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 Anniversary Bloom Analysis Antenatal Affliction Auxiliary Nurse Mid-wife Ante Natal Affliction Aloft Poverty Band Acute Respiratory Infection Accredited Amusing Bloom Activist Anganwadi Artisan Department of Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy Bacillus Calmette Guerin Budget Estimates Basal Minimum Casework Programme Beneath Poverty Band Crude Bearing Amount Crude Afterlife Amount Coverage Appraisal Analysis Association Bloom Centre Association Needs Assessment Approach Contraceptive Prevalence Amount Couples Aegis Amount Commune Akin Household Analysis Diphtheria, Pertussis and Tetanus Diphtheria and Tetanus Empowered Action Accumulation Acceptable Couple Register Emergency Obstetric Affliction Ancestors Planning Aboriginal Barometer Units Animal Immunodeficiency Virus Bloom Administration Advice Systems Chip Adolescent Development Casework Chip Disease Surveillance Programme Iodine Deficience Disorder Ascendancy Programme International Institute for Citizenry Sciences Indian Attainable Bloom Standards Information, Education and Advice 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 Bloodshed Amount Indian Attainable Bloom Standards Intra Uterine Contraceptive Accessory Intra Uterine Accessory Jansankhya Sthirtha Kosh Janani Suraksha Yojana Lady Bloom Visitor Mother and Adolescent Tracking Arrangement Monitoring and Appraisal Monitoring, Advice & Appraisal Arrangement Administration Advice Arrangement Affectionate Bloodshed Arrangement Minimum Needs Programme Ministry of Bloom and Ancestors Abundance Multi Purpose Artisan – Changeable / Macho Medical Termination of Abundance Civic AIDS Ascendancy Affairs Civic AIDS Ascendancy Organisation Civic Commission on Citizenry Civic Ancestors Bloom Analysis Non-Governmental Organization Civic Leprosy Eradication Programme Civic Institute of Bloom and Ancestors Abundance Neonatal Bloodshed Amount Civic Programme for Ascendancy of Blindness Civic Citizenry Action Civic Citizenry Stabilisation Fund Civic Rural Bloom Mission No Scalpel Vasectomy Civic Vector Borne Disease Ascendancy Programme Civic Burghal Bloom Mission Obstetrics and Gynecology Oral Pills Oral Polio Vaccine Oral Rehydration Solution Pre-conception & Pre-natal Diagnostic Techniques Primary Bloom Centre Attainable Bloom Nurse Programme Accomplishing Plan Programme Administration Accumulation Programme Administration Assemblage PNC PPP PRCs RCH RHS RKS RGI RNTCP RTI SBA SC SC/ST SRS STDs STI TBAs TFR TT UIP Post Natal Affliction Attainable Clandestine Partnership Citizenry Research Centres Changeable and Adolescent Bloom Rapid Household Analysis Rogi Kalyan Samiti, Registrar General of India Revised Civic Tuberculosis Ascendancy Programme Changeable Tract Infection Skilled Bearing Attendants Sub Centre Scheduled- Caste / Scheduled- Tribe Sample Registration Arrangement Sexually Transmitted Diseases Sexually Transmitted Infections Traditional Bearing Attendants Complete Abundance Amount Tetanus Toxoid Universal Immunization Affairs CONTENTS Page No. Preface ............................................................................................................... Abbreviations Executive Summary and overview of Ancestors Abundance Programme in India (Hindi & English version)........... LIST OF TABLES SECTION - A Citizenry & Vital Statistics TABLE NO. A. 1 TITLE Population Growth, Crude Bearing Rate, Afterlife Amount & Sex Arrangement India 1901-2001 Administration of Population, Sex Ratio, Density and Advance Amount of Citizenry Demography 2001 Rural and Burghal Agreement of Population, Demography 1991 Complete Population, Citizenry of Scheduled Castes and Scheduled Tribes and their accommodation to the complete citizenry Complete Burghal Population, Citizenry of Cities/Towns Advertisement Slums and Slum Citizenry in Slum Areas – India, States, Union Territories Adolescent Citizenry in the age-group 0-6 by sex – Demography 2001 & 2011 Citizenry Aged 7 years and aloft 2011 (Provisional) Literates and Articulacy Ante by sex, 2001 and 2011(Provisional) demography Sex-ratio of complete citizenry and adolescent citizenry in the age-group 0-6 and 7+ years 2001 & 2011 Administration of Citizenry by Age Groups 2001(Census) Allotment Administration of Citizenry by Age and Sex, India, 1951-2001 demography Projected Citizenry Characteristics 2001-2012 Admeasurement of Citizenry 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. Cardinal of Affiliated Couples (With Wife Aged Amid 15-44 Years), All India 2001 Allotment Administration of Affiliated Couples (With Wife Aged Amid 15-44 years) by Age Group, Censuses 1961, 1971 , 1981, 1991 & 2001 Cardinal of Affiliated Females in Rural Areas by Age,2001 Cardinal of Affiliated Females in Burghal Areas by Age,2001. A. 9 A. 10 A. 11 A11. 1 Estimated acceptable couples per 1000 citizenry - 1991 & 2001 Demography A. 12 A. 3 Expectation of Activity at Bearing 1901-2016 Projected Levels of the Expectation of Activity at Bearing By Sex ,1996-2016 A13. 1 Assumption of activity at bearing by sex and residence, India and bigger States, 2002-06 A. 14 A. 15 A. 16 A. 17 A. 18 Abundance Indicators 1996-2009 - All India Time Alternation Abstracts on CBR, CDR, IMR and TFR – India Crude Bearing and Afterlife Ante in Rural and Burghal Areas 1981-2009 Estimated Bearing and Afterlife Ante in Different States/UTs – …1981,1991,2001-2009 Estimated Age-specific Afterlife Ante by Sex, 2005-2009- India A. 18. 1 Estimated Age-specific Afterlife Ante by Sex, 2005-2009- Rural A. 18. 2 Estimated Age-specific Afterlife Ante by Sex, 2005-2009- Burghal A. 19 A. 20 A. 21 A22 A. 2 A23 A24 Baby Bloodshed Ante by Sex, 1980 to 2009 - All India Baby Bloodshed Ante by Sex, 2001 to 2009 - India and Aloft States Bloodshed Indicators by Residence: All India 1980-2009 Baby Bloodshed Amount by Abode – All states/UTs Adolescent Bloodshed Amount by Abode Bloodshed Indicators, India and Aloft States 2005 to 2009 Age Specific Abundance Ante (ASFR*) and Age Specific Marital Abundance Ante (ASMFR*): India, 2005-2009 Abundance Indicators for Aloft States -2005-2009 Estimated Age Specific Abundance Ante by Aloft States, 2005-2009 b A. 25 A. 26 A. 27 Age Specific Abundance Ante by Educational Akin of the Woman, 2005 to 2009(All India) Mean Age at Able Alliance (Female), India and Aloft States, 2005 to 2009 Mean age at able alliance of females , by abode India and Aloft States ,2005 to 2009 Allotment of Females by Age at Able Alliance by Residence, India and Aloft States, 2005 to 2009 Percent Administration of Alive Births by Adjustment of Bearing , India and Aloft States, 2005-2009 Allotment Administration of Births By Adjustment of Births By Residence, 2005 to 2009 Boilerplate Cardinal of Accouchement Built-in per Woman by Age – 2001 A. 28 A. 29 A. 30 A. 31 A. 32 A. 33 A. 34 Proportion of Ever-married Womwn of adequation (i+1) and aloft to 1000 Ever-married women of adequation (i) and aloft 2001 Allotment of Ever-Married Women (Aged 50 and Above) With No Alive Bearing 2001 Percent administration of alive Births by Type of Medical Absorption Accustomed by the Mother at Commitment by Abode –All India Allotment of Deaths by Causes Related to Adolescent Bearing & Abundance (Maternal) - All India (Rural) - 1985, 1990 , 1995,1997 & 1998 Allotment Administration of Deaths due to Specific Causes beneath the Aloft Accumulation “Causes Peculiar to Infancy” for called States 1996-98 Affectionate Bloodshed Ratio, 1997-98 to 2007-09 Under-five Bloodshed Rates(U5MR) by sex and residence, 2008 & 2009 Sex-ratio of adolescent (age accumulation 0-4) 2004-06 to 2007-09 – SRS A. 35 A. 36 A. 37 A. 38 A. 39 A. 40 A. 41 SECTION - B Ancestors Abundance Programme Statistics i) Immunisation Coverage & MTP Casework B. 1 Year-Wise Accomplishment 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 Abundance Performed - All India State-Wise Medical Termination of Abundance Performed (ii) Ancestors Planning Acceptance & Appulse of the programme B. 5 B. 6 B. 7 B. 8 B. 9 B. 10 B. 11 B. 12 Ancestors Planning Acceptors by Methods - All India Sex-wise Break up of Sterilisation Performed Year-Wise Accomplishment of Ancestors Planning Methods-All India State-Wise Achievements in account of Sterilisations State-Wise Achievements in account of IUD Insertions State-Wise Achievements in account of Condom Users State-Wise Achievements in account of O. P. Users State-Wise Vasectomies, Tubectomies and % allotment of Tubectomy to complete Sterilisations State-Wise Cardinal of Laparoscopic Tubectomies Forth with Complete Cardinal Tubectomy Operations Performed State-wise Cardinal of NSV & Complete Cardinal of Vasectomy Operations Performed State-Wise Administration of Condom Pieces State-Wise Cardinal of Oral Pill Centres Activity and Administration of Oral Pill Cycles of B. 13 B. 14 B. 15 B. 16 B. 17 B. 18 B. 19 Cardinal of Condom pieces and Oral Pill Cycles Distributed – All India Advice Apropos to Affectionate Health, 2007 to 2011 Couples Currently and Effectively Protected in India By Assorted Methods of Ancestors Planning Allotment able CPR due to all Methods Couples Currently and Effectively Protected Cardinal 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 Cardinal of abundant women accustomed 3 ANC Checkups Cardinal of women accustomed TT2/Booster Cardinal of women accepting Hb akin < 11 (tested cases) Cardinal of bairn visited aural 24 hrs of home commitment Cardinal of women absolved beneath 48 hrs of commitment from attainable ability Cardinal of Still Births Cardinal of newborns advised at Bearing Cardinal of newborns accepting weight beneath than 2. 5 Kgs Cardinal of Newborns breastfed aural 1 hour Cardinal of women accepting column partum check-up aural 48 hours afterwards commitment SECTION - D Analysis Findings D. 1 D. 2 D. 3 D. Key Indicators NHFS-III Allusive Key Indicators – NFHS-III, NFHS-II and NFHS-I Allusive Key Indicators- DLHS-1, DLHS-2 and DLHS-3 Allegory of Key Indicators - NFHS(2005-06), DLHS (2007-08) and Converage Appraisal Survey(CES) 2009 conducted by UNICEF Concurrent Appraisal NRHM - India Facts (2009) After-effects of Anniversary Bloom Survey, 2010-11 D. 5 D. 6 SECTION –E Basement accessories E. 1 E. 2 Cardinal of Sub-Centres, PHCs & CHCs activity as on March, 2010 Ability Survey, DLHS ,2007-2008 e E. 3 E. 4 E. 5 E. 6 E. 7 Bloom Artisan (Female)/ANM at Sub-Centre Bloom Artisan (Female) Sub-Centre and PHCs Cardinal of sub-centres afterwards ANMs or and Bloom Workers(M) Doctors+ at Primary Bloom Centres Cardinal of PHCs with Doctors and afterwards Doctors/Lab Technician/Pharmacist SECTION –F Outlay and Amount on Ancestors Abundance F. Year Wise BE, RE and Complete Amount apropos to Department of Ancestors Abundance Plan Outlay on Bloom Ancestors Abundance in Different Plan Periods Centre, States and Union Territories Scheme-wise breakdown of complete amount during 2007-08 and outlay for 2008-09 Capacity of External Abetment fro RCH Programme and Immunization Strengthening Project External Funding Abetment for Polio Programme F. 2 F. 3 F. 4 F. 5 Annexures Annex1 Annex 2 Annex 3 Demographic Indicators Demographic Estimates for Called Countries, 2008 Definitions f SUMMARY OF FAMILY WELFARE  PROGRAMME IN INDIA Executive Summary The Ministry of Bloom and Ancestors Abundance brings out a statistical advertisement blue-blooded “Family Abundance Statistics in India”. The advertisement presets the best abreast abstracts on the accomplishment of assorted ancestors abundance programmes and assorted demographic indicators. The 2011 copy contains six sections. Section “A” (Tables: A. 1 to A. 1) of the address covers Vital Statistics and captures abstracts on population, sex ratio, rural & burghal composition, adolescent population, allotment administration of citizenry by age and sex, cardinal of affiliated couples, activity assumption at birth, abundance indicators, age specific abundance ante by educational levels, age specific afterlife ante by sex, baby bloodshed amount by sex, adolescent bloodshed rate, Affectionate Bloodshed Ratio, etc. Analysis of some of the important indicators, is accustomed in the “Over View” (Para 1. 0 to 5. 0). Accomplishment of immunization activities, ancestors planning programmes, MTP services, etc. are covered in Section-B (Tables-B. 1 to B. 22). Para 6. 0 to 6. 9 discusses some of these important ambit in the “Overview”. The “Section-C” (Tables C. 1 to C. 0) of the Address covers State-wise abstracts on some of the indicators like; Cardinal of abundant women accustomed 3 ANC checkups, Cardinal of women accustomed TT2/Booster, Cardinal of women accepting Hb akin < 11 (tested cases), Cardinal of bairn visited aural 24 hrs of home delivery, Cardinal of women absolved aural 48 hrs of commitment from attainable facility, Cardinal of Still Births, Cardinal of newborns advised at Birth, Cardinal of newborns accepting weight beneath than 2. 5 Kgs. , Cardinal of Newborns breastfed aural 1 hour, Cardinal of women accepting column partum check-up aural 48 hours afterwards delivery, etc. This abstracts is an accession of commune akin abstracts which is uploaded on Bloom Administration Advice Arrangement (HMIS) aperture of the Ministry by States/UTs. A cardinal of ample calibration surveys are actuality agitated out by the Ministry from time to time to appraise the accomplishment of assorted bloom and ancestors abundance programmes. These surveys inter-alia include, Civic Ancestors Bloom Analysis (NFHS), Commune Akin Household and Ability Analysis (DLHS), Anniversary Bloom Analysis (AHS), Ability Survey, Concurrent Appraisal Analysis (CES) of NRHM, etc. Section-D focuses on the indicators covered in these ample surveys. Abstracts on key indicators (State-wise) covered in NFHS-III (2005-06) as compared with NFHS-II (1998-99) and NFHS-I (1992-93) are accustomed in Tables D. 1 and D. 2. Tables D-3 captures abstracts on key indicators covered in DLHS-III (2007-08) as compared with DLHS-II(2002-04) and DLHS-I (1998-99). Concurrent Appraisal of NRHM was agitated out in 2009. The indicators covered accommodate (a) bloom basement accessories (b) Communitisation of casework (c) Activity of ANM (d) Availability of Animal Assets (e) Account Outcomes. The after-effects of the appraisal analysis i are presented in Table D-5. A allusive abstracts on accepted indicators covered in NFHS-III, DLHS-III and CES-2009 are brought out in Table D-4. The Ministry of Bloom & Ancestors Welfare, in accord with the Registrar General of India (RGI), had launched an Anniversary Bloom Analysis (AHS) in the bygone Empowered Action Accumulation States (Bihar, Jharkhand, Madhya Pradesh, Chhattishgarh, Uttarakhand, Uttar Pradesh, Orissa and Rajasthan) and Assam. The aim of the analysis was to accommodate acknowledgment on the appulse of the schemes beneath NRHM in abridgement of Complete Abundance Amount (TFR), Baby Bloodshed Amount (IMR) at the commune akin and the Affectionate Bloodshed Arrangement (MMR) at the bounded akin by ciphering these ante on an anniversary base for about 284 districts in these States. The after-effects of the aboriginal annular of AHS for some of the indicators viz. Crude Bearing Amount (CBR), Crude Afterlife Amount (CDR), Baby Bloodshed Amount (IMR), Neo-natal Bloodshed Rate, Beneath Bristles Bloodshed Rate, Affectionate Bloodshed Arrangement (MMR), Sex Ratio, etc. accept back become attainable and are accustomed in Section-D (Tables D. 6. 1 to D. 6. 5). Data on key indicators covered in “Facility Survey-2007-08” conducted as allotment of DLHS-III are accustomed in “Section E”. Latest abstracts accustomed from States /UTs apropos availability of Animal ability & basement accessories at Sub Centre, Primary Bloom Centre (PHC) and Association Bloom Centre (CHC) are additionally accustomed in “Section-E” (Tables E. 1 to E. 7). Section-F covers “Outlay and Amount on Ancestors Welfare” 2010-11 programmes for the year ii Overview Ancestors Abundance Programme in India, 2011 DEMOGRAPHIC PROFILE OF INDIA 1. 0 Vital Statistics 1. 1 As on 1st March, 2011 India's citizenry stood at 1. 21 billion complete of 623. 72 actor (51. 54%) males and 586. 47 actor (48. 46%) females. India, which accounts for world's 17. percent population, is the added best crawling country in the apple abutting alone to China (19. 4%). One of the important appearance of the present decade is that, 2001-2011 is the aboriginal decade (with the barring of 1911-21) which has absolutely added basal citizenry compared to the antecedent decade. In complete terms, the citizenry of India has added by about 181. 46 actor during the decade 2001-2011. Of the 121 crore Indians, 83. 3 crore (68. 84%) alive in rural areas while 37. 7 crore (31. 16%) alive in burghal areas, as per the Demography of India's 2011. Highlights of Demography 2011 The boilerplate anniversary exponential advance beneath to 1. 64% per annum during 2001-2011 from 1. 97% per annum during 1991-2001. Decadal advance during 2001-2011 beneath to 17. 64% from 21. 54% during 1991-2001. The decade is the first, with the barring of 1911-21, which has absolutely added beneath bodies compared to the antecedent decade. The rural citizenry (83. 31 crore) and burghal Citizenry (37. 71 crore) constitutes 68. 84% and 31. 16% appropriately to the complete citizenry of the country. During 2001-2011, for the aboriginal time, the advance drive of citizenry for the EAG States beneath by about four allotment points. This, calm with a agnate abridgement in the non-EAG States and Union Territories, has brought bottomward the amount of advance of citizenry for the country by 3. 9 percent as compared to 1991-2001. iii Though the child-sex arrangement [0 to 6 years] has beneath from 927 changeable per 1000 males in 1991-2001 to 914 females per 1000 males, accretion trend in the adolescent sex arrangement was apparent in Punjab, Haryana, Himachal Pradesh, Gujarat, Tamil Nadu, Mizoram and Andaman and Nicobar Island. Articulacy amount added from 64. 83% in 2001 to 74. 04% in 2011; 82. 14% macho literacy, 65. 46% changeable literacy. Amid the States and Union Territories, Uttar Pradesh is the best crawling State with 199. 6 actor bodies and Lakshadweep the atomic busy with 64,429 people. The accession of Uttar Pradesh (UP) to the complete citizenry of the country is 16. 5% followed by Maharashtra (9. 3%), Bihar (8. 6%), West Bengal (7. 6%), Andhra Pradesh (7. 0%) and Madhya Pradesh (6. ). The accumulated accession of these six best crawling States in the country accounts for 55% to the country’s citizenry 1. 2 The country's headcount is about according to the accumulated citizenry of the United States of America (USA), Indonesia, Brazil, Pakistan, Bangladesh and Japan -- all put together. The accumulated citizenry of UP and Maharashtra is bigger than that of the USA. Citizenry of abounding Indian States is commensurable with countries like United Kingdom (UK), Germany, Italy, Japan, Mexico, etc. States in India vs Countries in the Apple (In Millions) State in India Population- Country @ [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 Germany 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 Apple Citizenry 2010 1. 3 The Boilerplate Anniversary Exponential Advance Amount (AAEGR) for 2001-2011 biconcave acutely to 1. 64 percent per annum from 2. 6 percent during 1981-1991 and 1. 97 percent per annum during 1991-2001. Amid the aloft States, Bihar, J&K, Chattisgarh, Jharkhand, Rajasthan, NCT of Delhi, Madhya Pradesh, Uttar Pradesh, Haryana, Uttarakhand and Gujarat recorded college anniversary exponential advance amount as compared to the civic boilerplate during 2001-2011. The State of Bihar registered the accomplished (2. 26%) AAEGR and Kerala (0. 48) registered the lowest. v 1. 4 The decadal amount of advance of citizenry has slowed bottomward to 17. 64% in 2001-2011 as compared to 21. 54% in 1991-2001. At the State level, advance ante assorted widely. Nagaland with (-) 0. 47% had the everyman decadal advance rate. The abnormality of low advance has started to advance aloft the boundaries of the Southern States during 2001-11, breadth in accession 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 advance amount amid eleven to sixteen percent in 2001-2011 over the antecedent decade. Amid the beyond States, Bihar registered the accomplished decadal advance amount of 25% and Kerala the everyman (4. 86%). It is cogent that the allotment decadal advance during 2001-2011 has registered the sharpest abatement back independence. It beneath from 23. 87 percent for 1981-1991 to 21. 54 percent for the aeon 1991-2001, a abatement of 2. 33 allotment point. During 20012011, this decadal advance has become 17. 64 percent, a added abatement of 3. 90 allotment credibility (Table A-1). 1. Traditionally, for actual reasons, some States depicted a addiction of college advance in population. Recognizing this phenomenon, and in adjustment to facilitate the conception of area-specific programmes, with appropriate accent on eight States that accept been backward abaft in absolute citizenry advance to acquiescent limits, the Government of India constituted an Empowered Action Accumulation (EAG) in the Ministry of Bloom and Ancestors Abundance in March 2001. These eight States were Rajasthan, Uttar Pradesh, Uttarakhand, Bihar, Jharkhand, Madhya Pradesh, Chhattisgarh and Orissa, which came to be accepted as ‘the EAG States'. During 2001-11, the amount of advance of citizenry in the EAG States except Chhattisgarh has slowed bottomward (Table-A-2). For the aboriginal time, the advance drive of citizenry in the EAG States has accustomed the arresting of slowing down, falling by about four allotment points. This, calm with a agnate abridgement in the non-EAG States and Union Territories, has brought bottomward the amount of advance for the country by 3. 9 allotment credibility during 2001-11 as compared to 1991-2001. vi 1. 6 Accustomed Advance Rate: The accustomed advance rate, which is the aberration amid the bearing amount and afterlife rate, was estimated as 1. 52% in 2009 adjoin 1. 97 % in 1991. 1. 7 Sex Ratio: According to Demography of India 2011, the sex arrangement has apparent some advance in the aftermost 10 years. It has gone up from 933 in 2001 demography to 940 in 2011 census. Kerala with 1084 has the accomplished sex arrangement followed by Pondicherry with 1038. Daman and Diu has the everyman sex arrangement of 618. The Sex Arrangement 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 lower than the civic average. All UTs except Puducherry and Lakshadweep additionally accept lower Sex Arrangement as compared to civic boilerplate (Table A-2). 1. 8 Adolescent Sex Ratio: The adolescent sex arrangement (0-6 years), has beneath to 914 in 2011 Demography as compared to 927 in 2001. It showed a continuing alternative for macho accouchement over females in the aftermost decade. Accretion trend in the adolescent sex arrangement was apparent in States/UTs viz. Punjab, Haryana, Himachal Pradesh, Gujarat, Tamil Nadu, Mizoram, Chandigarh and Andaman & Nicobar Islands but in all the actual States / Union Territories, the adolescent sex arrangement showed abatement over Demography 2001 (Table-A-3. 6). Articulacy level: According to the conditional abstracts of the 2011 census, the articulacy amount 1. 9 went up from 64. 83 per cent in 2001 to 74. 04 per cent in 2011 — assuming an admission of 9. 21 allotment points. Significantly, the changeable articulacy akin saw a cogent jump as compared to males. The changeable articulacy in 2001 was 53 per cent and it has gone up to 65. 46 per cent in 2011. The macho literacy, in comparison, rose from 75. 3 to 82. 14 per cent (Table A-3. 5). Kerala, with 93. 1 per cent, continues to absorb the top position amid States as far as articulacy is anxious while Bihar remained at the basal 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 accomplished a articulacy amount of aloft 85 per cent. 2. 0 POPULATION PROJECTIONS 2. 1 Citizenry Projections: The projections for the country, alone States and Union Territories up to the year 2026 fabricated by the Technical Accumulation constituted by the Civic Commission on Citizenry (NCP) beneath the Chairmanship of Registrar General, India, reveals that the country’s citizenry would ability 1. 4 billion by 2026. Projected Citizenry of India (In Millions) The projected citizenry and admeasurement (percent) of citizenry by ample age-group as on 1st March, 2001-2026 as per “Report of the Technical Accumulation on Citizenry Projections – Ministry of Bloom & Ancestors Abundance (May 2006)” are accustomed in the Table below: Year Citizenry (in millions) Admeasurement (percent) 15-59 15-49 (years) (years) (Female 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 conditional abstracts of Demography 2011. viii 2. 2 Civic Citizenry Action (NPP), 2000: Government has adopted a Civic Citizenry Action in February, 2000. The capital cold is to accommodate or undertake activities aimed to accomplish citizenry stabilisation, at a akin connected with the needs of acceptable bread-and-butter growth, amusing development and ambiance protection, by 2045. The alternative objectives are: • • • To advance and abutment schemes, programmes, projects and initiatives for affair the unmet needs for contraception and changeable and adolescent bloom care. To advance and abutment avant-garde account in the Government, clandestine and chargeless breadth with a appearance to accomplish the objectives of the Civic Citizenry Action 2000. To facilitate the development of a active people’s movement in favour of the civic accomplishment for citizenry stabilisation. 2. 3 Civic Commission on Citizenry (NCP): With a appearance to adviser and absolute the accomplishing of the Civic Citizenry Policy, the NCP was constituted in 2000 and it was re-constituted in 2005. The Chairman of the re-constituted Commission connected to be Hon’ble Prime Minister of India, admitting Deputy Chairman of the Planning Commission and the Minister of Bloom & FW are the two Vice-Chairmen and Secretary, H, is the Member-Secretary of the Commission. State Citizenry Commissions: State Citizenry 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 chargeless anatomy in the Ministry of Bloom and Ancestors Welfare, appropriately registered as a Society beneath the Societies Registration Act, 1860. The cold of JSK is to facilitate the accomplishment of the goals of Civic Citizenry Action 2000 and abutment projects, schemes, initiatives and avant-garde account advised to advice citizenry stabilization both in the Government and Chargeless sectors and accommodate a window for canalizing assets through chargeless contributions from individuals, industry, barter organizations and alternative acknowledged entities in advocacy of the civic account of citizenry stabilization. 3. 0 DEMOGRAPHIC and HEALTH STATUS INDICATORS 3. 1 The demographic and bloom cachet indicators accept apparent cogent improvements. The Table beneath captures abstracts on Crude Bearing Rate, Crude Afterlife Rate, and Activity Assumption etc. ix Sl. No. 1 2 3 4 Parameters Crude Bearing Amount (per 1000 citizenry Crude Afterlife Amount (per 1000 population) Complete Abundance Amount Affectionate Bloodshed Arrangement (per 100,000 alive births) Baby Bloodshed Amount (per 1000 alive births) Adolescent Bloodshed Amount (0-4 yrs. ) per 1000 accouchement Couple Aegis Amount (%) Expectation of activity at bearing (in years) -Male -Female 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) Accepted 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, except 7 aloft which is based on admiration done by statistics Division of Ministry of Bloom and Ancestors Welfare. NA – Not attainable 3. 2 Crude Bearing Amount (CBR): The Crude Bearing Amount beneath from 29. 5 in the 1991 to 22. 5 in 2009. The CBR is college (24. 1) in rural areas as compared to burghal areas (18. 3). Uttar Pradesh recorded the accomplished CBR (28. 7) and Goa the everyman (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) recorded college CBR as compared to the civic average. Amid the Abate States / UTs, D Haveli (27. 0) and Meghalaya (24. ) recorded college CBR as compared to the civic boilerplate while Tripura (14. 8) recorded the everyman CBR during 2009-Table A-15, A16 & A17. x 3. 3 Activity Expectancy: The activity assumption at bearing for macho was 62. 6 years as compared to females, 64. 2 years according to 2002-06 estimates. Burghal Macho (67. 1 years) and Burghal Changeable (70 years) accept best activity p as compared to their rural adverse parts. The activity assumption in Kerala is the accomplished (74 years) and the everyman in Madhya Pradesh (58 years) Table A-13. 1. xi 4. 0 MORTALITY INDICATORS 4. 1 Crude Afterlife Amount (CDR): The CDR, which was brackish during 2007 and 2008 at 7. 4, came bottomward to 7. 3 in 2009. The CDR is college in rural areas (7. ) as compared to burghal areas (5. 8). The afterlife amount is accomplished (8. 8) in Orissa and everyman in Nagaland (3. 6) – (Table A-17). Age-specific Afterlife Rates: The ASDR for the year 2009 was 14. 1 per 1000 in the age-group 0-4; it acutely beneath in the abutting age-group (5-9) to 1 per 1000. The ASDR gradually added in anniversary age-group to ability to the akin 20. 4 per 1000 in the age-group 60-64 and connected to admission to ability assuredly to the akin 173. 9 per 1000 in the aftermost age-group, 85+. ) The Age-specific Bloodshed ante are crumbling over the years; the rural-urban and Macho – Changeable differentials are still aerial (Table A-18 to A-18. 3) xii 4. Baby Bloodshed Amount (IMR): According to SRS 2009, the IMR at civic akin was 50 per 1000 alive births in 2009 as compared to 53 in 2008. The IMR is college in account of Changeable (52) as compared to Macho (49). The accomplished baby bloodshed amount has been appear from Madhya Pradesh (67) and everyman from Kerala (12). Assam (61), Bihar (52), Chhattisgarh (54), Haryana (51), Madhya Pradesh (67), Orissa (65), Rajasthan (59) and Uttar Pradesh (63) recorded college IMR as compared to the civic boilerplate (Table-A-20) Baby Bloodshed Ante – Rural/Urban (All India) xiii The IMR is actual aerial in rural areas (55 per 1000 alive births) as compared to burghal areas (34). Rural areas of Madhya Pradesh registered the accomplished IMR (72) followed by Orissa (68), Uttar Pradesh (66). Rural areas of Kerala State recorded the Everyman IMR (12) in the country. Uttar Pradesh and Chhattisgarh recorded accomplished IMR in burghal areas. Kerala had the everyman IMR (11) in burghal areas. Amongst the abate states, Rural and Burghal areas of Goa recorded everyman IMR during 2009 (Table-A-22). The admission in medical absorption to the abundant women at the time of alive births may accept resulted in abatement in IMR over the period. But in the rural areas, the medical absorption is still on the lower ancillary (Table-A36) Administration of Alive Births by Type of Medical Absorption Accustomed by the Mother-2009 (%) Neo-natal Bloodshed Rate: Neo-natal bloodshed refers to cardinal of breed dying aural one month. Neo-natal bloom affliction is anxious with the action of the bairn from bearing to 4 weeks (28 days) of age. Neo-natal adaptation is a actual acute indicator of citizenry advance and socio-economic development. The adaptation amount of changeable breed correlates to consecutive citizenry replacement. The neo-natal bloodshed amount which was brackish at 37 per 1000 alive births during 2003 to 2006 hardly came bottomward to 36 in 2007, 35 in 2008 and stood at 34 during 2009. The neo-natal bloodshed amount is actual aerial in rural areas (38 per 1000 alive births) as compared to 21 in burghal areas in 2009. The neonatal bloodshed amount additionally xiv varies appreciably amid Indian States. Madhya Pradesh (47), Uttar Pradesh (45), Orissa (43), Rajasthan (41), J (37), Himachal Pradesh (36), Haryana(35), Gujarat(34), Chhattisgarh(38) recorded college neo-natal bloodshed amount as compared to civic average. The Neo-natal bloodshed amount is everyman in the Kerala State (7). The cogent affection is that, the Neo-natal Bloodshed Amount came bottomward or remained brackish in 2009 as compared to 2008 except in the case of Haryana, Himachal Pradesh, Jharkhand and Karnataka (Table A23) Post-Neo-Natal Bloodshed Rate: Refers to cardinal of baby deaths at 28 canicule to one year of age per 1000 alive births. The Column Neo natal Bloodshed Amount came bottomward to 16 in 2009 from 24 in 2002. The Column Neo Natal Bloodshed Amount is aerial in rural areas (17) as compared to burghal areas (13) (Table A-21) Peri–natal Bloodshed Rate: Refers to cardinal of still bearing and deaths aural 1st anniversary of commitment per 1000 alive births. The Peri-natal Bloodshed Amount varies in the ambit of 37 to 35 back 2001 and stood at 35 in 2009. It is aerial in rural areas (39) as compared to burghal areas (23) during 2009. The Peri-natal Bloodshed Amount decidedly assorted beyond the States. Kerala with 13 is the best assuming State, Madhya Pradesh and Chhattisgarh (45) are atomic assuming States during 2009. Still Bearing Amount (SBR): The SBR came bottomward to 8 in 2008 from 9 in 2007. However, it remained brackish at 8 in 2009 also. The cardinal of Still Births assorted beyond the States amid 1 (Bihar) and 17 (Karnataka) in 2009 (TableA-23). 4. 3 Adolescent Bloodshed Amount (0-4): Adolescent Bloodshed Amount is abstinent in agreement of afterlife of cardinal of accouchement (0-4 years) demography abode per 1000 accouchement (0-4 year’s age). As per SRS estimates, the Adolescent Bloodshed Amount (CMR) has appear bottomward from 57. 3 in 1972 to 26. 5 in 1991 and 14. 1 in 2009. The CMR is actual aerial in rural areas (15. 7) as compared to burghal areas (8. 7) in 2009 and this ascertainment is accordant for about all States uniformly. The accomplished Adolescent Bloodshed Amount was recorded in Madhya Pradesh (21. 4) carefully followed by Uttar Pradesh (20. 1) and Assam (19. 0). Kerala with 2. 6 CMR is the best Assuming State (Table A22. 1) 5. 0 FERTILITY INDICATORS The three accepted measures of abundance are; (a) Crude Bearing Amount (CBR), (b) Age-Specific Abundance Ante (ASFR), and (c) Complete Abundance Amount (TFR). CBR has already been discussed in para 3 . 2 above. 5. 1 Age Specific Abundance Ante (ASFR) & Age Specific Marital Abundance Ante (ASMFR): ASFR is authentic as the cardinal of accouchement built-in to women in the said age accumulation per 1000 women in the aforementioned age accumulation and ASMFR as the cardinal of accouchement built-in to affiliated women in the said age accumulation per 1000 women in the aforementioned age group. Table A-24 presents ASFR and ASMFR abstracts alone for rural and burghal areas, for the years 2004 to 2009. It is xv bserved that ASMFRs are college than ASFRs in account of all age groups as ASMFR covers alone affiliated women. Throughout the aeon 2004-2009, the age accumulation 20-24 connected to accept aiguille abundance ante in rural and burghal areas, but both these indicators are lower in burghal areas as compared to rural areas. The ASMFR added to 326 in 2009 from 303 in 2008 and the ASFR added to 227. 8 in 2009 from 218. 6 in 2008 for the age accumulation 20-24. Abstracts on Age Specific Abundance Amount (ASFR) reveals that the abundance amount in 15 to 19 years age accumulation has moderately beneath in 2009 (38. 5) as compared to 2008 (41. 6). Lower abundance ante are empiric in U. P. Bihar alone afterwards attaining the age 40 years while in Kerala, Tamil Nadu, Andhra Pradesh, Maharashtra, Karnataka, Himachal Pradesh and Punjab, this date is accomplished in the beforehand age groups namely 30-34 and 35-39 (Table A-26). ASFR is assuming a abbreviating trend as the articulacy akin increases in the age accumulation of 20-24 (the aiguille abundance age group)-Tables A-27. 5. 2 Age at Able Alliance (AEM): The Mean age at able alliance is the age at cleanup of marriage, is about brackish and aerial about 20 years amid 2005 and 2009. The State akin abstracts appearance variations in the AEM. It is the accomplished 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 everyman AEM. The AEM in burghal areas is college than the rural one but the aberration is aloof two years. The rural- burghal aberration is accomplished (3. 1 years) in Assam and atomic in Kerala (0. 1 years). The AEM in account of added than 50% changeable in rural areas is 18-20 years admitting in burghal areas, the AEM in account of added than 60% changeable is 21+ (Tables A-28 to A-30) xvi 5. 3 Complete Abundance Amount (TFR): The TFR for the country remained connected at 2. 6 during 2008 and 2009 with Bihar advertisement the accomplished TFR at 3. 9 while Kerala and Tamil Nadu connected its outstanding accomplishment with the everyman TFR of 1. 7. Amid the aloft States, the TFR akin of 2. has been accomplished 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 rural woman is accepting college TFR (2. 9) as compared to burghal (2. 0) women (TableA-25). 6. 0 FAMILY PLANNING PROGRAMME: In 1952, the Indian Government was one of the aboriginal in the apple to barrage a civic ancestors planning programme, which was after broadcast to beset affectionate and adolescent health, ancestors abundance and nutrition. The abstracts accustomed in the advertisement are based on the abstracts appear by the State/UTs at commune akin and afresh circumscribed at State and Civic akin on HMIS portal. Percentage of districts appear in 2009-10 and 2010-11 was 98%. 6. 1 Affectionate Health: Affectionate bloom refers to the bloom of women during pregnancy, accouchement and the postpartum period. Antenatal affliction (ANC) is the systemic medical administration of women during pregnancy. Its aim is to bottle the physiological aspect of abundance and labour and to anticipate or detect, as aboriginal as possible, all dissection disorders. Aboriginal analysis during abundance can anticipate affectionate ill-health, injury, affectionate mortality, foetal death, baby bloodshed and morbidity. During 2010-11, 28. 30 actor women got registered for ANC analysis and added than 20 actor underwent 3 check-ups during the abundance period. vii The institutional deliveries to complete deliveries (Institutional +home) added from 56. 7% in 2006-07 to 78. 5% in 2010-11. Kerala and Tamil Nadu (99. 8%) are the best assuming States in the country during 2010-11 (Table B-18). 6. 2 Medical Termination of Pregnancy: To abstain the abusage of induced abortions, best countries accept allowable laws whereby alone able Gynecologists beneath altitude laid bottomward and done in clinics/hospitals that accept been approved, can do abortions. The Medical Termination of Abundance Act was allowable by the Indian Parliament in 1971 and came into force from 01 April, 1972. The MTP Act was afresh revised in 1975. The MTP Act lays bottomward the action beneath which a abundance can be terminated, abnormally the bodies and the abode to accomplish it. During 2010-11, 620472 MTPs were performed by 12510 accustomed institutions in the country. Uttar Pradesh with 576 accustomed institutions performed best cardinal (81420) MTPs in the country followed by Maharashtra (78047) during 2010-11. xviii About 60% MTPs in the country were performed in 6 States viz. Assam, Maharashtra, West Bengal, Tamil Nadu, Uttar Pradesh and Haryana in 2010-11(Table B4). 6. 3 Adolescent Bloom Immunization programmes aim to abate bloodshed and anguish due to Vaccine Preventable Diseases (VPDs), decidedly for children. India's immunization programme is one of the bigger in the apple in agreement of quantities of vaccines used, numbers of beneficiaries, cardinal of immunization sessions organized and the bounded breadth covered. Beneath the immunization program, vaccines are acclimated to assure accouchement and abundant mothers adjoin six diseases. They are: • • • • • • Tuberculosis Diphtheria Pertussis Polio Measles Tetanus In India, beneath Universal Immunization Programme (UIP) vaccines for six vaccinepreventable diseases (tuberculosis, diphtheria, pertussis (whooping cough), tetanus, poliomyelitis, and measles) are provided chargeless of amount to all. Tetanus Immunization for alert Mother: During 2010-11, 78. 14% of the estimated charge for vaccinating 29. 68 actor alert mothers was achieved. As compared to 200910 the accomplishment is on lower ancillary (83. 82%). The accomplishment assorted broadly beyond the States, the accomplished allotment of accomplishment is empiric in Lakshadweep (112. 1%) followed by the Mizoram (106. 8%). Amid aloft States, Tamil Nadu immunized 98. 5% of the targeted numbers and Bihar recorded the everyman immunization (58%). The accomplishment xix of Bihar is the everyman amid the aloft States consecutively for the third year (TableB1&B2). DPT Immunization for Children: The DPT is an immunization or vaccine to assure adjoin the diseases of Diphtheria (D), Pertussis (P), and Tetanus (T). The III dosage of DPT anesthetic was to be administered to 25. 54 Actor accouchement (Target) and accomplished 89. 20% during 201011 as adjoin the accomplishment 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%) accomplished added than 100% targeted numbers (Table- B1&B2). Polio: Added than 89 percent accouchement accustomed the third dosage of Polio vaccine in 2010-11 but the allotment alone from 98. 6% in 2009-10. The allotment of accouchement who accustomed third dosage of polio ranges from 31. 4% in A&N Islands to 133. 8% in Mizoram. Eight States viz. Andhra Pradesh, Orissa, Tamil Nadu, Himachal Pradesh, J&K, Manipur, Meghalaya and Mizoram accomplished added than 100% targeted numbers during 2010-11. Accomplishment of Bihar State is the everyman (69. 1%) amid the aloft States (Table- B1&B2). BCG: BCG vaccine is accustomed for aegis adjoin tuberculosis, mainly astringent forms of adolescence tuberculosis. 23. 88 actor Accouchement of beneath one year were targeted for administering BCG vaccine during 2010-11 as adjoin 25. 19 actor in 2009-10. The accomplishment in 2010-11 was 93. 5% as adjoin 101. 7 % in 2009-10. 14 States / UTs accomplished added than 100% immunization during 2010-11 as adjoin 20 States/UTs in 2009-10. Pondicherry accomplished the accomplished allotment immunization (179. 8%) in 2010-11. Measles: 22. 10 actor Accouchement of beneath one year age accustomed measles vaccine during 2010-11 as adjoin 25. 54 actor accouchement accounting for an accomplishment of 86. 6% as adjoin 95. 0% in 2009-10. Himachal Pradesh, J&K, Manipur, Meghalaya and Mizoram accomplished added than 100% anesthetic in 2010-11 (Table- B1&B2). Tetanus: Anesthetic adjoin Tetanus was administered to 9. 7 actor (Target: 25. 1 Million) accouchement of 5 years age (DT), 14. 30 actor accouchement of 10 years age (Target: 25. 66 million) and 13. 0 actor accouchement of 16 years age (Target: 26. 01 Million) during 2010-11. The accomplishment as adjoin the set ambition works out to 38. 6%, 54. 8% and 50. 0% appropriately in account of the aloft age accumulation of children. Bihar State is backward abaft in accomplishment as compared to all alternative aloft States. The accomplishment is alone 5. 6% (of the target) in the case of accouchement 5 years of age, 14. 8% for accouchement of 10 Years and 20. % for accouchement of 16 years during 2010-11. Except Sikkim (for the age accumulation accouchement 10 years), no alternative State vaccinated the accouchement to the admeasurement of 100% of the ambition during 2010-11(Table- B1&B2). 6. 4 Ancestors Planning: Bearing ascendancy pills, condoms, sterilization, IUD (Intrauterine device) etc. are best frequently accomplished Ancestors Planning methods in the country. The efforts of the Government in implementing the Ancestors Planning Programme in the country accept cogent impact. However, Amusing factors like reluctance, traditions and socio-cultural behavior appear ample ancestors appear as the aloft constraints appear adopting Ancestors Planning methods. Changeable xx iteracy, age at alliance of girls, cachet of women, able son preference, and abridgement of macho captivation in ancestors planning, are additionally cogent factors associated with acceptance of baby ancestors norm. IMPACT OF FAMILY WELFARE ACTIVITIES • • Knowledge of contraception is about universal: 98 percent of women and 99 percent of men age 15-49 apperceive one or added methods of contraception. Amid the abiding avant-garde Ancestors Planning methods, changeable sterilization was the best accepted Over 97 percent of women and 95 percent men apperceive about changeable sterilization. Macho sterilization, by contrast, is accepted alone by 79 percent of women and 87 percent of men. Ninety-three percent of men apperceive about condoms, compared with 74 percent of women. Added than 80 percent women and men apperceive about contraceptive pills. Knowledge of contraception is boundless alike amid adolescents: 94 percent of adolescent women and 96 percent of adolescent men accept heard of a avant-garde adjustment of contraception Source: NFHS-3 • • • 6. 5 Ancestors Planning Accomplishment The year 2010-11 concluded with 34. 9 actor complete ancestors planning acceptors at civic akin complete of 5. 0 actor Sterilizations, 5. 6 actor IUD insertions, 16. 0 actor condom users and 8. 3 actor O. P. users as adjoin 35. 6 actor complete ancestors planning acceptors in 2009-10 (Table B. 5) xxi Complete FP Acceptors 60000 50000 40000 30000 20000 10000 0 6. 6 A complete of 50. 09 Lakh sterilizations were performed in the country during 2010-11 as adjoin 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 apparent bigger accomplishment 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 admeasurement of tubectomy operations to complete sterilizations was 95. 6 percent in 2010-11 as adjoin 94. 6 percent in 2009-10 (Table B-6). xxii Though the allotment of vasectomy operations to complete sterilizations is increasing, it is absolutely insignificant. 6. 7 IUD Insertions: During the year 2010-11, 5. 6 actor IUD insertions were appear as adjoin 5. 7 actor in 2009-10. Assam, Bihar, Gujarat, Jharkhand, Uttar Pradesh, Arunachal Pr, Delhi, Goa, Meghalaya, Mizoram, Sikkim, D&N Haveli appear bigger accomplishment in 2010-11 than in 2009-10 (Table B-9). 6. 8 Condom Users and O. P. Users: Based on the administration abstracts reported, there were 16. 0 actor agnate users of Condoms and 83. 07 actor agnate users of Oral Pills during 2010-11 (Table B-10, B-11). 6. 9 Cardinal of Births Averted: Accomplishing of assorted Ancestors Planning measures averted 16. 335 actor births in the country during 2010-11 as compared to 16. 605 actor in 2009-10. The accumulative complete of births abhorred in the country up to 2010-11 was 442. 75 actor (Table B-22). 7. 0 PROGRAMMES and SCHEMES 7. The Civic Rural Bloom Mission (NRHM): NRHM launched by the Hon’ble Prime Minister on 12th April 2005 throughout the country with appropriate focus on 18 States, including eight Empowered Action Accumulation (EAG) States, the North-Eastern States, Jammu & Kashmir and Himachal Pradesh, seeks to accommodate accessible, affordable and affection bloom affliction xxiii casework to rural population, abnormally the accessible sections. The NRHM operates as an album broadband programme by amalgam all vertical bloom programmes of the Departments of Bloom and Ancestors Abundance including Changeable & Adolescent Bloom Programme and assorted diseases ascendancy Programmes. The NRHM has emerged as a aloft costs and bloom breadth ameliorate action to strengthen States Bloom systems. The NRHM has been acknowledged in putting in abode ample cardinal of chargeless association bloom workers in the programme, which has contributed in a aloft way to bigger utilisation of bloom accessories and added bloom awareness. NRHM has additionally contributed by accretion the animal assets in the attainable bloom sector, by up-gradation of bloom accessories and their adjustable financing, and by professionalization of bloom management. The accepted action about-face is appear acclamation inequities, through a appropriate focus on aloof and difficult areas and poor assuming districts. This requires additionally convalescent the Bloom Administration Advice System, an amplification of NGO participation, a greater assurance with the clandestine breadth to accouter their assets for attainable bloom goals, and a greater accent on the role of the attainable breadth in the amusing aegis for the poor. • • • • • • • 7. 2 NRHM GOALS Abridgement in Baby Bloodshed Amount (IMR) and Affectionate Bloodshed Arrangement (MMR) Universal admission to attainable bloom casework such as Women’s health, adolescent health, water, sanitation & hygiene, immunization, and Nutrition. Prevention and ascendancy of catching and noncommunicable diseases, including locally ancient diseases Admission to chip absolute primary healthcare Citizenry stabilization, gender and demographic balance. Revitalize bounded bloom traditions and boilerplate AYUSH. Advance of advantageous activity styles. Primary Bloom Affliction casework Bloom Casework are provided to the association through a arrangement of Sub-centres, Primary Bloom Centres (PHCs) and Association Bloom Centres (CHCs) in the rural areas and Hospitals and Dispensaries etc. in the burghal areas. The Primary Bloom Affliction basement in rural areas has been developed as a three-tier system. The norms for establishing Sub centres, PHCs and CHCs are as under: xxiv Centre Plain Breadth Sub Centre PHC CHC 5000 30000 120000 Citizenry Norms Hilly/Tribal Breadth 3000 20000 80000 7. 3 Sub-Centres (SCs): The Sub-Centre is the best borderline and aboriginal acquaintance point amid the primary bloom affliction arrangement and the community. Each Sub-Centre is manned by one Auxiliary Nurse Midwife (ANM) and one Macho Bloom Artisan MPW (M). One Lady Bloom Artisan (LHV) is entrusted with the assignment of administration of six Sub-Centres. SubCentres are assigned tasks apropos to interpersonal advice in adjustment to accompany about behavioural change and accommodate casework in affiliation to affectionate and adolescent health, ancestors welfare, nutrition, immunization, diarrhoea ascendancy and ascendancy of catching diseases programmes. The Sub-Centres are provided with basal drugs for accessory ailments bare for demography affliction of capital bloom needs of men, women and children. There were 147069 Sub Centres activity in the country as on March 2010. An Auxiliary Nurse Midwife (ANM), a changeable aramedical artisan acquaint at the Sub-Centre and accurate by a Macho Multipurpose Artisan MPW (M) is the advanced band artisan in accouterment the Ancestors Abundance casework to the community. ANM is supervised by the Lady Bloom Visitor (LHV) acquaint at PHC. 7. 4 Primary Bloom Centres (PHCs): PHC is the aboriginal acquaintance point amid apple association and the Medical Officer. The PHCs were envisaged to accommodate an chip alleviative and antitoxin bloom affliction to the rural citizenry with accent on antitoxin and accessory aspects of bloom care. The PHCs are accustomed and maintained by the State Governments beneath the Minimum Needs Programme (MNP)/Basic Minimum Casework Programme (BMS). There were 23673 PHCs activity as on March 2010 in the country. A PHC is manned by a Medical Officer accurate by 14 paramedical and alternative staff. It acts as a barometer assemblage for 6 Sub Centres. It has 4-6 beds for patients. The activities of PHC absorb curative, preventive, archaic and Ancestors Abundance Services. 7. 5 Association Bloom Centres (CHCs): CHCs are actuality accustomed and maintained by the State Government beneath MNP/BMS programme . It is manned by four medical specialists i. e. Surgeon, Physician, Gynaecologist and Paediatrician accurate by 21 paramedical and alternative staff. It has 30 in-door beds with one OT, X-ray, Labour Room and Laboratory facilities. It serves as a barometer centre for 4 PHCs and additionally provides accessories for obstetric affliction and specialist consultations. As on March, 2010, there were 4535 CHCs activity in the country. 7. 6 Changeable Adolescent Bloom (RCH) Programme: Changeable and Adolescent Bloom Programme is a aloft basic of NRHM and aims at abridgement of Baby Bloodshed Rate, Affectionate Bloodshed Arrangement and Complete Abundance Amount xxv 7. 7 Janani Suraksha Yojana: The Jannani Suraksha Yojana (JSY) is a 100% centrally sponsored arrangement and it integrates banknote abetment with commitment and column commitment care. The arrangement was launched with focus on appeal advance for institutional deliveries in States and regions breadth these are low. It targeted blurred of MMR by ensuring that deliveries were conducted by Skilled Bearing Attendants at every birth. The Yojana has articular the Accredited Amusing Bloom Activist (ASHA), as an able articulation amid the Government and the poor abundant women in 18 low assuming States, namely the 8 EAG States and Assam and J&K and the actual NE States. In alternative States and UTs, wherever, AWW and TBAs or ASHA like activist has been affianced for this purpose, they can be associated with this Yojana for accouterment the services. The JSY arrangement has apparent astounding advance in the aftermost three years. Starting with a bashful cardinal of 7. 39 Lakhs beneficiaries in 2006-07, the complete cardinal accomplished 113. 89 lakh during 2010-11. 7. Ancestors Abundance Linked Bloom Insurance Scheme: Ancestors Planning Linked Insurance Arrangement was alien w. e. f. 29th November, 2005 to booty affliction of the cases of abortion of Sterilisation, medical complications for afterlife consistent from Sterilisation, and additionally accommodate apology awning to the doctor / bloom ability assuming Sterilisation procedure. The arrangement is in operation for the aftermost 5 years and is renewed with ICICI Lombard Insurance Aggregation for the sixth year w. e. f. 01-01-2011 based on 50 lakh sterilization acceptors. The complete accountability of the aggregation is bound to Rs. 25 crore beneath Section-I and Rs. 1 crore beneath Section-II. Benefits of the Arrangement w. e. f. 1. 1. 011( 6th Year) Section Coverage Financial advantage I afterward IA Afterlife sterilization (inclusive of Rs. 2 Lakhs afterlife during action of sterilization operation) aural 7 canicule from the date of acquittal from the hospital. IB Afterlife afterward Rs. 50,000 sterilization aural 8 - 30 canicule from the date of acquittal from the hospital IC Abortion of Sterilization Rs. 30,000 ID Amount of analysis upto Complete not beyond 60 canicule arising out of Rs. 25,000 aggravation afterward the sterilization operation (inclusive of xxvi II aggravation during action of sterilization operation) from the date of discharge. Apology Insurance per Upto Rs. 2 Lakh per Doctor/facility but not affirmation added than 4 cases in a year. 7. Advantage for Acceptors of Sterilisation: As a admeasurement to animate bodies to accept abiding adjustment of Ancestors Planning, this Ministry has been implementing a Centrally Sponsored Arrangement back 1981 to atone the acceptors of sterilization for the accident of accomplishment for the day on which he/she abounding the medical ability for ability sterilization. Advantage for Acceptors of Sterilisation Attainable accessories Vasectomy Tubectomy Focus 1500 1000 1500 (Rs. ) Accredited Private/NGO accessories Vasectomy Tubectomy 1500 1500 1500 (BPL/SC/ST) Aerial States Non-high Focus States 1000 (BPL/SC/ST) 1500 650 (APL) 8. 0 MONITORING AND EVALUATION SYSTEM The Advice Arrangement to admeasurement the action and appulse of the NRHM including Ancestors Abundance Programme is as below: a) Account Statistics through HMIS and Routine Monitoring b) Sample Registration Arrangement & Citizenry Census, Office of Registrar General India c) Ample calibration surveys- Civic Ancestors Bloom Surveys, Commune Akin Household and Ability Surveys. Anniversary Bloom Analysis d) Breadth specific surveys by Citizenry Research Centres e) Alternative specific surveys by Civic & International agencies f) Field Appraisal through Bounded Appraisal Teams xxvii 8. 1 Account Statistics/Routine Monitoring The Statistics Division in the Ministry of Bloom & Ancestors Abundance is amenable for Monitoring & Appraisal activities. 8. 2 Bloom Administration Advice Arrangement (HMIS) Bloom casework are provided through the arrangement of bloom centers advance throughout rural and burghal areas of the country. Anniversary centre maintains almanac of its activities in one or added of the primary registers. The accomplishment abstracts calm and aggregate primarily at borderline levels (Rural/Urban) such as Sub-centre, Primary Bloom Centres, Burghal Ancestors Abundance Centres / Column Partum Centres / Hospitals / Dispensaries are presented in Tables C-1 to C-10. For capturing advice on the account statistics from the borderline institutions, an exercise was undertaken to rationalize the ability akin abstracts capturing architecture by removing bombastic information, abbreviation the cardinal of forms and focused on ability based reporting. The revised forms were accomplished in September 2008 and broadcast to the States. A web based Bloom MIS (HMIS) aperture was additionally launched in October, 2008 http://nrhm-mis. nic. n to facilitate abstracts capturing at Commune level. The HMIS aperture has led to faster breeze of advice from the commune akin and about 98% of the districts are advertisement account abstracts back 2009-10. The HMIS aperture is now actuality formed out to abduction advice at the ability level. Some of indicators for which abstracts has been captured through HMIS aperture (district level) are included for the aboriginal time in the advertisement (Detailed tables are accustomed in Section–C (Tables C1 to C-10). Abstracts for these indicators are conditional and may alone be compared with DLHS-III indicators befitting in appearance the abstruse differences. 8. 3 Tracking of Mothers and Children It has been absitively to accept a name-based tracking whereby abundant women and accouchement can be tracked for their ANCs and immunisation forth with a acknowledgment arrangement for the ANM, ASHA etc to ensure that all abundant women accept their Ante-Natal Affliction (ANCs) and postnatal affliction (PNCs) Checkups; and the accouchement accept their abounding immunisation. All new pregnancies detected/being registered from 1st April, 2010 at the aboriginal point of acquaintance of the abundant mother are actuality captured as additionally all births occurring from 1st December, 2009. A cardinal of States accept accustomed the arrangement and alternative are putting in abode systems to abduction such advice on a approved basis. Mother and Adolescent Tracking Arrangement crave acute accommodation architecture at assorted levels primarily at the Block and Sub-Centre levels. The Civic Informatics Centre (NIC) has developed software application. The rollout is actuality monitored centrally. xxviii 8. 4 Ample Scale/Demographic Surveys A cardinal of ample calibration surveys are actuality conducted by the Ministry of Bloom & Ancestors Abundance as abundant below: Civic Ancestors Bloom Analysis (NFHS): The 2005-06, Civic Ancestors Bloom Analysis (NFHS-3) was the third in a alternation of civic surveys preceded by beforehand NFHS surveys agitated out in 1992-93 (NFHS-1) and 1998-99 (NFHS-2) with the cold to accommodate capital abstracts on bloom and ancestors abundance bare by the Ministry of Bloom and Ancestors Abundance and alternative agencies for action and programme purposes, and to accommodate advice on important arising bloom and ancestors abundance issues. Anniversary Bloom Analysis (AHS): The Ministry of Bloom & Ancestors Welfare, in accord with the Registrar General of India (RGI), had launched an Anniversary Bloom Analysis (AHS) in the bygone Empowered Action Accumulation States (Bihar, Jharkhand, Madhya Pradesh, Chhattishgarh, Uttarakhand, Uttar Pradesh, Orissa and Rajasthan) and Assam. AHS will accommodate District-wise abstracts on Complete Abundance Amount (TFR), Baby Bloodshed Amount (IMR) and the Affectionate Bloodshed Arrangement (MMR) at the bounded level. Alternative RCH indicators like Ante-natal care, Institutional delivery, immunisation, use of contraceptives will additionally be available. The aim of the analysis was to accommodate acknowledgment on the appulse of the schemes beneath NRHM in abridgement of Complete Abundance Amount (TFR), Baby Bloodshed Amount (IMR) at the commune akin and the Affectionate Bloodshed Arrangement (MMR) at the bounded akin by ciphering these ante on an anniversary base for about 284 districts in these States. The after-effects of the aboriginal annular of AHS for some of the indicators viz. Crude Bearing Amount (CBR), Crude Afterlife Amount (CDR), Baby Bloodshed Amount (IMR), Neo-natal Bloodshed Rate, Beneath Bristles Bloodshed Rate, Affectionate Bloodshed Arrangement (MMR), Sex Arrangement at Bearing (SRB), Sex Arrangement (0-4 years) and Complete Sex Arrangement accept been appear by the Registrar General of India (RGI). The District-wise abstracts in account of the aloft indicators for the nine States viz. Bihar, Jharkhand, Madhya Pradesh, Chhattishgarh, Uttarakhand, Uttar Pradesh, Orissa, Rajasthan and Assam are accustomed in Table D. 6. 0 (Section D). Allegory of State-wise AHS after-effects and SRS: 2009, in account of bristles indicators namely Crude Bearing Amount (CBR), Crude Afterlife Amount (CDR), Baby Bloodshed Amount (IMR), Neo-natal Bloodshed Amount and Affectionate Bloodshed Arrangement (MMR), Sex Arrangement at Bearing (SRB) reveals that they are broadly commensurable (Table D. 6. 1). All 284 districts covered in the AHS (first round) accept been ranked by alignment them in ascendance adjustment based on the rank of the alone indicators viz. Infant Bloodshed Amount (IMR), Neo-natal Bloodshed Rate, Beneath 5 Bloodshed Amount and Affectionate Bloodshed Arrangement (MMR) and presented in Table D. 6. 2. Tables D. 6. 3 and D. 6. 4 accord capacity of basal 100 districts as per the rankings and additionally covered beneath Aerial Focus Districts articular beneath Civic Rural Bloom Mission, xxix The added Annular of AHS (2011-12) would additionally awning added ambit viz. acme & weight measurement, claret analysis for anemia and sugar, claret burden altitude and testing of iodine in the alkali acclimated by households through a abstracted check on Clinical, Anthropometric and Biochemical (CAB) analysis and abstracts in accession to the indictors covered in AHS aboriginal round. District Akin Household and Ability Analysis (DLHS): The Commune Akin Household and Ability S

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