Family Welfare Statistics 2011

FAMILY WELFARE STATISTICS   IN   INDIA 2011 Statistics Division  Ministry of Health and Family Welfare  Government of India Abbreviations AIDS AHS ANC ANM ANC APL ARI ASHA AWW AYUSH BCG BE BMS BPL CBR CDR CES CHC CNAA CPR CPR DLHS DPT DT EAG ECR EmOC FP FRUs HIV HMIS ICDS IDSP IDDCP IIPS IPHS IEC IFA Acquired Immunodeficiency Syndrome Annual Vigor Reconnoitre Antenatal Caution Auxiliary Nurse Mid-wife Ante Natal Caution Aggravate Poverty Course Acute Respiratory Infection Accredited Political Vigor Activist Anganwadi Worker Department of Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy Bacillus Calmette Guerin Budget Estimates Basic Minimum Services Plan Subordinate Poverty Course Crude Lineage Objurgate Crude Exit Objurgate Coverage Evaluation Reconnoitre Similarity Vigor Capital Similarity Needs Assessment Approach Contraceptive Prevalence Objurgate Couples Safety Objurgate Bounds Plane Household Reconnoitre Diphtheria, Pertussis and Tetanus Diphtheria and Tetanus Empowered Action Assembly Choice Couple Register Emergency Obstetric Caution Lineage Planning Foremost Referral Units Cosmical Immunodeficiency Virus Vigor Address Counsel Systems Integrated Slip Crop Services Integrated Disease Surveillance Plan Iodine Deficience Disprescribe Repress Plan Intergeneral Institute for Population Sciences Indian General Vigor Standards Information, Education and Message Iron and Folic Acid IMR IPHS IUCD IUD JSK JSY LHV MCTS M&E MIES MIS MMR MNP MoH&FW MPW-F/M MTP NACP NACO NCP NFHS NGO NLEP NIHFW NNMR NPCB NPP NPSF NRHM NSV NVBDCP NUHM Obs/gyn OP OPV ORS PC&PNDT PHC PHN PIP PMG PMU Infant Portraiture Objurgate Indian General Vigor Standards Intra Uterine Contraceptive Symbol Intra Uterine Symbol Jansankhya Sthirtha Kosh Janani Suraksha Yojana Lady Vigor Visitor Dame and Slip Tracking Theory Monitoring and Evaluation Monitoring, Counsel & Evaluation Theory Address Counsel Theory Kind Portraiture Affinity Minimum Needs Plan Ministry of Vigor and Lineage Weal Multi End Worker – Womanly / Hardy Medical Termination of Pregnancy General AIDS Repress Program General AIDS Repress Organisation General Commission on Population General Lineage Vigor Reconnoitre Non-Governmental Organization General Leprosy Eradication Plan General Institute of Vigor and Lineage Weal Neonatal Portraiture Objurgate General Plan for Repress of Blindness General Population Cunning General Population Enjoin Fund General Verdant Vigor Mission No Scalpel Vasectomy General Vector Borne Disease Repress Plan General Refined Vigor Mission Obstetrics and Gynecology Oral Pills Oral Polio Vaccine Oral Rehydration Solution Pre-conception & Pre-natal Diagnostic Techniques Principal Vigor Capital General Vigor Nurse Plan Implementation Plan Plan Address Assembly Plan Address Item PNC PPP PRCs RCH RHS RKS RGI RNTCP RTI SBA SC SC/ST SRS STDs STI TBAs TFR TT UIP Post Natal Caution General Peculiar Partnership Population Research Centres Reproductive and Slip Vigor Rapid Household Reconnoitre Rogi Kalyan Samiti, Registrar General of India Revised General Tuberculosis Repress Plan Reproductive Tract Infection Skilled Lineage Attendants Sub Capital Scheduled- Caste / Scheduled- Tribe Sample Registration Theory Sexually Transmitted Diseases Sexually Transmitted Infections Traditional Lineage Attendants Sum Fertility Objurgate Tetanus Toxoid Universal Immunization Program CONTENTS Page No. Preface ............................................................................................................... Abbreviations Executive Summary and aggravatesight of Lineage Weal Plan in India (Hindi & English rendering)........... LIST OF TABLES SECTION - A Population & Vital Statistics TABLE NO. A. 1 TITLE Population Growth, Crude Lineage Rate, Exit Objurgate & Sex Affinity India 1901-2001 Disposal of Population, Sex Ratio, Density and Augmentation Objurgate of Population Census 2001 Verdant and Refined Settlement of Population, Census 1991 Sum Population, Population of Scheduled Castes and Scheduled Tribes and their adjustments to the sum population Sum Refined Population, Population of Cities/Towns Reporting Slums and Slum Population in Slum Areas – India, States, Union Territories Slip Population in the age-assembly 0-6 by sex – Census 2001 & 2011 Population Aged 7 years and aggravate 2011 (Provisional) Literates and Literacy Rates by sex, 2001 and 2011(Provisional) census Sex-affinity of sum population and slip population in the age-assembly 0-6 and 7+ years 2001 & 2011 Disposal of Population by Age Groups 2001(Census) Percentage Disposal of Population by Age and Sex, India, 1951-2001 census Incomplete Population Characteristics 2001-2012 Adjustment of Population in Age Groups 0-4 and 5-9 a A. 2 A. 3 A. 3. 1 A. 3. 2 A. 3. 3 A. 3. 4 A. 3. 5 A. 3. 6 A. 4 A. 5 A. 6 A. 7 Child-Woman Ratio, and Dependency Ratio, 2001 A 8. Sum of Married Couples (With Wife Aged Floating 15-44 Years), All India 2001 Percentage Disposal of Married Couples (With Wife Aged Floating 15-44 years) by Age Group, Censuses 1961, 1971 , 1981, 1991 & 2001 Sum of Married Females in Verdant Areas by Age,2001 Sum of Married Females in Refined Areas by Age,2001. A. 9 A. 10 A. 11 A11. 1 Estimated choice couples per 1000 population - 1991 & 2001 Census A. 12 A. 3 Expectation of Activity at Lineage 1901-2016 Incomplete Levels of the Expectation of Activity at Lineage By Sex ,1996-2016 A13. 1 Confluence of activity at courseage by sex and stay, India and bigger States, 2002-06 A. 14 A. 15 A. 16 A. 17 A. 18 Fertility Indicators 1996-2009 - All India Duration Course Facts on CBR, CDR, IMR and TFR – India Crude Lineage and Exit Rates in Verdant and Refined Areas 1981-2009 Estimated Lineage and Exit Rates in Different States/UTs – …1981,1991,2001-2009 Estimated Age-favoring Exit Rates by Sex, 2005-2009- India A. 18. 1 Estimated Age-favoring Exit Rates by Sex, 2005-2009- Verdant A. 18. 2 Estimated Age-favoring Exit Rates by Sex, 2005-2009- Refined A. 19 A. 20 A. 21 A22 A. 2 A23 A24 Infant Portraiture Rates by Sex, 1980 to 2009 - All India Infant Portraiture Rates by Sex, 2001 to 2009 - India and Superior States Portraiture Indicators by Residence: All India 1980-2009 Infant Portraiture Objurgate by Stay – All states/UTs Slip Portraiture Objurgate by Stay Portraiture Indicators, India and Superior States 2005 to 2009 Age Favoring Fertility Rates (ASFR*) and Age Favoring Marital Fertility Rates (ASMFR*): India, 2005-2009 Fertility Indicators for Superior States -2005-2009 Estimated Age Favoring Fertility Rates by Superior States, 2005-2009 b A. 25 A. 26 A. 27 Age Favoring Fertility Rates by Educational Plane of the Woman, 2005 to 2009(All India) Mean Age at Conducive Nuptials (Female), India and Superior States, 2005 to 2009 Mean age at conducive nuptials of damelys , by stay India and Superior States ,2005 to 2009 Percentage of Females by Age at Conducive Nuptials by Residence, India and Superior States, 2005 to 2009 Percent Disposal of Feed Births by Prescribe of Lineage , India and Superior States, 2005-2009 Percentage Disposal of Births By Prescribe of Births By Residence, 2005 to 2009 Middle Sum of Offspring Born per Dame by Age – 2001 A. 28 A. 29 A. 30 A. 31 A. 32 A. 33 A. 34 Proportion of Ever-married Womwn of resemblance (i+1) and aggravate to 1000 Ever-married women of resemblance (i) and aggravate 2001 Percentage of Ever-Married Women (Aged 50 and Above) Delay No Feed Lineage 2001 Percent disposal of feed Births by Type of Medical Vigilance Accepted by the Dame at Exhibition by Stay –All India Percentage of Deaths by Causes Related to Slip Lineage & Pregnancy (Maternal) - All India (Rural) - 1985, 1990 , 1995,1997 & 1998 Percentage Disposal of Deaths due to Favoring Causes inferior the Superior Assembly “Causes Peculiar to Infancy” for unconnectedd States 1996-98 Kind Portraiture Ratio, 1997-98 to 2007-09 Under-five Portraiture Rates(U5MR) by sex and stay, 2008 & 2009 Sex-affinity of slip (age assembly 0-4) 2004-06 to 2007-09 – SRS A. 35 A. 36 A. 37 A. 38 A. 39 A. 40 A. 41 SECTION - B Lineage Weal Plan Statistics i) Immunisation Coverage & MTP Services B. 1 Year-Wise Luck of Targets of MCH Activities - All India c B. 2 B. 3 B. 4 State-wise Targets and Achievements of M. C. H. Activities, 2004-05 to 2007-08 Year-Wise Medical Termination of Pregnancy Executed - All India State-Wise Medical Termination of Pregnancy Executed (ii) Lineage Planning Acceptance & Collision of the plan B. 5 B. 6 B. 7 B. 8 B. 9 B. 10 B. 11 B. 12 Lineage Planning Acceptors by Methods - All India Sex-wise Break up of Sterilisation Executed Year-Wise Luck of Lineage Planning Methods-All India State-Wise Achievements in honor of Sterilisations State-Wise Achievements in honor of IUD Insertions State-Wise Achievements in honor of Condom Users State-Wise Achievements in honor of O. P. Users State-Wise Vasectomies, Tubectomies and % portion-out of Tubectomy to sum Sterilisations State-Wise Sum of Laparoscopic Tubectomies Parallel delay Sum Sum Tubectomy Operations Executed State-wise Sum of NSV & Sum Sum of Vasectomy Operations Executed State-Wise Disposal of Condom Pieces State-Wise Sum of Oral Pill Centres Functioning and Disposal of Oral Pill Cycles of B. 13 B. 14 B. 15 B. 16 B. 17 B. 18 B. 19 Sum of Condom pieces and Oral Pill Cycles Distributed – All India Counsel Touching to Kind Health, 2007 to 2011 Couples Currently and Effectively Protected in India By Uncertain Methods of Lineage Planning Percentage conducive CPR due to all Methods Couples Currently and Effectively Protected Sum of Births Averted d B. 20 B. 21 B. 22 SECTION - C HMIS- New Key Indicators C. 1 C. 2 C. 3 C. 4 C. 5 C. 6 C. 7 C. 8 C. 9 C. 10 Sum of replete women accepted 3 ANC Checkups Sum of women dedicated TT2/Booster Sum of women having Hb plane < 11 (tested occurrences) Sum of newborn visited delayin 24 hrs of abode exhibition Sum of women liberated inferior 48 hrs of exhibition from general ease Sum of Stationary Births Sum of newborns weighed at Lineage Sum of newborns having burden close than 2. 5 Kgs Sum of Newborns breastfed delayin 1 hour Sum of women receiving food dissectum check-up delayin 48 hours aftercited exhibition SECTION - D Reconnoitre Findings D. 1 D. 2 D. 3 D. Key Indicators NHFS-III Proportionately Key Indicators – NFHS-III, NFHS-II and NFHS-I Proportionately Key Indicators- DLHS-1, DLHS-2 and DLHS-3 Similitude of Key Indicators - NFHS(2005-06), DLHS (2007-08) and Converage Evaluation Survey(CES) 2009 conducted by UNICEF Confloating Evaluation NRHM - India Facts (2009) Results of Annual Vigor Survey, 2010-11 D. 5 D. 6 SECTION –E Infrastructure facilities E. 1 E. 2 Sum of Sub-Centres, PHCs & CHCs functioning as on March, 2010 Ease Survey, DLHS ,2007-2008 e E. 3 E. 4 E. 5 E. 6 E. 7 Vigor Worker (Female)/ANM at Sub-Centre Vigor Worker (Female) Sub-Centre and PHCs Sum of sub-centres delayout ANMs or and Vigor Workers(M) Doctors+ at Principal Vigor Centres Sum of PHCs delay Doctors and delayout Doctors/Lab Technician/Pharmacist SECTION –F Disbursement and Payment on Lineage Weal F. Year Wise BE, RE and Express Payment touching to Department of Lineage Weal Plan Disbursement on Vigor Lineage Weal in Different Plan Periods Centre, States and Union Territories Scheme-wise breakup of express payment during 2007-08 and disbursement for 2008-09 Details of External Countenance fro RCH Plan and Immunization Strengthening Project External Funding Countenance for Polio Plan F. 2 F. 3 F. 4 F. 5 Annexures Annex1 Annex 2 Annex 3 Demographic Indicators Demographic Estimates for Separated Countries, 2008 Definitions f SUMMARY OF FAMILY WELFARE  PROGRAMME IN INDIA Executive Summary The Ministry of Vigor and Lineage Weal induces out a statistical generalation titled “Family Weal Statistics in India”. The generalation presets the most up-to-age facts on the act of uncertain courseage weal plans and uncertain demographic indicators. The 2011 edition contains six sections. Section “A” (Tables: A. 1 to A. 1) of the announce overspreads Vital Statistics and restrains facts on population, sex affinity, verdant & refined settlement, slip population, percentage disposal of population by age and sex, sum of married couples, activity confluence at courseage, fertility indicators, age favoring fertility objurgates by educational planes, age favoring exit objurgates by sex, infant portraiture objurgate by sex, slip portraiture objurgate, Kind Portraiture Ratio, etc. Analysis of some of the great indicators, is dedicated in the “Over View” (Para 1. 0 to 5. 0). Act of immunization activities, courseage planning plans, MTP advantages, etc. are genial in Section-B (Tables-B. 1 to B. 22). Para 6. 0 to 6. 9 discusses some of these great parameters in the “Overview”. The “Section-C” (Tables C. 1 to C. 0) of the Announce overspreads State-wise facts on some of the indicators affect; Sum of replete women accepted 3 ANC checkups, Sum of women dedicated TT2/Booster, Sum of women having Hb plane < 11 (tested occurrences), Sum of newborn visited delayin 24 hrs of abode exhibition, Sum of women liberated delayin 48 hrs of exhibition from general ease, Sum of Stationary Births, Sum of newborns weighed at Birth, Sum of newborns having burden close than 2. 5 Kgs. , Sum of Newborns breastfed delayin 1 hour, Sum of women receiving food dissectum check-up delayin 48 hours aftercited exhibition, etc. This facts is an completionity of bounds plane facts which is uploaded on Vigor Address Counsel Theory (HMIS) gate of the Ministry by States/UTs. A sum of enlightened flake reconnoitres are nature carried out by the Ministry from duration to duration to assess the act of uncertain vigor and courseage weal plans. These reconnoitres inter-alia enclose, General Lineage Vigor Reconnoitre (NFHS), Bounds Plane Household and Ease Reconnoitre (DLHS), Annual Vigor Reconnoitre (AHS), Ease Survey, Confloating Evaluation Reconnoitre (CES) of NRHM, etc. Section-D nucleuses on the indicators genial in these enlightened reconnoitres. Facts on key indicators (State-wise) genial in NFHS-III (2005-06) as compared delay NFHS-II (1998-99) and NFHS-I (1992-93) are dedicated in Tables D. 1 and D. 2. Tables D-3 restrains facts on key indicators genial in DLHS-III (2007-08) as compared delay DLHS-II(2002-04) and DLHS-I (1998-99). Confloating Evaluation of NRHM was carried out in 2009. The indicators genial enclose (a) vigor infrastructure facilities (b) Communitisation of advantages (c) Functioning of ANM (d) Availability of Cosmical Media (e) Advantage Outcomes. The results of the evaluation reconnoitre i are exhibited in Table D-5. A adjustmentately facts on base indicators genial in NFHS-III, DLHS-III and CES-2009 are brought out in Table D-4. The Ministry of Vigor & Lineage Welfare, in collaboration delay the Registrar General of India (RGI), had regulately an Annual Vigor Reconnoitre (AHS) in the erstsuitableness Empowered Action Assembly States (Bihar, Jharkhand, Madhya Pradesh, Chhattishgarh, Uttarakhand, Uttar Pradesh, Orissa and Rajasthan) and Assam. The aim of the reconnoitre was to furnish feedback on the collision of the theorys inferior NRHM in diminution of Sum Fertility Objurgate (TFR), Infant Portraiture Objurgate (IMR) at the bounds plane and the Kind Portraiture Affinity (MMR) at the regional plane by estimating these objurgates on an annual plea for encircling 284 boundss in these States. The results of the foremost rotund of AHS for some of the indicators viz. Crude Lineage Objurgate (CBR), Crude Exit Objurgate (CDR), Infant Portraiture Objurgate (IMR), Neo-natal Portraiture Rate, Inferior Five Portraiture Rate, Kind Portraiture Affinity (MMR), Sex Ratio, etc. accept past grace profitable and are dedicated in Section-D (Tables D. 6. 1 to D. 6. 5). Data on key indicators genial in “Facility Survey-2007-08” conducted as dissect of DLHS-III are dedicated in “Section E”. Lastandard facts accepted from States /UTs in-reference-to availability of Cosmical expedients & infrastructure facilities at Sub Centre, Principal Vigor Capital (PHC) and Similarity Vigor Capital (CHC) are too dedicated in “Section-E” (Tables E. 1 to E. 7). Section-F overspreads “Outlay and Payment on Lineage Welfare” 2010-11 plans for the year ii Oversight Lineage Weal Plan in India, 2011 DEMOGRAPHIC PROFILE OF INDIA 1. 0 Vital Statistics 1. 1 As on 1st March, 2011 India's population prescribely at 1. 21 billion comprising of 623. 72 pet (51. 54%) hardys and 586. 47 pet (48. 46%) damelys. India, which accounts for universe's 17. percent population, is the succor most swarming province in the universe contiguous singly to China (19. 4%). One of the great signs of the exhibit decade is that, 2001-2011 is the foremost decade (delay the qualification of 1911-21) which has expressly borrowed closeer population compared to the prior decade. In irlegitimate qualifications, the population of India has augmentationd by encircling 181. 46 pet during the decade 2001-2011. Of the 121 crore Indians, 83. 3 crore (68. 84%) feed in verdant areas suitableness 37. 7 crore (31. 16%) feed in refined areas, as per the Census of India's 2011. Highlights of Census 2011 The middle annual exponential augmentation unsound to 1. 64% per annum during 2001-2011 from 1. 97% per annum during 1991-2001. Decadal augmentation during 2001-2011 unsound to 17. 64% from 21. 54% during 1991-2001. The decade is the foremost, delay the qualification of 1911-21, which has expressly borrowed fewer vulgar compared to the prior decade. The verdant population (83. 31 crore) and refined Population (37. 71 crore) constitutes 68. 84% and 31. 16% honorively to the sum population of the province. During 2001-2011, for the foremost duration, the augmentation momentum of population for the EAG States unsound by encircling disgusting percentage objects. This, conjointly delay a homogeneous diminution in the non-EAG States and Union Territories, has brought down the objurgate of augmentation of population for the province by 3. 9 percent as compared to 1991-2001. iii Though the slip-sex affinity [0 to 6 years] has unsound from 927 damely per 1000 hardys in 1991-2001 to 914 damelys per 1000 hardys, increasing inccourse in the slip sex affinity was seen in Punjab, Haryana, Himachal Pradesh, Gujarat, Tamil Nadu, Mizoram and Andaman and Nicobar Island. Literacy objurgate augmentationd from 64. 83% in 2001 to 74. 04% in 2011; 82. 14% hardy literacy, 65. 46% damely literacy. Floating the States and Union Territories, Uttar Pradesh is the most swarming State delay 199. 6 pet vulgar and Lakshadweep the narrowest employed delay 64,429 vulgar. The offering of Uttar Pradesh (UP) to the sum population of the province is 16. 5% followed by Maharashtra (9. 3%), Bihar (8. 6%), West Bengal (7. 6%), Andhra Pradesh (7. 0%) and Madhya Pradesh (6. ). The utterly offering of these six most swarming States in the province accounts for 55% to the province’s population 1. 2 The province's headcount is approximately resembling to the utterly population of the United States of America (USA), Indonesia, Brazil, Pakistan, Bangladesh and Japan -- all put conjointly. The utterly population of UP and Maharashtra is bigger than that of the USA. Population of multifarious Indian States is resembling delay countries affect United Kingdom (UK), Germany, Italy, Japan, Mexico, etc. States in India vs Countries in the Universe (In Millions) State in India Population- Province @ [email protected] 2011 Uttar Pradesh 199. 6 Brazil 195. Maharashtra 112. 4 Japan 127. 0 Bihar 103. 8 Mexico 110. 5 iv West Bengal Andhra Pradesh Madhya Pradesh Tamil Nadu Rajasthan Karnataka 91. 3 84. 7 72. 6 72. 1 68. 6 61. 1 Philippines Germultifarious Turkey 93. 6 82. 1 72. 7 Thailand 68. 1 France 62. 8 United 61. 9 Kingdom Gujarat 60. 4 Italy 60. 1 Orissa 41. 9 Argentina 40. 7 Kerala 33. 4 Canada 33. 9 Jharkhand 33. 0 Morocco 32. 4 Assam 31. 2 Iraq 31. 5 Punjab 27. 7 Malaysia 27. 9 Chhattisgarh 25. 5 Saudi 26. 2 Arabia Haryana 25. 4 Australia 21. 5 @Source: State of Universe Population 2010 1. 3 The Middle Annual Exponential Augmentation Objurgate (AAEGR) for 2001-2011 dipped sharply to 1. 64 percent per annum from 2. 6 percent during 1981-1991 and 1. 97 percent per annum during 1991-2001. Floating the superior States, Bihar, J&K, Chattisgarh, Jharkhand, Rajasthan, NCT of Delhi, Madhya Pradesh, Uttar Pradesh, Haryana, Uttarakhand and Gujarat recitative loftier annual exponential augmentation objurgate as compared to the general middle during 2001-2011. The State of Bihar registered the leading (2. 26%) AAEGR and Kerala (0. 48) registered the definite. v 1. 4 The decadal objurgate of augmentation of population has slowed down to 17. 64% in 2001-2011 as compared to 21. 54% in 1991-2001. At the State plane, augmentation objurgates multiform widely. Nagaland delay (-) 0. 47% had the definite decadal augmentation objurgate. The celebrity of low augmentation has agoing to diffuse over the boundaries of the Southern States during 2001-11, where in importation to Andhra Pradesh, Tamil Nadu and Karnataka in the South, Himachal Pradesh and Punjab in the North, West Bengal and Orissa in the East, and Maharashtra in the West accept registered a augmentation objurgate floating elplain to sixteen percent in 2001-2011 aggravate the prior decade. Floating the enlightenedr States, Bihar registered the leading decadal augmentation objurgate of 25% and Kerala the definite (4. 86%). It is forcible that the percentage decadal augmentation during 2001-2011 has registered the sharpest refuse past anarchy. It unsound from 23. 87 percent for 1981-1991 to 21. 54 percent for the determination 1991-2001, a abate of 2. 33 percentage object. During 20012011, this decadal augmentation has grace 17. 64 percent, a excite abate of 3. 90 percentage objects (Table A-1). 1. Traditionally, for unadorned reasons, some States depicted a scope of loftier augmentation in population. Recognizing this celebrity, and in prescribe to arfile the creation of area-favoring plans, delay favoring sense on sight States that accept been dawdling aftercited in containing population augmentation to practicable limits, the Government of India constituted an Empowered Action Assembly (EAG) in the Ministry of Vigor and Lineage Weal in March 2001. These sight States were Rajasthan, Uttar Pradesh, Uttarakhand, Bihar, Jharkhand, Madhya Pradesh, Chhattisgarh and Orissa, which came to be general as ‘the EAG States'. During 2001-11, the objurgate of augmentation of population in the EAG States save Chhattisgarh has slowed down (Table-A-2). For the foremost duration, the augmentation momentum of population in the EAG States has dedicated the sacourse of slowing down, falling by encircling disgusting percentage objects. This, conjointly delay a homogeneous diminution in the non-EAG States and Union Territories, has brought down the objurgate of augmentation for the province by 3. 9 percentage objects during 2001-11 as compared to 1991-2001. vi 1. 6 Original Augmentation Rate: The original augmentation objurgate, which is the variety floating the courseage objurgate and exit objurgate, was estimated as 1. 52% in 2009 opposing 1. 97 % in 1991. 1. 7 Sex Ratio: According to Census of India 2011, the sex affinity has pompn some proficiency in the definite 10 years. It has past up from 933 in 2001 census to 940 in 2011 census. Kerala delay 1084 has the leading sex affinity followed by Pondicherry delay 1038. Daman and Diu has the definite sex affinity of 618. The Sex Affinity in Arunachal Pradesh (920), Bihar (916), Gujarat (918), Haryana (877), J(883), Madhya Pradesh(930), Maharashtra (925), Nagaland(931), Punjab(893), Rajasthan(926),Sikkim (889) and Uttar Pradesh (908) is inferior than the general middle. All UTs save Puducherry and Lakshadweep too accept inferior Sex Affinity as compared to general middle (Table A-2). 1. 8 Slip Sex Ratio: The slip sex affinity (0-6 years), has unsound to 914 in 2011 Census as compared to 927 in 2001. It pomped a faithful indulgent for hardy slipren aggravate damelys in the definite decade. Increasing inccourse in the slip sex affinity was seen in States/UTs viz. Punjab, Haryana, Himachal Pradesh, Gujarat, Tamil Nadu, Mizoram, Chandigarh and Andaman & Nicobar Islands but in all the fostering States / Union Territories, the slip sex affinity pomped refuse aggravate Census 2001 (Table-A-3. 6). Literacy plane: According to the contingent facts of the 2011 census, the literacy objurgate 1. 9 went up from 64. 83 per cent in 2001 to 74. 04 per cent in 2011 — pomping an augmentation of 9. 21 percentage objects. Significantly, the damely literacy plane saw a forcible skip as compared to hardys. The damely literacy in 2001 was 53 per cent and it has past up to 65. 46 per cent in 2011. The hardy literacy, in similitude, rose from 75. 3 to 82. 14 per cent (Table A-3. 5). Kerala, delay 93. 1 per cent, continues to employ the top situation floating States as far as literacy is watchful suitableness Bihar remained at the deep of the ladder at 63. 82 per cent. vii Ten States and Union Territories, including Kerala, Lakshadweep, Mizoram, Tripura, Goa, Daman and Diu, Puducherry, Chandigarh, NCT of Delhi and Andaman and Nicobar Islands accept closed a literacy objurgate of aggravate 85 per cent. 2. 0 POPULATION PROJECTIONS 2. 1 Population Projections: The projections for the province, single States and Union Territories up to the year 2026 made by the Technical Assembly constituted by the General Commission on Population (NCP) inferior the Chairmanship of Registrar General, India, reveals that the province’s population would stretch 1. 4 billion by 2026. Incomplete Population of India (In Millions) The incomplete population and adjustment (percent) of population by liberal age-assembly as on 1st March, 2001-2026 as per “Report of the Technical Assembly on Population Projections – Ministry of Vigor & Lineage Weal (May 2006)” are dedicated in the Table subordinate: Year Population (in pets) Adjustment (percent) 15-59 15-49 (years) (years) (Fehardy Population) 35. 4 57. 7 51. 1 32. 1 60. 4 53. 1 29. 1 62. 6 54. 5 0-14 (years) 60+ (years) 6. 9 7. 5 8. 3 2001 2006 2011 1029 1112 1193 (1210 )* 1269 1340 1400 2016 2021 2026 26. 8 25. 1 23. 4 63. 9 64. 2 64. 3 54. 8 54. 1 53. 3 9. 3 10. 7 12. 4 *As per contingent figures of Census 2011. viii 2. 2 General Population Cunning (NPP), 2000: Government has inoculateed a General Population Cunning in February, 2000. The main external is to furnish or inferiorseize activities aimed to close population enjoin, at a plane harmonious delay the wants of sustainable economic augmentation, political crop and environment safety, by 2045. The other externals are: • • • To further and food theorys, plans, projects and initiatives for contravention the unmet wants for contraception and reproductive and slip vigor caution. To further and food innovative ideas in the Government, peculiar and earning sector delay a sight to close the externals of the General Population Cunning 2000. To arfile the crop of a active vulgar’s substitute-of-settle in favour of the general endeavor for population enjoin. 2. 3 General Commission on Population (NCP): Delay a sight to adviser and straightforward the implementation of the General Population Policy, the NCP was constituted in 2000 and it was re-constituted in 2005. The Chairman of the re-constituted Commission continued to be Hon’ble Prime Minister of India, forasmuch-as Deputy Chairman of the Planning Commission and the Minister of Vigor & FW are the two Vice-Chairmen and Secretary, H, is the Member-Secretary of the Commission. State Population Commissions: State Population Commissions accept been 2. 4 constituted in 20 States/UTs. viz. Andhra Pradesh, Arunachal Pradesh, Assam, Haryana, Himachal Pradesh, J, Kerala, Madhya Pradesh, Gujarat, Uttar Pradesh, Maharashtra, West Bengal, Meghalaya, Mizoram, Punjab, Rajasthan, Sikkim, Tamil Nadu, Andaman & Nicobar Island and Lakshadweep. Janasankhya Sthirata Kosh (JSK): The Jansankhya Sthirata Kosh (JSK) has been set 2. 5 up as an autonomous substantiality in the Ministry of Vigor and Lineage Welfare, duly registered as a Society inferior the Societies Registration Act, 1860. The external of JSK is to arfile the accomplishments of the goals of General Population Cunning 2000 and food projects, theorys, initiatives and innovative ideas endd to aid population stabilization twain in the Government and Willing sectors and furnish a window for canalizing expedientss through earning offerings from singles, perseverance, employment organizations and other juridical entities in exciteance of the general principle of population stabilization. 3. 0 DEMOGRAPHIC and HEALTH STATUS INDICATORS 3. 1 The demographic and vigor qualification indicators accept pompn forcible proficiencys. The Table subordinate restrains facts on Crude Lineage Rate, Crude Exit Rate, and Activity Confluence etc. ix Sl. No. 1 2 3 4 Parameters Crude Lineage Objurgate (per 1000 population Crude Exit Objurgate (per 1000 population) Sum Fertility Objurgate Kind Portraiture Affinity (per 100,000 feed courseages) Infant Portraiture Objurgate (per 1000 feed courseages) Slip Portraiture Objurgate (0-4 yrs. ) per 1000 slipren Couple Safety Objurgate (%) Expectation of activity at courseage (in years) -Male -Fehardy 1951 40. 8 25. 1 6. 0 NA 1981 33. 9 12. 5 4. 5 NA 1991 29. 5 9. 8 3. 6 398 SRS (199798) 80 26. 5 2001 25. 4 8. 4 3. 1 301 (2001-03) Floating Levels 22. 5 (2009) 7. 3 (2009) 2. 6(2009) 212 SRS (2007-09) 50(2009) 14. 1(2009) 5 6 146 (1951-61) 57. 3 (1972) 10. 4 (1971) 110 41. 2 66 19. 3 7 8 22. 8 44. 1 45. 6 40. 4(2011) 37. 1 36. 1 (1951) 54. 1 54. 7 60. 6 61. 7 (199196) 61. 8 63. 5 (1999-03) 62. 6 64. 2 (2002-06) Source: Office of Registrar General of India, save 7 aggravate which is fixed on mark achieveed by statistics Division of Ministry of Vigor and Lineage Welfare. NA – Not profitable 3. 2 Crude Lineage Objurgate (CBR): The Crude Lineage Objurgate unsound from 29. 5 in the 1991 to 22. 5 in 2009. The CBR is loftier (24. 1) in verdant areas as compared to refined areas (18. 3). Uttar Pradesh recitative the leading CBR (28. 7) and Goa the definite (13. 5). Assam (23. 6), Bihar (28. 5), Chhattisgarh (25. 7), Jharkhand (25. 6), Madhya Pradesh (27. 7), Rajasthan (27. 2), Uttar Pradesh (28. 7) recitative loftier CBR as compared to the general middle. Floating the Smaller States / UTs, D Haveli (27. 0) and Meghalaya (24. ) recitative loftier CBR as compared to the general middle suitableness Tripura (14. 8) recitative the definite CBR during 2009-Table A-15, A16 & A17. x 3. 3 Activity Expectancy: The activity confluence at courseage for hardy was 62. 6 years as compared to damelys, 64. 2 years according to 2002-06 estimates. Refined Hardy (67. 1 years) and Refined Womanly (70 years) accept longer activity p as compared to their verdant opposed dissects. The activity confluence in Kerala is the leading (74 years) and the definite in Madhya Pradesh (58 years) Table A-13. 1. xi 4. 0 MORTALITY INDICATORS 4. 1 Crude Exit Objurgate (CDR): The CDR, which was unflowing during 2007 and 2008 at 7. 4, came down to 7. 3 in 2009. The CDR is loftier in verdant areas (7. ) as compared to refined areas (5. 8). The exit objurgate is leading (8. 8) in Orissa and definite in Nagaland (3. 6) – (Table A-17). Age-favoring Exit Rates: The ASDR for the year 2009 was 14. 1 per 1000 in the age-assembly 0-4; it drastically unsound in the contiguous age-assembly (5-9) to 1 per 1000. The ASDR gradually augmentationd in each age-assembly to stretch to the plane 20. 4 per 1000 in the age-assembly 60-64 and continued to augmentation to stretch finally to the plane 173. 9 per 1000 in the definite age-group, 85+. ) The Age-favoring Portraiture objurgates are dejected aggravate the years; the verdant-refined and Hardy – Womanly differentials are stationary violent (Table A-18 to A-18. 3) xii 4. Infant Portraiture Objurgate (IMR): According to SRS 2009, the IMR at general plane was 50 per 1000 feed courseages in 2009 as compared to 53 in 2008. The IMR is loftier in honor of Womanly (52) as compared to Hardy (49). The leading infant portraiture objurgate has been announceed from Madhya Pradesh (67) and definite from Kerala (12). Assam (61), Bihar (52), Chhattisgarh (54), Haryana (51), Madhya Pradesh (67), Orissa (65), Rajasthan (59) and Uttar Pradesh (63) recitative loftier IMR as compared to the general middle (Table-A-20) Infant Portraiture Rates – Rural/Urban (All India) xiii The IMR is very violent in verdant areas (55 per 1000 feed courseages) as compared to refined areas (34). Verdant areas of Madhya Pradesh registered the leading IMR (72) followed by Orissa (68), Uttar Pradesh (66). Rural areas of Kerala State recitative the Definite IMR (12) in the province. Uttar Pradesh and Chhattisgarh recitative leading IMR in refined areas. Kerala had the definite IMR (11) in refined areas. Amongst the narrower states, Verdant and Refined areas of Goa recitative definite IMR during 2009 (Table-A-22). The augmentation in medical vigilance to the replete women at the duration of feed courseages may accept resulted in refuse in IMR aggravate the determination. But in the verdant areas, the medical vigilance is stationary on the inferior benjoin (Table-A36) Disposal of Feed Births by Type of Medical Vigilance Accepted by the Mother-2009 (%) Neo-natal Portraiture Rate: Neo-natal portraiture refers to sum of infants latter delayin one month. Neo-natal vigor caution is watchful delay the qualification of the newborn from courseage to 4 weeks (28 days) of age. Neo-natal action is a very impressible indicator of population augmentation and socio-economic crop. The action objurgate of damely infants correlates to succeeding population rectification. The neo-natal portraiture objurgate which was unflowing at 37 per 1000 feed courseages during 2003 to 2006 marginally came down to 36 in 2007, 35 in 2008 and prescribely at 34 during 2009. The neo-natal portraiture objurgate is very violent in verdant areas (38 per 1000 feed courseages) as compared to 21 in refined areas in 2009. The neonatal portraiture objurgate too xiv varies considerably floating Indian States. Madhya Pradesh (47), Uttar Pradesh (45), Orissa (43), Rajasthan (41), J (37), Himachal Pradesh (36), Haryana(35), Gujarat(34), Chhattisgarh(38) recitative loftier neo-natal portraiture objurgate as compared to general middle. The Neo-natal portraiture objurgate is definite in the Kerala State (7). The forcible sign is that, the Neo-natal Portraiture Objurgate came down or remained unflowing in 2009 as compared to 2008 save in the occurrence of Haryana, Himachal Pradesh, Jharkhand and Karnataka (Table A23) Post-Neo-Natal Portraiture Rate: Refers to sum of infant exits at 28 days to one year of age per 1000 feed courseages. The Food Neo natal Portraiture Objurgate came down to 16 in 2009 from 24 in 2002. The Food Neo Natal Portraiture Objurgate is violent in verdant areas (17) as compared to refined areas (13) (Table A-21) Peri–natal Portraiture Rate: Refers to sum of stationary courseage and exits delayin 1st week of exhibition per 1000 feed courseages. The Peri-natal Portraiture Objurgate varies in the file of 37 to 35 past 2001 and prescribely at 35 in 2009. It is violent in verdant areas (39) as compared to refined areas (23) during 2009. The Peri-natal Portraiture Objurgate forciblely multiform athwart the States. Kerala delay 13 is the best achieveing State, Madhya Pradesh and Chhattisgarh (45) are narrowest achieveing States during 2009. Stationary Lineage Objurgate (SBR): The SBR came down to 8 in 2008 from 9 in 2007. However, it remained unflowing at 8 in 2009 too. The sum of Stationary Births multiform athwart the States floating 1 (Bihar) and 17 (Karnataka) in 2009 (TableA-23). 4. 3 Slip Portraiture Objurgate (0-4): Slip Portraiture Objurgate is appraised in qualifications of exit of sum of slipren (0-4 years) prelude settle per 1000 slipren (0-4 year’s age). As per SRS estimates, the Slip Portraiture Objurgate (CMR) has end down from 57. 3 in 1972 to 26. 5 in 1991 and 14. 1 in 2009. The CMR is very violent in verdant areas (15. 7) as compared to refined areas (8. 7) in 2009 and this remark is appropriate for approximately all States once. The leading Slip Portraiture Objurgate was recitative in Madhya Pradesh (21. 4) air-tight followed by Uttar Pradesh (20. 1) and Assam (19. 0). Kerala delay 2. 6 CMR is the best Performing State (Table A22. 1) 5. 0 FERTILITY INDICATORS The three base appraises of fertility are; (a) Crude Lineage Objurgate (CBR), (b) Age-Specific Fertility Rates (ASFR), and (c) Sum Fertility Objurgate (TFR). CBR has already been discussed in para 3 . 2 aggravate. 5. 1 Age Favoring Fertility Rates (ASFR) & Age Favoring Marital Fertility Rates (ASMFR): ASFR is defined as the sum of slipren born to women in the said age assembly per 1000 women in the selfselfsimilar age assembly and ASMFR as the sum of slipren born to married women in the said age assembly per 1000 women in the selfselfsimilar age assembly. Table A-24 exhibits ASFR and ASMFR facts peculiarly for verdant and refined areas, for the years 2004 to 2009. It is xv bserved that ASMFRs are loftier than ASFRs in honor of all age assemblys as ASMFR overspreads singly married women. Throughout the determination 2004-2009, the age assembly 20-24 continued to accept peak fertility objurgates in verdant and refined areas, but twain these indicators are inferior in refined areas as compared to verdant areas. The ASMFR augmentationd to 326 in 2009 from 303 in 2008 and the ASFR augmentationd to 227. 8 in 2009 from 218. 6 in 2008 for the age assembly 20-24. Facts on Age Favoring Fertility Objurgate (ASFR) reveals that the fertility objurgate in 15 to 19 years age assembly has moderately unsound in 2009 (38. 5) as compared to 2008 (41. 6). Inferior fertility objurgates are observed in U. P. Bihar singly aftercited attaining the age 40 years suitableness in Kerala, Tamil Nadu, Andhra Pradesh, Maharashtra, Karnataka, Himachal Pradesh and Punjab, this enjoin is stretched in the precedent age assemblys namely 30-34 and 35-39 (Table A-26). ASFR is pomping a decreasing inccourse as the literacy plane augmentations in the age assembly of 20-24 (the peak fertility age assembly)-Tables A-27. 5. 2 Age at Conducive Nuptials (AEM): The Mean age at conducive nuptials is the age at consummation of nuptials, is approximately unflowing and hovering encircling 20 years floating 2005 and 2009. The State plane facts pomp variations in the AEM. It is the leading in J (23. 6) followed by Kerala (22. 7), Delhi & Tamil Nadu (22. 4), Himachal Pradesh (22. 2), and Punjab (22. 1) in 2009. Rajasthan (19. ) has the definite AEM. The AEM in refined areas is loftier than the verdant one but the variety is sound two years. The verdant- refined variety is leading (3. 1 years) in Assam and narrowest in Kerala (0. 1 years). The AEM in honor of over than 50% damely in verdant areas is 18-20 years forasmuch-as in refined areas, the AEM in honor of over than 60% damely is 21+ (Tables A-28 to A-30) xvi 5. 3 Sum Fertility Objurgate (TFR): The TFR for the province remained faithful at 2. 6 during 2008 and 2009 delay Bihar announceing the leading TFR at 3. 9 suitableness Kerala and Tamil Nadu continued its unappropriated act delay the definite TFR of 1. 7. Floating the superior States, the TFR plane of 2. has been attained by Andhra Pradesh (1. 9), Karnataka (2. 0), Kerala (1. 7), Maharashtra (1. 9), Punjab (1. 9), Tamil Nadu (1. 7) and West Bengal (1. 9). The verdant dame is having loftier TFR (2. 9) as compared to refined (2. 0) women (TableA-25). 6. 0 FAMILY PLANNING PROGRAMME: In 1952, the Indian Government was one of the foremost in the universe to propel a general courseage planning plan, which was aftercited expanded to circumvent kind and slip vigor, courseage weal and feeding. The figures dedicated in the generalation are fixed on the facts announceed by the State/UTs at bounds plane and then consolidated at State and General plane on HMIS gate. Percentage of boundss announceed in 2009-10 and 2010-11 was 98%. 6. 1 Kind Health: Kind vigor refers to the vigor of women during pregnancy, sliplineage and the foodpartum determination. Antenatal caution (ANC) is the theoryic medical supervision of women during pregnancy. Its aim is to guard the physiological bearing of pregnancy and labour and to bar or expose, as future as affectly, all pathological disorders. Future peculiarity during pregnancy can bar kind ill-health, impairment, kind portraiture, foetal exit, infant portraiture and morbidity. During 2010-11, 28. 30 pet women got registered for ANC checkup and over than 20 pet inferiorwent 3 check-ups during the pregnancy determination. vii The institutional deliveries to sum deliveries (Institutional +home) augmentationd from 56. 7% in 2006-07 to 78. 5% in 2010-11. Kerala and Tamil Nadu (99. 8%) are the best achieveing States in the province during 2010-11 (Table B-18). 6. 2 Medical Termination of Pregnancy: To shirk the perversion of innate abortions, most countries accept explicit laws whereby singly adapted Gynecologists inferior qualifications laid down and achieveed in clinics/hospitals that accept been floating, can do abortions. The Medical Termination of Pregnancy Act was explicit by the Indian Parliament in 1971 and came into nerve from 01 April, 1972. The MTP Act was anew revised in 1975. The MTP Act romance down the qualification inferior which a pregnancy can be terminated, especially the nation and the settle to achieve it. During 2010-11, 620472 MTPs were achieveed by 12510 floating institutions in the province. Uttar Pradesh delay 576 floating institutions achieveed completion sum (81420) MTPs in the province followed by Maharashtra (78047) during 2010-11. xviii Encircling 60% MTPs in the province were achieveed in 6 States viz. Assam, Maharashtra, West Bengal, Tamil Nadu, Uttar Pradesh and Haryana in 2010-11(Table B4). 6. 3 Slip Vigor Immunization plans aim to subdue portraiture and morbidity due to Vaccine Preventable Diseases (VPDs), dissecticularly for slipren. India's immunization plan is one of the enlightenedst in the universe in qualifications of quantities of vaccines used, sums of beneficiaries, sum of immunization sessions organized and the geographical area genial. Inferior the immunization program, vaccines are used to fortify slipren and replete dames opposing six diseases. They are: • • • • • • Tuberculosis Diphtheria Pertussis Polio Measles Tetanus In India, inferior Universal Immunization Plan (UIP) vaccines for six vaccinepreventable diseases (tuberculosis, diphtheria, pertussis (whooping cough), tetanus, poliomyelitis, and measles) are furnishd unimpeded of exact to all. Tetanus Immunization for observant Mother: During 2010-11, 78. 14% of the estimated want for vaccinating 29. 68 pet observant dames was closed. As compared to 200910 the closement is on inferior benjoin (83. 82%). The closement multiform widely athwart the States, the leading percentage of closement is observed in Lakshadweep (112. 1%) followed by the Mizoram (106. 8%). Floating superior States, Tamil Nadu immunized 98. 5% of the targeted sums and Bihar recitative the definite immunization (58%). The closement xix of Bihar is the definite floating the superior States consecutively for the third year (TableB1&B2). DPT Immunization for Children: The DPT is an immunization or vaccine to fortify opposing the diseases of Diphtheria (D), Pertussis (P), and Tetanus (T). The III dose of DPT vaccination was to be administered to 25. 54 Pet slipren (Target) and closed 89. 20% during 201011 as opposing the closement of 99. 0% in 2009-10. Andhra Pradesh (100. 3%), Tamil Nadu (102. %), Himachal Pradesh (105. 7%), J&K (105. 3%), Manipur (118. 8%), Meghalaya (108. 5%) and Mizoram (134. 2%) closed over than 100% targeted sums (Table- B1&B2). Polio: Over than 89 percent slipren accepted the third dose of Polio vaccine in 2010-11 but the percentage dropped from 98. 6% in 2009-10. The percentage of slipren who accepted third dose of polio files from 31. 4% in A&N Islands to 133. 8% in Mizoram. Sight States viz. Andhra Pradesh, Orissa, Tamil Nadu, Himachal Pradesh, J&K, Manipur, Meghalaya and Mizoram closed over than 100% targeted sums during 2010-11. Luck of Bihar State is the definite (69. 1%) floating the superior States (Table- B1&B2). BCG: BCG vaccine is dedicated for safety opposing tuberculosis, chiefly afflictive forms of sliphood tuberculosis. 23. 88 pet Offspring of subordinate one year were targeted for administering BCG vaccine during 2010-11 as opposing 25. 19 pet in 2009-10. The closement in 2010-11 was 93. 5% as opposing 101. 7 % in 2009-10. 14 States / UTs closed over than 100% immunization during 2010-11 as opposing 20 States/UTs in 2009-10. Pondicherry closed the leading percentage immunization (179. 8%) in 2010-11. Measles: 22. 10 pet Offspring of subordinate one year age accepted measles vaccine during 2010-11 as opposing 25. 54 pet slipren accounting for an closement of 86. 6% as opposing 95. 0% in 2009-10. Himachal Pradesh, J&K, Manipur, Meghalaya and Mizoram closed over than 100% vaccination in 2010-11 (Table- B1&B2). Tetanus: Vaccination opposing Tetanus was administered to 9. 7 pet (Target: 25. 1 Million) slipren of 5 years age (DT), 14. 30 pet slipren of 10 years age (Target: 25. 66 pet) and 13. 0 pet slipren of 16 years age (Target: 26. 01 Million) during 2010-11. The closement as opposing the set target works out to 38. 6%, 54. 8% and 50. 0% honorively in honor of the aggravate age assembly of slipren. Bihar State is dawdling aftercited in closement as compared to all other superior States. The closement is singly 5. 6% (of the target) in the occurrence of slipren 5 years of age, 14. 8% for slipren of 10 Years and 20. % for slipren of 16 years during 2010-11. Save Sikkim (for the age assembly slipren 10 years), no other State vaccinated the slipren to the distance of 100% of the target during 2010-11(Table- B1&B2). 6. 4 Lineage Planning: Lineage repress pills, condoms, sterilization, IUD (Intrauterine symbol) etc. are most basely skilled Lineage Planning courses in the province. The endeavors of the Government in implementing the Lineage Planning Plan in the province accept forcible collision. However, Political factors affect misgiving, traditions and socio-cultural beliefs towards enlightened courseage issue as the superior constraints towards inoculateing Lineage Planning courses. Womanly xx iteracy, age at nuptials of girls, qualification of women, secure son indulgent, and bankruptcy of hardy includement in courseage planning, are too forcible factors associated delay segregation of narrow courseage type. IMPACT OF FAMILY WELFARE ACTIVITIES • • Knowledge of contraception is nfuture universal: 98 percent of women and 99 percent of men age 15-49 comprehend one or over courses of contraception. Floating the persistent new-fangled Lineage Planning courses, damely sterilization was the most approved Aggravate 97 percent of women and 95 percent men comprehend encircling damely sterilization. Hardy sterilization, by dissimilarity, is general singly by 79 percent of women and 87 percent of men. Ninety-three percent of men comprehend encircling condoms, compared delay 74 percent of women. Over than 80 percent women and men comprehend encircling contraceptive pills. Knowledge of contraception is widediffuse plain floating adolescents: 94 percent of branchish women and 96 percent of branchish men accept heard of a new-fangled course of contraception Source: NFHS-3 • • • 6. 5 Lineage Planning Act The year 2010-11 ended delay 34. 9 pet sum courseage planning acceptors at general plane comprising of 5. 0 pet Sterilizations, 5. 6 pet IUD insertions, 16. 0 pet condom users and 8. 3 pet O. P. users as opposing 35. 6 pet sum courseage planning acceptors in 2009-10 (Table B. 5) xxi Sum FP Acceptors 60000 50000 40000 30000 20000 10000 0 6. 6 A sum of 50. 09 Lakh sterilizations were achieveed in the province during 2010-11 as opposing 49. 98 Lakh in 2009-10. States/UTs viz. Assam, Bihar, Gujarat, Jharkhand, Madhya Pradesh, Orissa, Punjab. Arunachal, Manipur, Meghalaya, Nagaland, Tripura, Uttarakhand, Daman & Diu, Lakshadweep and Puducherry accept pompn improved act in 2010-11 as compared to 2009-10. (Nos. 000') Sterilisations 6,000 5,000 (Nos. 000') 4,000 3,000 2,000 1,000 0 The adjustment of tubectomy drills to sum sterilizations was 95. 6 percent in 2010-11 as opposing 94. 6 percent in 2009-10 (Table B-6). xxii Though the portion-out of vasectomy drills to sum sterilizations is increasing, it is wholely petty. 6. 7 IUD Insertions: During the year 2010-11, 5. 6 pet IUD insertions were announceed as opposing 5. 7 pet in 2009-10. Assam, Bihar, Gujarat, Jharkhand, Uttar Pradesh, Arunachal Pr, Delhi, Goa, Meghalaya, Mizoram, Sikkim, D&N Haveli announceed ameliorate act in 2010-11 than in 2009-10 (Table B-9). 6. 8 Condom Users and O. P. Users: Fixed on the disposal figures announceed, there were 16. 0 pet equiponderant users of Condoms and 83. 07 pet equiponderant users of Oral Pills during 2010-11 (Table B-10, B-11). 6. 9 Sum of Births Averted: Implementation of uncertain Lineage Planning appraises averted 16. 335 pet courseages in the province during 2010-11 as compared to 16. 605 pet in 2009-10. The cumulative sum of courseages shirked in the province up to 2010-11 was 442. 75 pet (Table B-22). 7. 0 PROGRAMMES and SCHEMES 7. The General Verdant Vigor Mission (NRHM): NRHM regulately by the Hon’ble Prime Minister on 12th April 2005 throughout the province delay favoring nucleus on 18 States, including sight Empowered Action Assembly (EAG) States, the North-Eastern States, Jammu & Kashmir and Himachal Pradesh, seeks to furnish undetermined, affordable and character vigor caution xxiii advantages to verdant population, especially the exposed sections. The NRHM operates as an omnibus liberalband plan by integrating all upright vigor plans of the Departments of Vigor and Lineage Weal including Reproductive & Slip Vigor Plan and uncertain diseases repress Programmes. The NRHM has issued as a superior financing and vigor sector amend address to confirm States Vigor theorys. The NRHM has been auspicious in putting in settle enlightened sum of earning similarity vigor workers in the plan, which has contributed in a superior way to improved utilisation of vigor facilities and augmentationd vigor awareness. NRHM has too contributed by increasing the cosmical expedientss in the general vigor sector, by up-gradation of vigor facilities and their yielding financing, and by professionalization of vigor address. The floating cunning alter is towards addressing inequities, through a favoring nucleus on inundetermined and interposed areas and impecunious achieveing boundss. This exacts too proper the Vigor Address Counsel System, an expansion of NGO dissecticipation, a superior agreement delay the peculiar sector to hamper their expedientss for general vigor goals, and a superior sense on the role of the general sector in the political safety for the impecunious. • • • • • • • 7. 2 NRHM GOALS Diminution in Infant Portraiture Objurgate (IMR) and Kind Portraiture Affinity (MMR) Universal admission to general vigor advantages such as Women’s vigor, slip vigor, soak, sanitation & hygiene, immunization, and Nutrition. Prevention and repress of alienable and nonalienable diseases, including topically antipathetic diseases Admission to integrated ample principal vigorcaution Population stabilization, gender and demographic weigh. Revitalize topical vigor traditions and mainstream AYUSH. Furtherance of vigory activity styles. Primary Vigor Caution advantages Vigor Services are furnishd to the similarity through a network of Sub-centres, Principal Vigor Centres (PHCs) and Similarity Vigor Centres (CHCs) in the verdant areas and Hospitals and Dispensaries etc. in the refined areas. The Principal Vigor Caution infrastructure in verdant areas has been patent clear as a three-tier theory. The types for establishing Sub capitals, PHCs and CHCs are as inferior: xxiv Capital Plain Area Sub Capital PHC CHC 5000 30000 120000 Population Norms Hilly/Tribal Area 3000 20000 80000 7. 3 Sub-Centres (SCs): The Sub-Centre is the most peripheral and foremost apposition object floating the principal vigor caution theory and the similarity. Each Sub-Centre is manned by one Auxiliary Nurse Midwife (ANM) and one Hardy Vigor Worker MPW (M). One Lady Vigor Worker (LHV) is entrusted delay the lowerpreface of supervision of six Sub-Centres. SubCentres are assigned lowertakings touching to interpersonal message in prescribe to induce encircling behavioural substitute and furnish advantages in relevancy to kind and slip vigor, courseage weal, feeding, immunization, diarrhoea repress and repress of alienable diseases plans. The Sub-Centres are furnishd delay basic drugs for less ailments wanted for prelude caution of leading vigor wants of men, women and slipren. There were 147069 Sub Centres functioning in the province as on March 2010. An Auxiliary Nurse Midwife (ANM), a damely aramedical worker fooded at the Sub-Centre and fooded by a Hardy Multiend Worker MPW (M) is the front course worker in providing the Lineage Weal advantages to the similarity. ANM is supervised by the Lady Vigor Visitor (LHV) fooded at PHC. 7. 4 Principal Vigor Centres (PHCs): PHC is the foremost apposition object floating village similarity and the Medical Officer. The PHCs were envisaged to furnish an integrated salubrious and barive vigor caution to the verdant population delay sense on barive and immanent bearings of vigor caution. The PHCs are regulately and maintained by the State Governments inferior the Minimum Needs Plan (MNP)/Basic Minimum Services Plan (BMS). There were 23673 PHCs functioning as on March 2010 in the province. A PHC is manned by a Medical Officer fooded by 14 paramedical and other staff. It acts as a referral item for 6 Sub Centres. It has 4-6 beds for patients. The activities of PHC include salubrious, barive, pristine and Lineage Weal Services. 7. 5 Similarity Vigor Centres (CHCs): CHCs are nature regulately and maintained by the State Government inferior MNP/BMS plan . It is manned by disgusting medical favoringists i. e. Surgeon, Physician, Gynaecologist and Paediatrician fooded by 21 paramedical and other staff. It has 30 in-door beds delay one OT, X-ray, Labour Room and Laboratory facilities. It serves as a referral capital for 4 PHCs and too furnishs facilities for obstetric caution and favoringist consultations. As on March, 2010, there were 4535 CHCs functioning in the province. 7. 6 Reproductive Slip Vigor (RCH) Programme: Reproductive and Slip Vigor Plan is a superior constituent of NRHM and bequest at diminution of Infant Portraiture Rate, Kind Portraiture Affinity and Sum Fertility Objurgate xxv 7. 7 Janani Suraksha Yojana: The Jannani Suraksha Yojana (JSY) is a 100% centrally sponsored theory and it integrates money countenance delay exhibition and food exhibition caution. The theory was regulately delay nucleus on ask-for furtherance for institutional deliveries in States and regions where these are low. It targeted inferioring of MMR by ensuring that deliveries were conducted by Skilled Lineage Attendants at completion courseage. The Yojana has attested the Accredited Political Vigor Activist (ASHA), as an conducive couple floating the Government and the impecunious replete women in 18 low achieveing States, namely the 8 EAG States and Assam and J&K and the fostering NE States. In other States and UTs, wherever, AWW and TBAs or ASHA affect activist has been occupied for this end, they can be associated delay this Yojana for providing the advantages. The JSY theory has pompn phenomenal augmentation in the definite three years. Starting delay a elegant sum of 7. 39 Lakhs beneficiaries in 2006-07, the sum sum stretched 113. 89 lakh during 2010-11. 7. Lineage Weal Linked Vigor Insurance Scheme: Lineage Planning Linked Insurance Theory was introduced w. e. f. 29th November, 2005 to seize caution of the occurrences of insufficiency of Sterilisation, medical confusions for exit resulting from Sterilisation, and too furnish equivalent caggravate to the teacher / vigor ease achieveing Sterilisation mode. The theory is in drill for the definite 5 years and is vigorous delay ICICI Lombard Insurance Sodality for the sixth year w. e. f. 01-01-2011 fixed on 50 lakh sterilization acceptors. The sum burden of the sodality is scant to Rs. 25 crore inferior Section-I and Rs. 1 crore inferior Section-II. Benefits of the Theory w. e. f. 1. 1. 011( 6th Year) Section Coverage Financial equivalent I aftercited IA Exit sterilization (comprehensive of Rs. 2 Lakhs exit during mode of sterilization drill) delayin 7 days from the age of liberate from the hospital. IB Exit aftercited Rs. 50,000 sterilization delayin 8 - 30 days from the age of liberate from the hospital IC Insufficiency of Sterilization Rs. 30,000 ID Exact of texture upto Express not protracted 60 days arising out of Rs. 25,000 confusion aftercited the sterilization drill (comprehensive of xxvi II confusion during mode of sterilization drill) from the age of liberate. Equivalent Insurance per Upto Rs. 2 Lakh per Doctor/ease but not assertion over than 4 occurrences in a year. 7. Equivalent for Acceptors of Sterilisation: As a appraise to permit vulgar to inoculate persistent course of Lineage Planning, this Ministry has been implementing a Centrally Sponsored Theory past 1981 to remunerate the acceptors of sterilization for the mislaying of hire for the day on which he/she lively the medical ease for inferiorgoing sterilization. Equivalent for Acceptors of Sterilisation General facilities Vasectomy Tubectomy Nucleus 1500 1000 1500 (Rs. ) Accredited Private/NGO facilities Vasectomy Tubectomy 1500 1500 1500 (BPL/SC/ST) Violent States Non-violent Nucleus States 1000 (BPL/SC/ST) 1500 650 (APL) 8. 0 MONITORING AND EVALUATION SYSTEM The Counsel Theory to appraise the mode and collision of the NRHM including Lineage Weal Plan is as subordinate: a) Advantage Statistics through HMIS and Routine Monitoring b) Sample Registration Theory & Population Census, Office of Registrar General India c) Enlightened flake reconnoitres- General Lineage Vigor Surveys, Bounds Plane Household and Ease Surveys. Annual Vigor Reconnoitre d) Area favoring reconnoitres by Population Research Centres e) Other favoring reconnoitres by General & Intergeneral agencies f) Field Evaluation through Regional Evaluation Teams xxvii 8. 1 Advantage Statistics/Routine Monitoring The Statistics Division in the Ministry of Vigor & Lineage Weal is legitimate for Monitoring & Evaluation activities. 8. 2 Vigor Address Counsel Theory (HMIS) Vigor advantages are furnishd through the network of vigor centers diffuse throughout verdant and refined areas of the province. Each capital maintains annals of its activities in one or over of the principal history. The act facts unmoved and compiled principally at peripheral planes (Rural/Urban) such as Sub-centre, Principal Vigor Centres, Refined Lineage Weal Centres / Food Partum Centres / Hospitals / Dispensaries are exhibited in Tables C-1 to C-10. For capturing counsel on the advantage statistics from the peripheral institutions, an drill was inferiortaken to affinitynalize the ease plane facts capturing format by removing superfluous counsel, reducing the sum of forms and nucleused on ease fixed announceing. The revised forms were finalized in September 2008 and disseminated to the States. A web fixed Vigor MIS (HMIS) gate was too regulately in October, 2008 http://nrhm-mis. nic. n to arfile facts capturing at Bounds plane. The HMIS gate has led to faster glide of counsel from the bounds plane and encircling 98% of the boundss are announceing monthly facts past 2009-10. The HMIS gate is now nature rolled out to restrain counsel at the ease plane. Some of indicators for which facts has been restraind through HMIS gate (bounds plane) are enclosed for the foremost duration in the generalation (Detailed tables are dedicated in Section–C (Tables C1 to C-10). Facts for these indicators are contingent and may singly be compared delay DLHS-III indicators custody in sight the courseological varietys. 8. 3 Tracking of Mothers and Children It has been unwavering to accept a name-fixed tracking whereby replete women and slipren can be tracked for their ANCs and immunisation parallel delay a feedback theory for the ANM, ASHA etc to fix that all replete women take their Ante-Natal Caution (ANCs) and foodnatal caution (PNCs) Checkups; and the slipren take their ample immunisation. All new pregnancies exposeed/nature registered from 1st April, 2010 at the foremost object of apposition of the replete dame are nature restraind as too all courseages occurring from 1st December, 2009. A sum of States accept regulately the theory and other are putting in settle theorys to restrain such counsel on a recurrent plea. Dame and Slip Tracking Theory exact strenuous tonnage edifice at uncertain planes principally at the Block and Sub-Centre planes. The General Informatics Capital (NIC) has patent clear software collision. The rollout is nature advisered centrally. xxviii 8. 4 Enlightened Scale/Demographic Surveys A sum of enlightened flake reconnoitres are nature conducted by the Ministry of Vigor & Lineage Weal as enumerated subordinate: General Lineage Vigor Reconnoitre (NFHS): The 2005-06, General Lineage Vigor Reconnoitre (NFHS-3) was the third in a course of general reconnoitres preceded by precedent NFHS reconnoitres carried out in 1992-93 (NFHS-1) and 1998-99 (NFHS-2) delay the external to furnish leading facts on vigor and courseage weal wanted by the Ministry of Vigor and Lineage Weal and other agencies for cunning and plan ends, and to furnish counsel on great emerging vigor and courseage weal issues. Annual Vigor Reconnoitre (AHS): The Ministry of Vigor & Lineage Welfare, in collaboration delay the Registrar General of India (RGI), had regulately an Annual Vigor Reconnoitre (AHS) in the erstsuitableness Empowered Action Assembly States (Bihar, Jharkhand, Madhya Pradesh, Chhattishgarh, Uttarakhand, Uttar Pradesh, Orissa and Rajasthan) and Assam. AHS earn furnish District-wise facts on Sum Fertility Objurgate (TFR), Infant Portraiture Objurgate (IMR) and the Kind Portraiture Affinity (MMR) at the regional plane. Other RCH indicators affect Ante-natal caution, Institutional exhibition, immunisation, use of contraceptives earn too be profitable. The aim of the reconnoitre was to furnish feedback on the collision of the theorys inferior NRHM in diminution of Sum Fertility Objurgate (TFR), Infant Portraiture Objurgate (IMR) at the bounds plane and the Kind Portraiture Affinity (MMR) at the regional plane by estimating these objurgates on an annual plea for encircling 284 boundss in these States. The results of the foremost rotund of AHS for some of the indicators viz. Crude Lineage Objurgate (CBR), Crude Exit Objurgate (CDR), Infant Portraiture Objurgate (IMR), Neo-natal Portraiture Rate, Inferior Five Portraiture Rate, Kind Portraiture Affinity (MMR), Sex Affinity at Lineage (SRB), Sex Affinity (0-4 years) and Sum Sex Affinity accept been released by the Registrar General of India (RGI). The District-wise facts in honor of the aggravate indicators for the nine States viz. Bihar, Jharkhand, Madhya Pradesh, Chhattishgarh, Uttarakhand, Uttar Pradesh, Orissa, Rajasthan and Assam are dedicated in Table D. 6. 0 (Section D). Similitude of State-wise AHS results and SRS: 2009, in honor of five indicators namely Crude Lineage Objurgate (CBR), Crude Exit Objurgate (CDR), Infant Portraiture Objurgate (IMR), Neo-natal Portraiture Objurgate and Kind Portraiture Affinity (MMR), Sex Affinity at Lineage (SRB) reveals that they are liberally resembling (Table D. 6. 1). All 284 boundss genial in the AHS (foremost rotund) accept been ranked by arranging them in ascending prescribe fixed on the rank of the single indicators viz. Infant Portraiture Objurgate (IMR), Neo-natal Portraiture Rate, Inferior 5 Portraiture Objurgate and Kind Portraiture Affinity (MMR) and exhibited in Table D. 6. 2. Tables D. 6. 3 and D. 6. 4 afford details of deep 100 boundss as per the rankings and too genial inferior Violent Nucleus Districts attested inferior General Verdant Vigor Mission, xxix The succor Rotund of AHS (2011-12) would too caggravate importational parameters viz. hsight & burden appraisement, respect standard for anemia and sugar, respect hurry appraisement and standarding of iodine in the salt used by households through a sepaobjurgate questionnaire on Clinical, Anthropometric and Biochemical (CAB) standard and appraisements in importation to the indictors genial in AHS foremost rotund. District Plane Household and Ease Reconnoitre (DLHS): The Bounds Plane Household and Ease S