCIi Training
Doctors in PIIC
Sane tioned
Vacan t
ANMs in Sub-Centre
Sane tioned
Vacan t
Male Health Worker
Sane tioned
Vacan I
Lady Health Worker
Sane tioned
Vacan t


< sir.

til of following month to State Welfare Department of
GOI, New Delhi through NICNET)
REPORT FROM DlSTIRCT TO STATE

Mon tii & Year
Eligible Couple
(as on 1st Apri

RNATAKA
pU 1 u Ci

145C145

Ante Natal Check-up

■Cumulative till
Who have received
How many received

2 001
O

i
1 Co

t

II

/ CENTRE

month

tbi

Boos ter

962
39 I 4

Pregnancies

Higi'i

CI-IC
FRU
District Hospital
Urban Dispensary
PPC

C

0
0 •
0
0

ANM/LHV
I n s t i t u 11 ■

BSH

01

1.40

Urban

C

0

ing 0

Ou i.

No.
No.

of 1 i
nd
rd and
2.5 Kg
2.5 Kg
new born cases
Ireated

VI

VII

Post Natal

Who have received 3 check-ups

9

1 £5

b7
0

No.
No.

of clinics in District
of male cases treated

No. of female cases
Referred to
- PNC
FRU
Di s tr i c t
IX

MTf

o

x \

. * ! ..

I mm uni t a l 10 n

treated

- No. of Govt. Hospitals and
others with MTP facilities
No. of MTF’ cases done
-- Infants 0

to. 1

9

30

year

DPI 1
DPT 2
DPT 3
OPV 0
OPV I
OPV 2
OPV 3
Maa s 1 e s
F u 11. I mm u r. i z a t i o n
Children more than 18 months
DPT Booster
OPV Booster

u-iixj.dr’en more chan
IT

i 0 year's

Children more

16 years

than

TT
Adverse reactions reported
after immunization

7 i 44
Vaccine preventable diseases
Neonatal Tetanus

Cases
Dea ths
Oiptheria
Cui S S3 3

Dea ths
Poliomyeli ties (Acute
Flaccid Paralysis)
L* cl 3 6 3

Deaths
Tetanus (Others)
Ca s e s
Dea ths
Whooping Cough
Cas e s
Deaths
Measles
Cases
Dea ths

0
0
0
•J

0
0
4


/


.

XVI

«-

XVII

Stock Postilion
Tubal Rings
In Stock
Out Stock
Iron
IFA large
In Stock
Out Stock
Vitamin A Sol.
In S took
Out Stock
ORS Packets
In Stock
Out Stock

Cold Chain

Equipment



>

XVIII

Staff Position

1370
0
90000
0

848
0
21500
0

ILR-300
Total
Total
DFz-300
Total
Total
ILR-140
Total
Total
DFz-140
Total
Total

c

Supplied
not working

0

Supplied
not working

6
0

Supplied
not working

76
H

Supplied
not working

72

Specilalist in CHC/FRU
Sacn Honed
Vacant
Who have received RCH Training
Doc cars in PHC
Sane Honed
■ Vacan t
ANMs in Sub Centre
Sane Honed
Vacun t
hiale Heal v.n Worker
Sane Honed
Vacan t
Lady ileal th Worker
oa n c c i o n e d
'/•AOiJ. (i C

i5
4
0
6 i

ry

213
1 i 1
2 08
MV
26
/

uis>rt.4|^?1(Pa?i)ily Welfare Officer

h >

■ 1 ;

•'..I
• -h

XII

>-

/



Childhood Diseases

-s

?

o

J
'

Pneumonia under 5 year of age
Cases
Cases treated with cotriinoxozole
Cases referred
Dea ths
Acute Diarrhoeal diseases
Cases
Cases treated OPS
Cases referred
Deaths

child Deaths

Wi thin
Within
Within
Wi th in

XIV

Con traception

Male Sterilisation
Female Sterilisation
IUDs insertions
Oral Pills
Condom Users
No. of hospitals which did atleast
i Conventional Vasectomy
2 Non scalpel Vasectomy
3 Abdominal Tubectomy
4 Laproscopic luoectomy

Abortions

XVI

Stock Pos ti tion
V u O C1 n c
- DPT
In S took
Ou t S took
- OPv
In S took
Ou t S took

1 70S

week of birth
week to 1 month of bir th
month to 1 year of bir th
year to 5 years of birth

XIII

XV

055
452
26

909
857
546 /
92 98
i

0

I

In S took
Cui Stock
In Stock
Cut Stock

In Stock
Cut Stock
- Measles
In Stock
Out Stock
Con tracep tive
- Condoms
.In Stock
Out Stock
- Oral Pills
In Stock
Out Stock
- IUDs
In Stock
Out Stock

■:

____

C',

0

1 590

0

6000
0

j.o.

n

.Tb|diL,H7 .,- |IOo||

‘o bo submitted by 25th of\fbn^wif[g m 3 rjto tors atfe Family Welfare Department of Family Welfar
•!

OHFW. GOI, New Delhi th rough’ NldNE

T

iBg«> w3ja?rt4 rfodo,

0L1DATED MONTHLY REPORT, FROM DISTRICT TO STATE/CENTRE
'



A? X? A v6>7A7/T

3

Population of District

Reporting for the month of

5.

Eligible Couples (as on 1st April of the year)

Ly

i

■■

a

. .a

- o3 0 t 1 H (4 ,

jn.mi'v Outcome

1

Ato7
.3>5>7 3
rs c 7 P5
7M5
55 po ^
7 7.
-?2'

Dob
I 10
1 1 0

1

t.w.wtal Deaths

1
■'::J l;'tfjqferred ( .1?! )t ■
. . I st na-ir I r; 1
During; Pjegnanc 11
During! {Bl'Y?ry |
Within t i* weeks :)( Delivery
.1- 1' top
-1 ■ ■Ip! Pl.
- 'I'i.hi) o,,of live. irth's
No.ofcti ibiritis
y •
Ord eq 6 jbjrth'
1st '
2nd A3 4..,.:
Weight of new bo rn : •
< 2.5 Kr t>ct,OK
>2.5. Ke .
0^ 2Weight io! taken.

7 77-5
<>

• .

1 -3.-S
79S
7 S3

_



G
9- 1 1
■>2- 1 1
63

• 1

?- 1 1
167
2-^
7
6

-- r o - i



i\-a\2>
U-SSV

a-raa
1 93 7
G1P
79 3
P&S
1 1 Gj
1 G
[S'

P-dr-Ca
' 551'

cO

Total no. of Deliveries
No. Delivered
,
,
By RATr\.tsc<--n e.cH AttWa.4
Trained attendant
ANM/LHV
Institutional Deliveries at
Sub - centre
PHC
FRU
District
Urban Dispensary
PPC

/

tO36 Z

______________ i___



1

^>135’7
3,0^9

Who have rocoivod 3 chock-ups
Mow many received
TT2
- i
Booster
.. . ............ —
■ -1
' IFA ■ -•
High risk Pregnancies
'■ -" ' "■ PHC
CHC
FRU
District Hospital
Urban Dispensary
PPC
Complication
Referral

I



Soo'

fycmHf

'-Ji'C .c.-EC=i’’*-3 H' this month last year
- ' '
this month this yea

j Anti' Natal Cheek-up
I !’'i'.|n.uu'it'.‘;

0

4

i' ■.:

I ANC Registered

z /

'■

'

1&.S3

Service

Deliveries

■' ! ?•' u:'.

... 0 1 - • <

:

1 aso
3>9
Sto’zf.

1'9G
1 74
I0

0 90 77-SS//.
171

■7 A 7 1
-51 Mb
l-l 3 7-6
Sc G
l-t76 D
7 603

$

iio r

i

dfc rjk'ftM

;i



''

a slips
pastes
j!

.

;

I

Who iiaVerecei'vebs check-ups
1

'

■ r- ’!

-------- H------ ---------------- ■

'

:__i-- :

nTT

. .

.........

. No: of clinics in District
No. of fnale.'cases:’treated

• 1H9I
' fa

No. of female cases treated
' . Referred to

-

■ ■ “HC
FRU
District

No. of Govt. Hospitals and others
No. of MTP cases done
Infants 0 to 1 year
BCG

Immunization
;
.
i

-.I .
• ' '
,•
- ‘

!/■:

I.
!

■ DPT 1
: DPT 2
' DPT 3
,OPV 0
OPV 1

OPV 2
OPV 3

■ Measles
Full Immunisation
Children more than 18 months
DPT Booster
OPV Booster
. ...
Full immunized

..

\l

Vitamin A

.Children.more.lhan.5 years
DT
Children more than 10 years
TT
Children more than 16 yes
TT
Adverse reaclioigsj|e^op^0_a^ler

Dose 1
Doso 2
Dose 3■5

Vaccine preventable diseases

'■■Tetanus-(Others) .»■
Cases
j. :*•
Deaths

Io-<33
19-550-

10-13.
>9 Mi

1 3'3
I

(0-8 1
1 'J 0.

IP.S7

to-k|
(9-31

1313
I 3-,°^
1 1 h fc

1 CG s

I 1 M G

IO 63

(90 0

-15^ -/ SO■

7-SO7-S'O-

130-0

118,0

137$
goo

6'7 7

I I ko,

io6o_

2,7 7

7W

/l C5-?

-I ■-) cy

Contraceptive
Condoms
In Stock
Consumed Including wastage

Go O O

Oral Pills
In Stock ,
Consumed including wastage

IUDs
In Stock
Consumed including wastage

Atb-S

Tubal Rings
In Stock
Consumed including wastage

3So7
A{ S9

(\

Iron

IFA large
In Stock
Consumed including wastage




Vitamin A Solution

7>o 7
7 I

■_. In Stock
Consumed including wastage

ORS Packets
In Stock
Consumed including wastage

IZGolt
1 7S G

ILR - 300
Total Supplied
'■
Tolal not working

XVII Cold Cham Equipment

A|

DFz- 300
:. Total supplied
Tolal not working

ILR- 140
Total supplied
Total not working
DFz- 140
' Tolal supplied
Total not working

ill Position

Go
Ao

Specialist in CHC / FRU
i No. ol Sanctioned
. i No. Vacant
No. of who have received RCH 7 raining

Doctors in PHC
.............Sanctioned
Vacant
—ANMs in Sub - Centre
Sanctioned

Vacant.
MakHeallh Worker
.[lij-SaQciioned

.1 G
1 1

> ;■

i7:lRaeanl:ill

■ Lad/Health ^Visitor
4 !.| ‘(Sanctioned '
Vacant s

11
11

BHE'jiA H Hi
I 'I;;,(Sanctioned
Vacant
--SHA(M)
Sanctioned
Vacant

4 ■
^"F)*i e>e^oiSc’-Q C

O'C

He
corlis

fi

rl>

WltboM

Whooping Cough
Cases
Deaths
Measles
Cases
Deaths
Pneumonia under 5 years of age
Cases
Cases treated with cotrimoxzole
Caes referred
Deaths
Acute Diarrhoeal diseases
Cases
Casesa treated with ORS
Cases reffered
Deaths

'HM Deaths

1^6
2-777
2-37 7
1 91
07

S9&
37
ol

I P -S Lf
I t-cSP
Ioo

Go2-3>

Go 2-3,
*•<> 1 0
03

o\

If 7
So

Ao

Within one week of birth
One week to within one month of birth
Ono month to within one year of birth

07
on
1 C

Ono year Io within five years of birth

71

I - bl


.
I

-rCO )

t oQd-

1 9

G2-

__

-I (S C* tf]



position

(S o

Inducing m .-r, p

'! W • ’•'H'.S

C le Z )^

Female Sterilisation
IUDs insertions
Oral Pill
Condom Pieces distributed
No. of hospitals which did at least 1
1) : Conventional Vasectomy
2)
Non scalpel Vasctomy
3)
Abdominal Tubectomy
4)
Laproscopic Tubectomy -

-X
r

I

Malo Sterilisation

_______ "•

1

v’tr.us'j'iion

Vaccine
DPT
• In Stock
■ Consumed including wastage
OPV
In Stock
Consumed including wastage



11 In Stock ■

23.00 O
11 M I 0
t mso
l 7-9 Gio

,

U P, Zf o o
IpL-Soo

'I' ' Consumed including wastage
Stock: -'
I,,Consumed including wastage
i ■ 5;i-i p
|

_______ _——' —

i



■■' •

.n

Tljn SlccRn
rCppsunjedincluding wastage
■ 'i-Measles hit- '

In Steck
Consumed including wastage



5coo
76oo ■

--a®-'

£l Go
SOO D

1 7 7 /-t 0
1-tf-tOO

• stuck moans. the aggregate of all the items available for consumption at SC / PHC / CHC / FRU / UFWC etc.,
TsTin -during the reporting month ,

■"•mm.'J during the month and also it should include wastage during the month

3

C-oi'-i ,

55

:
-ui.-mu t\;-d ov 25th of followin'! month to State Welfare Department o
iv Welfare. MOHFW. G01.. New Delhi through NICHE! :
FORM 9
CONSOLIDATED MONTHLY REPORT. FROM DISTIRC! TO STATE / CENTRE

E

ANC Rg<i 1 si?"- r«sd

-Cumulative till this month last vear

11

Ante Natal ChecK-uo
Pregnancies

-Cumulative till this month this vear
Who have received 3 check-ups
How many received
- TT2
- Booster
- I FA
Hiah risk Preanancies
- PHC
- CHC
- FRU
- District Hospital
- Urban Dispensary
- PPC
- Others
Cornelication
Referral

De 11 ve ries

IV

V

VI

VII

Maternal Deaths

Preanancv Outcome

Neo-Natal Care

Post Natal

- Total No. delivered
bv
Trained attendant
ANM/LHV
- Institutional Deliveries at
Sub-centre
PHC
FRU
District
Urban Dispensary
PPC
Others
- Complications
- Referred

Dur ma Preanancv
Durina Delivery
Within six weeks of

13121

196 75

3365
83
3874

332
172
82
50
18
10
D
e

776
478
100
261.
0
c>
196
0
28

0
Delivery

No. of live births
No. of Still births
Order of live births
- 1st
- 2nd
- 3rd and 3+
Weiaht of new born
- < .2.5 Ka
- > 2.5 Ka

Sick new born cases
- T reated
— Referred
Who have received 3 check-uos

1
2540
37

936
7 53
890

2504
36

183
38
2470

vi n

RTI/STI

No. ot clinics in District
No. ot male cases treated
No. ot female cases treated
Referred to
- PNC
- FRU
- District

997
1321
271
158
79

Govt. Hospitals and
others with MTP facilities
-No. ot MTP cases done

X

Immunization

- Infants 0 to 1 vear
BCG
DPT 1
OPT 2
DPT 3
GPV 0
OPV 1
OPV 2
OPV 3
Measles
Full Immunization
- Children more than 18 months
OPT Booster
OPV Booster
- fjjiildren more than 5 vears
OT
- Children more than 10 vears
TT
- Children more than 16 vears
TT
— Adverse reactions reported
after immunization

XI

Vitamin A

Dose 1
Dose 2
Dose 3—5

XII

Childhood Diseases

Vaccine preventable diseases
Neonatal Tetanus
Cases
Deaths
Diotheria
Cases
Deaths
Pollomvelities (Acute
Flaccid Paralvsis)
Cases
Deaths
Tetanus (Others!
Cases
Deaths
Whoopina Couah
Cases
Deaths
Measles
C<3.ses
Deaths

Male
Female Total
3074
.1591
1483
1648
167 5
1568
1899
.346 7
1550
1530
3080
934
878
1812
167 5
3323
1648
3467
1899
1568
1550
3080
1530
.1698
1732
34 3G
1698
3430
1732
1837
1837

1634
1684

3521
3521

9269

8906

1817 5

13170

6608
3665
0

3523
0

7188
0

1474
437
136

1433
420
137

2907
857
273

0
G
0
0

0

0
0
4
Q

29
0

Pneumonia under 5 vear of acie
Cases
Cases treated with cotrimoxozole
Cases referred
Deaths
Acute Diarrhoeal diseases
Cases
Cases treated 0R3
Cases referred
Deaths

1
1
1
1

week of birth
week to 1 month of birth
mon thi to 1 vear of birth
vear to 5 vears of birth

XIII

Child Deaths

Within
Within
Within
Within

'IV

Contraception

Male Sterilisation
Female Sterilisation
IUDs insertions
Oral Pills
Condom Users
No.of hospitals which did atleast 1
1 Conventional Vasectomv
2 Non sealoel Vasectomv
3 Abdominal Tubectomv
4 Laoroscooic Tubectomv

<V

Abortions

Stock Postition
Vaccine
- DPT
In Stock
Out Stock
- OPV
In Stock
Out Stock
- TT
In Stock
Out Stock
- DT
In Stock
Out Stock
- BCG
In Stock
Out Stock
— Measles
In Stock
Out Stock
Contraceptive
- Condoms
In Stock
Out Stock
- Oral Pills
In Stock
Out Stock
- IUDs
In Stock
Out Stock

54 5
545
33
.2
2037
2063
248
0

13
4
5

3
1066
1000
5604
3667

55320
22050

39120
18800

59940
39000
15200
1150

3100
700
5300
14955

0
51190
0
24226

0
1000

- Tubal Rinas
In Stock
Out Stack
Iron
IFA larae
In Stock
Out Stock
Vitamin A Sol.
In Stock
Out Stock
ORS Packets
In Stock
Out Stock

XVII

Cold Chain Eciuioment

XVIII Statt Position

375
0
o
o
0
0

0
0
ILR-300
Total
Total
DFz-300
Total
Total
ILR-140
Total
Total
DFz-140
Total
Total

Sudd lied
not wonkina

o

Suooliecl
not workina

7
1

Suddlied
not workina

68

Supplied
not workina

78
11

Soecilalist in CHC/FRU
Sacntioned
Vacant
Who have received RCH Trainina
Doctors in PHC
Sanctioned
Vacant
ANMs in Sub-Centre
Sanctioned
Vacant
Male Health Worker
Sanctioned
Vacant
La.dv Health Worker
Sanctioned
Vacant

0
0
0

61
1
292
18
179
39
39
2

c-e' rv, >v 5

.

( £g 02 submitted by 25th o' following month to state Family Welfare Department of Family Welfare,
MOI-IFW, GO!, New Delhi through NICNET)
FORM 9"

REPORT. F.*?OM DISTRICT TO STATE / CENTRE

..'.■.’.S'

,.'Y

General

1.

State—/_>C?,7)T0CJ(3~Z>-

4

Reporting for the month of

2.

District—/o Q~.'Q7■

5.

Eligible Couples (as on 1st April of the year) ^.>^7 35 7

3.

Population of District

Si.
No.
1

V

Cu.T77771U ■

f 6 ,, 52.532.

dloJkcve,

Service
ANC Registered

Ante Natal Check-up
Pregnancies

Cumulative till this month last year
Cumulative till this month this year

Who have received 3 check-ups
How many received
__
TT2____________________
Booster
_____ IRA ..
_
__ High.riskPregnan.cies
—=_____ PHC
'
____________

— -___ CHC

________

—._____ EHU____________ ____
___ =_____ District Hospital
-_____ Urban Dispensary
PPG
Complication
Referral
III

~ 200,2 .

O

Deliveries

^27/
J.2.853

/335J

33)S_

fS'-O



<=3/1 Yi
- -^f6o5-

-*»


-T >__

——i—r---- •
■ a------

Zfo___

----- r—------. *7°-----

1

_ 25&Z. ■ J.0D2.7 ..
Total no. of Deliveries
----------- ..
Mo. Deliveried
__________
Ry ■
Soo_._ _.5O81—
Trained attendant_______
D—
________
ANM /1 HV
- - ■
-T
...qaL- .-x2822_-_____ Institutional Deliveries at_______________ g,^,
__83_
Sub - centre
________ .
__ .——
._______________________ __ 934----- __Y3;—.

PHO
FRU

__ —

District
Urban Dispensary
________ PPG
. .............
Complications
Referred

...

-OS?

ai____

IV

Meternal Deaths

During Pregnancy
__________________ _
'During Delivery_____________________________ __ 0-2
Within six weeks of Delivery

V

Pregnancy Outcome

No. of livebirths
No. of tillbirths
Order of birth
1st
2nd 23 +
Weight of new born

__ sOL5_Kg.

398 —
__p8___
_0.3_

-2.530

. ..Sa.-..
.............

-

? 2.5 Kg.
Weight rioftaken.

_j5Z53_____

^79

-----------— -

.‘5’80 _... .304,5--.200.7-----6948--.5X^6..12.8S
7 -71DO .. .
. )36 .

_ 2.3c?__
1

a&sg ..
J23

XV

Within one week of birth
__ One week to within one month of birth
One month to within one year of birth
One year to within five years of birth
Male Sterilisation
Female Sterilisation
IUDs insertions
Oral Pill
___Condom Pieces distributed
■___ No. of hospitals which did atjeast 1
1)
Conventional Vasectomy
___ 2)___ Non scalpel Vasctomy
3)
Abdominal Tubectomy
4)
Laproscopic Tubectomy

1

.
!
1

;
I

!

603
...

•——



J.g... ...

H2

Zl _______
____ 12_____

to
2_____
10.00
SAI-0
ZS)2^

~ C72
00
_ 3.1_______
os_____ OS ____

OS
og
2 1-------—0-1

•-- —

Abortions

XVI Stock position


//

8^3, _

Casesa treated with ORS
________ Casas-ieffered
Deaths

XIV Contraception



.

Oases

r«j




Caes referred
Deaths
Acute Diarrhoeal diseases

XIII Child Deaths

i

. -Measles
________ Cases_______________________ _o.<i_
Deaths
Pneumonia under 5 years of age
Cases
■3%.
Cases treated with cotrimoxzole

I

ft O_______ 3 &

li.

.

Whooping Cough
__ Cases _____________ ._____
■ Deaths
..... _



T

h

P

i

ro

_L
J

CclUTOTHIU —

&5

Vaccine
DJ?T
In Stock -■ :
..if?ooo...
Consumed including wastage
OPV
___ _______ In Stock
Consumed including wastage
________ TT_________
___________ In Stock_________
Consumed including wastage
______

:

51000
M9OO

D^'yOO

__

—4^302—

rAVynn

_________ In Stock___
Consumed includihg'wastage —lQ£.QQ_

Sj^oo
/1 £> no

—---------D-T_______.....BCG
_________ - In Stock
_____ ■
Consumed including wastage
Measles.
in Stock
Consumed including wastage

A no

A too

3>^/:oo

inf)

16350

In stock means, the aggregate of all the items available for consumption at SC / PHCICHC / FRU / UFWC etc.,
of the district during the reporting month .
Consumed during the month and also it should include wastage during the month

3

*

VI

Sick new born cases____________
Treated_____________ '
Referred

Neo-natal Care

VII

Post Natal

Who have received 3 check-ups

VIII

RTI/STI

No. of clinics in District______ ____
No. of male cases treated
No. of female casesTreated
______ Referred to_______________
PHC_________
- ■ ■ FRU -_______________
'
District

---- :

C?O,

Sc/a,

Ao
' /06/2-

_ J___ __
__ =____ Ug./5

■/-

______ 6SSA>..

i

Totai.

i
-LZ3/2>6-

|_L2516
____k>
< Q og
_____
_____ JL2S6? ....
y - --. —2-59
‘/
__ 8Q7
------ GSA©___ 1__ ___________
*____ £113__ :__
.JA565
____ ^gr>£,
' 596*g
/2A7-21 f/399
____ 6n2i—SS15
Ao«9
i PTS/5
llL&SSL_3£55F8

_ 3377

f t
-G72IF

F5O35

as<g^

Lh> 03.___
IP ■<
XI

Vitamin A

-------- —

k

XII

.33^

ttsO

F32./
2125

4>5/7

Childhood Diseases

oS

o5

______ _______ ___ 2___ —-

—_____

____ ------ ... . ■

.... - -------

.

. J__
P2

i

02

i

05
0%
_ 31___

;

/6-X

No. of Govt. Hospitals and others
No. of MTP cases done

X A"1 Immunization

A

___ -

Infants 0 to 1 year
M
BCG_________ __ __________________
’ DPT 1 J

Total

F

___________
-I5&S —SA'TAD.pr2_
ism i5IS
DPT 3______________
ISOO
OPV 0__________
Aqg
OPV 1
133£ J321
-OPV2
18-03 /722 —3152.6
OPV 3
18-/-0- 1G63
Measles
I5^..Full Immunisation
.1^32 157=2 -3152,Children more than 18 months
DPT Booster
.555 3^1- -j'sTJfOPV Booster
1
Full immunized
Children more than 5 years
DT
lg.72 76^ 3567
Children more than 10 years
TT
j£Pir
7537
Children more than 16 years
TT
^JOO 5).^
Adverse reactions reported after immunization
Dose 1
Dose 2
Dose 3 - 5

Vaccine preventable diseases
Neonatal Tetanus
Cases
Deaths
J2
Diptheria
■ Cases
Deaths
____ Poliomyelitis
Cases
—if____
Deaths
----- .
Tetanus (Others)
■_______ Cases
Deaths

2

looo 5^3- J.5^.
22^
8f?o
——>

T—

—.

_

._ _


.—




_1

Cw-mmb -i

Contraceptive
.. .... _____ .
Condoms
______
_
-____ In Stock
3c?00d0
jabd
Consumed including wastage______ 216228____ /.SS5.&5..
Oral Pills__________________________________ 1-----In Stock__________ .
_______ ____ ~ ........ .
SVBOO _
Consumed including wastage___ 6.%/? __ _<25'f25'

________ IUDs_________________

2 6<74>

In Stock
Consumed including wastage

...3^.0

Tubal Rings
In Stock
Consumed including wastage

__ £-t22__

___ kQO_______ :-------------------------------------------JFA large
In Stock
_____________
Consumed including wastage

’iWSOC

Vitamin A Solution
In Stock
” "Consumed including wastage

. 52.

ORS Packets_______________________ I
___________ In Stock
I
Consumed including wastage

XVII Cold Chain Equipment

~

__ -

ILR - 300
'
'Total Supplied
_________ Total not working

DEz^.300
Total supplied
Total not working

-------HR-140____________
------------ —E21aL£UBPlied.
-------------- Total not working

---- OP?-140
Total supplied
n"otal not working-

Specialist in CHC / FRU
No. of Sanctioned

XVIII Staff Position

33


No.Vacant
No. of who have received RCH Training3 tty

Doctors in PHC
Sanctioned
—Vacant

.56

56
OA

ANMs in Sub - Centre
_____ Sanctioned________________________
—Vacant.______________________ ______

Male Health Worker_____________ __ j___ ___
_________ Sanctioned
_________ Vacant______

t adv Health Visitor
Sanctioned
Vacant
__ _

'

SHE____
~

Sanctioned
Vacant

SHA(M) .

L_

.

Sanctioned
Vacant

—LG.'".'

—£/£—3 .316 ...
—2g_______

...2M__

—03------ —03
__ /?

... &&...

..—OS


DutrictHp^thn^KcW- Officer
Distt. FaBafrj'lkiafare Officer.

GOWffhWS OF KAiWi'AO

NO.ECiy

7/

S0D1-02

Office of the
£1 strict Heal th & F. if. Office,
Gulbarga, Dated: 2D=-8~20D1o;;

Tha Chief Di re ctor( Statistics),
©apartment of Family sfelfare,
Ministry of Health & F,lf.
Govt.of India, Nlnaan Bhavan,
no m.
i
rrwrr >»w . *

’-“■■■ .

Sir,

Subs=« Submission Form Ho.9 as per new formet.ofC. F. A ♦ A
Ra g ©

.in reference to the above cited subject the
monthly performance report of Gulbarga

District in form No.9

under C.N.A.A. for ths month of July 2D01 is enclosed
herewith fes for your kind information.

Yours faithfully.

DI ST Eu CI EE AL TH & F. S. 0 FFI Cai B
/'&J1BA kg a »
Copy subtni t'ted:

Dstnogrspher Directorate of health & F.U.Servicos, ■•
AnandBao Circle Bangalore alnngvlth the monthly report for
th® month of July 8003. in form Ko«,9 for favour of kind

tYT The

s'

£)V>
1

inforniatiQn,

A

2) ills Project Director(RCH) Directorate of Health
Bangalore for kind informa tion.

C^yAv .

fe FsWs,

<y'4\ 3) Ina Divisional Joint Director Health & Fo Us Service s,
Y
Gulbarga Division for kind information.

.( l'o
submit t~d by 25 th of 131 Lowing mon bh to state Family Welfare
£■ partornt of Family 7.lelfarr, NGHFW, GOT, N? w Delhi through NICNFT)
FORK 9
CONFOLI DA IE D FONTHLY REPORT FhOE DISTRICT TO. STATE /CENTRE.

GENERAL.

1. Slev-t_
Y-iftglak
2. District;_ .
3. Population of District
4. Reporting for the month of A <-■->
5. Fiigibi? Couples(as on 1st April of th? y-sr)
Si.
S'-rvicp
No.
1. ANC Re gi st? r? d.
Cumulative tin this month Last year
Cumulative till this month this yr ar

. .

GC77

1:

.............

; During the
. Cumulative
— -Eanith.----- :-------------- —■

2. Ante-Natsi Check-up Pregnancies.

'

,<ho hav- received 3 check-ups.
J
S G> P-o
o c) l U_____
How manv received
---- - ---------■
___
69
7
o
_
___
________
\36-8
______
=. TT2____ ______________
Booster
.■£S r
2____ 3.301____ ■
- I FA
__ Ss.9.£________ :____ £06^
High risk Pregnancies
<L£.S________ ...ji.67________ •
= PHC
1_____ 3_S_7_______ . 13.9.7.' . .;
- CHC
= FRU
=-- District Hospital
J ......
=• Urban Dispensary
- PPC
J 2-2Complication
: .
2-j, ;
;
Referral

S oi S"

Deliveries. Total no.of Deliveries
w No. Dp live tied By.
= Trained attendant
» ANk/LHV=Others Deliveries 3t
~ Sub=LCentre
PHC
FRU
District
Urban Dispensary
PPC
Copmpli cations
Refcrred.

4. NeVrnal Deaths.
= During Pregnancy
<= During D? Li very

= Within Six Weeks of Eh livery

(Sul'.............

i

2-67''-;

:

’ S 6 7/j .

j_____ S

(SS
H63

6 9S

.

’7’
10 u 3



<21© S1 ' i

i

1

.. . i

:

_____

1

___ .133 ...

_____ I £3___________ 1

,9y’8 3___/■'

_l
233
3g

1

:

_

1

...

.. --------

7..........-

___ 39 y _

I
1

■ X
---------- .I1------------------- - ----------- -—
I
1

L

!

1

!

i____ 7___ i

:___ ix.
1
• u ud 20 © 0

1
1

i

<4968

N

"”?c5_KG.. ■
2.5 EG

i

.

....1S.S.O 7_
A8 o

i

ii
"_L 79 sc
;

i

~

!

1

■i. ‘ ■ ■
i
nsr
1 Go 1
11 ..... ..... .
i
m

1st
w born

,Currul a ti vn

C
/)l

1

1

1

j

5. pregnancy Outcome.
~ No . o/. 1 i v~ bi r th s
•- No. ofs.ti xibi rths
Order of birth
Bndy^
w 1 ghv’^f

During the
Nontfi

!
I

_____SM

.1

. 3o7 •

3.^7^
0-3 i o

W-ight not taken.

6. Nro^natal Cai's
- Sick new born cases
■=>Trr a u d
iipfc rx’pd

:1 . _
i1
l

£

__ 7. J. ...' .
7C

1

7o Post Na tai
>vho have i.-c-ivr-d 3 check-ups

!

8. hH/SU.
- No.of clinics in District
- No.of male c-ss's treated

^&Ol/

3 ti x

•=> No.of Female cases treated
K-f-rred to pHC
FRU
DIS tri ct.

78 S
\ t
\ M.

i
1
I

.

:33iz
„ loir_____

-

i

35

No.of Govt.Hospitai and others.
No. of NT? cas-'s done.

9. k'Tp

<=>

i

IO, Immunization.
Infants 0 to 1 y ar
= BCG

•'

7o-

K . !

1 ..

F

1
J

T
- .

F

N

; y_3So__ iHUb !
38-83
; 3 Vox. i 785’Cj lo-Vii ; h'-ig-g- | 2aj%c: \isis W 0-i-oS

- DPl-I

=■ DPT-2
= DpT-3

1

=> OPV-O

i
1

- OPV-1
= 0PV=2
<= 0PV“3

i

31<7<7
\5i^
3883
3

■Zg_o-/
S'2_ I'-i 55~

. 3 S' 71-1I—4

3 C7s? .. .? 7G_

<= Nr asle s

USSt,

3 /o-c
13g)

GGo5~

U7151X914 3 .L-iSA

\1-7M
1IS3S■
U SSM

\wsr 2-m
(0 SVb XlqS

(bjzr 2-13 c

3 Sx?

jg-

Tils'

lllic

' 1 XS g

-Full Immunisation
Children mor- than 18 months
- Dpi Booster

. ..... 3 8.17.

3<A8£

T3/5-

IlHo

Ui-53

7-3 ? t

' 3 y-C

' 3c‘7

116^

33.I-I

- OPV Booster

L____ ..

v 7m 1
.-’

•» Full immunized
Ph-i "» ri p*" n

em pp

t.hojn

\r~. —

o

f



D. ?:

Ho Vitamin

i ft

F

;.A27__7S/

S'6 o

'

_____
X-

i

o

...

.—

I

J

1

—■“

|

Jr asi-~ s

2_

i

Case s
D~ pths

!

Whopping Cough

1

I

&- a ths
Ces? s

__

X.
1 ■
.... _1 1

. .


r----- . - (D * ■ ■■ r
-+ “o"
AZ
__
— ._


,—

.—

Caso s

' T-t-nusCOth^rs)

*? 7099 VS-o^o <3ss-^y

.....A...


Case s
D? a th s

=- Poliocyc ii tip s

Sua

$

U 4 S'

1

-i

ckl

12. Childhood Dis- ,
Vaccine pi-vental .ip diseases
-= Nr on u ta 1 ie t an u s Case s
De a ths

Cutrui;■ ui vr
Mi
F !.
T

T

'-X

r

<—

— ......-—

■—•

Caso s
D~ aths

------ Aa .

Pnr.ur.onia under 5 years
gc
Case s
Gas---s trf-at-'.d with contriiroxzoL
Cosr s re fr rr? d

_x7_

\ 0


30-1 J J £3_i.

e i

A?. ....
_--_

?c j

I yis

Ui

!%

-cri____ <.33

I

13

bi.?

■ Ic^y]

JAj.9 / J..Sfe8_ki.. 1-L-D.8 f?

.

.J..Lal1aaa LlLZS-C

L^.iy
.Z...IA. .... 3.4... .
3
3

^1

<, Contraception.
Meir St*riiisntionz
F«-majt^ Sterilisation
" IUDs insertions
Oral Pill
Co.no otn Pi •* c~ s distribute d
NboOf hospit s which did ?.t I-as- 1
1) Cc-nycntio: ,1 Vos- ctoniy
2) Non Scalp; 1 Vosctomy
i’ub- ctoniy '<
3) bd.or;

<X

2-1

IX

2-7

7e

Ic

s?


ZZ2T

-.

...JA.

VI o

.JAS....

32
■79

I 7S°

!

,.A.4?6

°i

1 u

:f bi rth. p

X?

5-17

I

One year tn within five years

</

LC_X_

<nl

Child Deaths ■
Within one w^~k of birth
...Jk
On"*' week to within pn-~ month of birth .Io.
On--' month to within ohe>y-'ar of birth

1

:

V
} F

Diarrhor-al disrases
Case s
C - so s treated with OnS
Cases raff.-red
.
I !>• a ths

i.AJJL'?..-...3 'M.S.f-So: ..
7 Q 3«7-

15. Abortions
16. Stock Posi tion.
Vaccine.
DPT
In Stock
C on sum-ci including W?? stage.
OPV ■
In Stock
Consunr d inciuding wastage„
I. T.
D, T„

r.....
.

_!8oSo . .

'ii

■______6g6.o_.__J..
i__________________ L

In Stock
1 ensued including wastage-

,L

In Stock
Consume d including wastage

f___ SkAd___ J

foz^o

r '__

__ ?z42.‘gp__ -___ |

;

|______ L3J.O2_______

B. C.G. In Stock
Consumed including wastage

33^_

I

n s !■' sin- Stock

v

I

'•

'

9oRc_________i.

: ■ ■

j

J.I

o

;H tfo<T
I
i
;c. •
the itr-irs available for consurilf
ct during the reporting month,!

Consumed including wastage.
In stock m<- ans th; aggrege t.- of
at SC/PKC/CHC/FhU/UFaIC rtc. of the dis

Consumed during th--- month and also it should include wastage- duririt
th- month,
i
I

1
[___

Contra cent!
vo

Condoms
In Stock
consurr^d including wastage
Oral Pills In Stock
Consumed including. wastage

IUDs

.

!

In 5t-,ck
Consumed including wastage

.;

_

Tubal Rings In Stock
Consumed including wastage
IRON I FA largo.
In Stock
Consumed including wastage.

Vitamin /< Solution Bottfrs,
f -■ f s,Jn -St^k
, .
pon^unrd including wastage
OltS Packets.
In Stock

To <-al Not working.
ILR-140

__ .'Sens ■ -. _

.

t.

'j-v

3r

---------------------------_ _______ 1 2.-3.-----------



........
_____ ? i-3?
■.......... I

17. Cold Chain Equipment,
•i’o tn 1 Supplied.
total nol working.
DFZ--300
> Total supplied

r
.J.
i

13 c< 6 s .
! 1 =-o S G
3oio.

_______

Consumed including wastage.

\



1

Ss.IZ.o._____

... •

J

6

'■ ‘

...................... •»

_
,

.

.H______

_____________ X
______ 9______
______ _______

=: 5. :

DFz~ 140
I <2.7

Total. Supplied.
Total not working.

18. Staff Position:
Specialist in CHC/FkU
-No.of sectioned
=■ No.Vacant

iGtj
6.7-- '
L___ ______ :

<= No. of who irvo received RCH.Training
Doctors in PHC.
- No.Sanctioned
= No.Vacanto
A Ny s"Tri 'S’.;b 'Go n t m

‘U
:

-= Sanctioned
I-’Vacant?’

S

- Vacant.

= Sanctioned
=> Vacant.

i
i

L_____JH3.__ 1
:
I

i" rFaiLh Worker
Sanctioned
z
Vacant.’
’Lady H- olth Visitor
= Sanctioned.
P_E.E.
■- Sanctioned.
=- Vacant.
Sr. HA 7(17

i

—............

1

1

*
i
i
i
__________ ___A!_____ i

Dirt.

Disc Mth d P V >

1-'

strict

n S'AI CT IF AL TH i F. W. 0 FFICF
GULBAkGA.

GOVERNMENT OF KARNATAKA

No./DHO/RCH/ 118/2001 -2002

Office of the
District Health & F.W. Officer,
BIJAPUR.
Date : 20 August, 2001

To,

G. Prakasham
Demographer (JJD.)

Health & F.W. Bureau,
Directorate of Health & F.W. Services,
Anandrao Circle,
BANGALORE - 560 009

Subject: Submission of Community Needs Assessment Approach
Monthly Progress Report in Form No.-9 for the month of

With reference to the above subject, I am submitting herewith the

Progress report of Community Needs Assessment Approach in Form No.- 9 for the
month of Aug-01.

Thanking you,

Yours faithfully,

District Health & F.W. Officer,
BIJAPUR

FORM-fl

CONSOLIDATED MONTHLY REPORT OF BIJAPUR DISTRICT
Gen oral
1. State

: Karnataka

4. Reporting for the month of

2 District

: B|apur

5. Eligible Couples (as on 1 st April of the year)

3. Population of the District:

•—

I

ANC Reptitsrsd

Cumutstivo till this month last year

n

Ants Natal Check-up

Cumufathe tH this month this year . ■ ...

-

During the Month

Progressive

4201

17245

3270

12705

TT2

4069

13935

Booster

478

1555 .

IFA

4397

16872

High risk Pregnancies

who have received 3 checkups
How many receded

DorwvMioa

254.575

1,808,863

S.No. Sorvfco

m

July 2001

,i 11:: .•

303

1144

PHC

257

927

CHC

9

22

FRU

35

175

District Hospital

0

0

Urban Dispensary

0

0

PPC

2

20

Complication

303

903

Referral

303

903

2859

9859

By Trained Attendant

943

3173

By UnTraincd Attendant

44

94

910

3145

962

3447

Total No. Delivered

ANM/LHV

Institutional Deliveries at
SubCentre

230

859

PHC

252

987

FRU

342

1098

District

0

0

505

Urban Dispensary

IV

V

Maternal Deaths

Pregnancy Outcome

PPC

138

Others

0

0

Complications

55

99

Referred

55

99

During Pregnancy

0

3

During Delivery

1

4

Within Six Weeks of Delivery

2

4

2821

9758

40

111

No. of 5ve births

(2 Twins)

No. of sH births

Order of births
1st

992

3501

2nd

843

2928

3rd 8 3+

983

3326

Weight of new born

RCH09 Form-S SbeeU

<2.5Kfl

126

401

>2.5 Kg

2608

8973

Weight not taken

87

384

1

102

606

0

1

Cases

3023

11183

Cases treated with ORS

2721

10733

Cases referred

Deaths
Acute Diarrhoeal diseases

137

Casos Referred

0

0

Within one week of birth

36

84

One week to one month of birth

13

30

One month to one year of birth

15

49

One year to five years of birth

5

38

Deaths
xm

XIV

Infant Death

Contraception

Malo Sterilization

0

0

Female Sterilization

986

3837

IUDs insertions

985

3718

Oral Pills Users

7132

26620

Condom users

12699

46199 ■

No. of Hospitals which did at least 1
1) Conventional Vasectomy

0

2) Non Scalpel Vasectomy

0

0

3) Abdominal Tubectomy

55

219

57

224

26

138

•1) Laproscopic Tubectomy

XV

Abortion

XVI

Stock position

• if

.

0

Vaccine
DPT Doses

In Stock

1810

Out Stock

7611

OPV Doses

In Stock

0

Out Stock

16037

TT Doses
In Stock

0

Out Stock

17979

DT Doses

In Stock

0

Out Stock

10609

BCG Doses
In Stock

4020

Out Stock

4526

Measles Doses

0

In Stock
Out Slock

4982

Contraceptive Condoms (Pieces)

In Stock

'

Out Stock

181081

0

Oral P>Us (Cycles)
In Stock

16000

Out Slock

40767

IUDs (Nos.)

RCK09 Fonn-9 ShooM

In Stock

970

Out Stock

8287

3

[------------------2859----- — 2__________ 9685

\th

RTJSTl

1

No. of clinics in District

'

1

No. of male cases treated

853

3821

No. of female cases treated

1287

5771

Referred to

LX

Immunization

PHC

305

1501

FRU

397

2299

District

0

0

No. of Govt Hospitals and others with

MTP facilities

4

4

No. of MTP cases done

25

118

Male

Female

Total

Male

BCG

1993

1865

3858

7024

DPT 1

1983

1798

3781

7353

6604

DPT 2

1844

1768

3612

6815

6316

13131

DPT 3

1780

1651

3431

6870

6254

13124

OPV1

2009

1807

3816

7583

6820

14403

OPV2

1855

1752

3807

6773

6261

13034

0PV3

1818

1628

3446

6918

6257

13175

1879

1638

3517

6968

6237

13205

Infants 0 to 1 year

OPVO

Female

Total

6548 . 13572

13957

0

0

Measles

Fu?1 Immunization

Children more than 18 months
1360

1175

2535

4995

4479

9474

1353

1169

2522

4963

4464

9427

1124

854

1978

1457

1126

2583

1334

1172

2506

2117

1819

3936

629

471

1100

1633

1173

2806

0

0

0

0

0

0

Dose 1

1395

1221

2616

9267

10264

19531

Dose 2

368

330

698

7582

5659

13241

Dose 3-5

270

259

529

12964

14149

27113

DPT Booster

OPV Booster
Children more than 5 months
DPT Booster

-DT
Children more (han 10 years
•TT

Children more than 16 years
-TT

Adverse reaction reported after immurvzabon
XI

xu

Vitamin A

Childhood Disoauo

Vaccine preventable diseases
Neonatal Tetanus
Cases
-

Deaths
Diphtheria

Cases

1

Deaths

1

Tetanus (Others)
Cases

Deaths

Whooping Cough
Cases

0

Deaths

-

23

Measles
Cases

20

225

Deaths

Pneumonia under 5 year of age

RCH09 Form-9 Sheot4

Cases

1938

7019

Cases treated with contrimoxozole

1897

6771

2

Tubal Rings (Fairs)

2250

In Stock

;



c

0

Out Stock

kon (Nos.)
IFA large

In Stock
1342853

Out Stock

Vitamin A Solution (Doses)
In Stock

44000

Out Stock

98051

ORS Packets

XAH

Cold Chain Equipment

In Slock

9000

Out Stock

40767

ILR-300
Total supplied

5

Total not working

3

DFZ-300
Total supplied

6

Total networking

2

HR-140
Total Supplied

86

Total networking

10

DFZ-140

XMH

Staff Position

Total Supplied

88

Total not working

10

Specialist in CHC1FRU
No Sanctioned

32

No Vacant

17

No. who have RCH Training
Doctors m PHC
Sanctioned

88

Vacant

13

ANMs in SubCentre

Sanctioned

307

Vacant

54

Male Health Worker
Sanctioned

268

Vacant

82

Lady Health Visitor
Sanctioned

38

Vacant

6

District Hcattn i F.W. Officer,

BIJ APUR

RCH09 Fcxm-9 Sheet4

4

.

.

Co nd H S b •

Off KARNATAKA

Office of the 11 strict Health &
F. W» Of fi cor, Sellary, Dt, *] 8-8-0 1 .

No. ASO/ONNA—5/ 200 0 -0 1 •
.

*o

Ihe Chief 11 recto? ( Statistics) 9
Department of Family Welfare,
Government of India.
N1 xsn a zr Hha va n 9
N ew__ Del h.i.e-UQ0-Un.
Subs- CNAA - Submission of monthly progress
Heport in Sbrm No.9 — keg.
8 8

.I' With rafsrance to tho above cited subject,

I an herewith submitting the monthly and cumulative progj^sB
report in Form No.9

of CNAA for the month of <duly 2001

for your hind inf rmationo

Yours fai thfull y0

District Health
Dellary.

Wo Of fl cerp

Copy submitted to the Demographer, Id rectoxate of Health &
?,K Sorvi cee» bangalore for kind information and
^needful o
submitted to th® Hvisional Joint lireotor of Health
& ±. W. Seuvi eas( Gulbargu Division,, Guibarga fox’
kind information.

(To be submitted by 25th of following month to state Family Welfare Department cf Family Welfare,
MOHFW, GOI, New Delhi through NICNET)

FORM 9
CONSOLIDATED MONTHLY REPORT FROM DISTRICT TO STATE / CENTRE
General

1.

State R A (9 N A I A K l\ ■

4

Reporting for the month of

2.

District

B C. L L, A R V..

5.

Eligible Couples (as on 1st April of the year) Z-R

3.

Population of District 2. Q ■ % 5*

SI.
No.
I

II

III

*7-0 01

3T~u

A8

(

Service

ANC Registered

Ante Natal Check-up
Pregnancies

Deliveries

<

.*

Cumulative till this month last year
Cumulative till this month this year

— 2_o£f-R- A

2-0791____

1 S' A 9 5 •

Who have received 3 check-ups
How many received
TT2

Booster
IFA
High risk Pregnancies
PHC
CHC
FRU
District Hospital
Urban Dispensary
PPC
Complication
Referral
■.

Total no. of Deliveries
No. Deliveried
By
Trained attendant
ANM/LHV
----------------Institutional Deliveries at
Sub - centre
PHC
-..........
FRU
■ ■ '
District
Urban Dispensary
PPC
Complications
Referred

Pregnancy Outcome

No. of livebirths
No. of tillbirlhs
Order of birth
.......
1 st
2nd 73+
Weight of new born
<2.5 Kg.
> 2.5 Kg.
.
Weight not taken.

31
31 .

3 AG 0

1 A- 2..3 8

JA-JfeS- _5jA37.
1 o

..h-5-

,

;jiV i



Jjb.57
l_c3 o 5
4-38. J.A-SO
L5O “'9 2.7
IO ■
1R-

IQ
|

V

:
------ “

£

1 A-

J id

During Pregnancy
During Delivery
Within six weeks of Delivery

5735 5

I

Meternal Deaths

—C44WT3234 JA-.O A3
1. 1 1 G -R-OTR
7 9p3
1 G% 1
3>_Lh- _LoR-o
.-S5-

!

IV-

-i—ji— —

'935 S 1- 13.859.
-*83- —3S.A•
12.55.. A-7 9-9
.
-Ff-AZ./
1077/ 12. A-R
'
.. 19 A-.. _681_
3 197 1.2-1.91
19o- /O2-7-

1
>



'

-7? ■

IK

VI

Neo-natal Care

VII

Post Natal



Who have received 3 check-ups ‘

No. of clinics in District
No. of male cases treated
No. of female cases treated
Referred to
Pl-ic
FRU ■
District

VIII RTI/STI

92_A-o

i 9 082. '18 32-2-.
L<35 6s.

8032,

-.80 34-. 1GM-.U_..' Z.9-.2-.9 • 1 5 8 0-0.
__3..2 0.9 . 8 0 05.

..-8.377..S3^.U_ -79.2-9 . .l.S-8-601 5..O.3.M.7.82-7I
9.5J4)-_

6 42.3 i 4731}-

4-S4I

. .... 7.2-75 ! 2-334

573 _XI Vitamin A 5 0-^,7 I 0301
’ /-92.'2-S‘ i' 367/ .. 789.9.
"7 5.,'9- I 7767 ! I
XII

A.0_- LLS'.g,.,.
I 58- ■
3333 15 31}-7

, /

I G9..o S3 72

3750

17.

No. of Govt. Hospitals and others
No. of MTP cases done

MTP

IX

Sick new born cases
Treated
Referred

Childhood Diseases

1

Infants 0 lo 1 year
BOG
DPT 1
.-.
.DPT 2
- __ JO PT 3
.,
,-OPV'o
-,OPV 1
OPV2
7__ JOPV 3
Jvleasles
Full Immunisation
Children more than 18 months
DPT Booster
. OPV Booster

J F

Total

+-Z2. on 12 . 5135
15 3 ■2-082 52-7 5
zs i e -50 18
2 s<86 XOT-Q 9-<55

IA

9«3 8.99 1.882-,
Hi 2.0^2.

Soo IS."1.8 SO

2. S'g.O

5 4.1 -y

Hil 3999
I8?O
319 iZol. 2520.
319 1^.01- 252.0.

Children more than 5 year's
5'154
10 Ml
. DT
Children more than 10 years
o3.2_ GS^-IW^
TT
Children more than 16 years
__ -__ . TT.
ISM 31H .
Adverse reactions reported after immunization
Dose 1
_Dose 2 -t
” Dose 3 - 5

Vaccine preventable diseases
Neonatal Tetanus
Cases
Deaths
Diptheria
Cases.
Deaths
Poliomyelitis
Cases ___
Deaths
Tetanus (Others)
Cases
Deaths

2

13Ls 37 7 9
l 2.I3 loA-1 2.2.59

IW H-O75

Ni
Nl1—-

N't

Whooping Cough
Cases
Deaths
Measles
Cases
Deaths
Pneumonia under 5 years of age
Cases
.
Cases treated with cotrimoxzole
Caes referred
.
Deaths
Acute Diarrhoeal diseases
Cases
Casesa treated with OPS
Cases reffered
Deaths

XIII Child Deaths

XIV Contraception

Within one week of birth
One week to within one month of birth
One month to within one year of birth
One year to within five years 61 birth
Male Sterilisation
Female Sterilisation
IUDs insertions
Oral Pill
Condom Pieces distributed
No. of hospitals which did at least 1
Conventional Vasectomy
Non scalpel Vasctomy
2)
Abdominal T ubectomy
3)
■4)
Laproscopic Tubectdmy

I 07hill—

J ^73. ...5_O 47
1 1 So
4-844
3o343O2_4-

.1.1.384

,_.LH87.
375

GS
I OS

I &

3|
35.

I46
1
4 53 4

IS
3A G G0

j 575 2. 6

. J 4.. ..
O 5.

XV . Abortions

XVI Stock position

Vaccine
DPT
In Slock
Consumed including wastage
OPV
In Stock
Consumed including wastage
In Stock
Consumed including wastage
DT
In Stock
Consumed including wastage
BCG
In Stock
Consumed including wastage
Measles
In Stock
Consumed including wastage

300

M-S 4 00
. .177.00

I 3 ?-oo -

(n (O
I 2 Oo

In stock means, lhe aggregate oi all the items available for consumption al SC / PHC/CHC / FRU / UFWC etc., '
of lhe district during the reporting month .

Consumed during lhe month and also it should include wastage during the month

3

<L.



XVII Cold Chain Equipment

XVIII Staff Position

Conlraceptive
Condoms
Gcxro
In Stock
' _....... k [
7
X (>oap__
Consumed including wastage
Oral Pills
In Stock
Zo
1°^
Consumed including wastage
8 t.rK'JX
IUDs
In Stock
■ ■- lOCX^c
Consumed including wastage
■■■ - ,
700 '’dx.
Tubal Rings
. .. J
In '‘‘jock’............
Consumed including wastage '
Iron
IFAIaicjo
,
In Slock
’2>i ip-M, i.
Consumed including wastage
Vitamin A Solution
In Stock
- ...5.7.3... Bol- cl5
Consumed including wastage

... .v,
ORS Packets
In Slock
. .. T-SoG/f•
Consumed including wastage
4-7 7 3''.""“
ILR - 300
Total Supplied
............ ...
Total not working
DFz - 300 '
Total supplied
Total not working
ILR-140
Total supplied
Total not working
DFz-140
............. Total supplied
Total not vvorking

i

'

____;

{

_ ______ S._____
__ ____ _ 1.......
. . *8 ......
x .. . -

j

3o

.. ..... 53 :•
2J8

Specialist in CHC / FRU
No. of Sanctioned___ .
_ i
No. Vacant
'
1
No. of who'have received RCH Training
Doctors in PHC
.1
Sanctioned
Vacant
ANMs in Sub - Centre
;
Sanctioned
j
Vacant

Male Health Worker
;
Sanctioned
Vacant
Lady Health Visitdr
Sanctioned
Vacant
SHE


!
Sanctioned.
i
Vacant y.
SHA(M)

i
Sanctioned
Vacant

' 3o
17
fvlt-

- 75
2-8’752.

.

........ S^...

.... ..

2.2.
^6

'^-'Signature of ■

Disll. Family Welfare Officer.

Position: 974 (5 views)