Rajasthan at a glance at a glance.pdfDistrict Level Social Scientist Stat. Officer(2) District Level CM&HO 24 SIHFW: an ISO 9001:2015 certified Institution CM&HO Dy CM&HO (Health)

Rajasthan- at a Glancej

State Institute of Health and Family Welfare,Jaipur

Rajasthan

• Date of formation Nov.01,19563 42 239 k• 3,42,239 sq.km

• 10.41% of Land area. Th D t 70% f t t l l d• Thar Desert :70% of total landmass

• Forest vegetation - 9.54% • The oldest chain of mountains the Aravali• The oldest chain of mountains - the Aravali• Roads: 1,51,914 km. (8,798 km National

Highway)Highway) • 33 districts and 289 development blocks.

2SIHFW: an ISO 9001:2015 certified Institution

Rajasthanj

• Districts: 33Districts: 33

• Blocks: 295

• Total revenue villages: 44672

T ib l di t i t 7– Tribal district: 7

– Desert district: 6

– Plain district: 20

SIHFW: an ISO9001: 2015 certified institution 3

Divisions/ Districts/

AjmerAjmer, Nagaur, Tonk, Bhilwara

BharatpurBharatpur, Dholpur, Karauli, Sawai-Madhopur

BikanerBikaner, Churu, Hanumangarh, Sri-ganganagar

SIHFW: an ISO9001: 2015 certified institution 4

Jaipur Jaipur, Alwar, Dausa, Jhunjhunu, Sikar

Jodhpur Barmer, Jaisalmer, Jalore ,Jodhpur, Pali, Sirohi

Kota Baran, Bundi, Jhalawar, Kota

UdaipurBanswara, Chittorgarh, Dungarpur, Rajsamand, Pratapgarh UdaipurPratapgarh, Udaipur


Tribal 1. Banswara

Desert1. Barmer

Plain1. Ajmer 11.Jhalawar

2. Baran3. Dungarpur

2. Bikaner3. Churu

2. Alwar3. Bharatpur

12.Jhunjhunu13.Karauli

4. Chittorgarh5. Pratapgarh6 Sirohi

4. Jaisalmer5. Jalore6 Jodhpur

4. Bhilwara5. Bundi6 Dausa

14.Kota15.Nagaur16 Pali6. Sirohi

7. Udaipur6. Jodhpur 6. Dausa

7. Dholpur8 Ganganagar

16.Pali17.Rajsamand18 Sikar8. Ganganagar

9. Hanumangarh10.Jaipur

18.Sikar19.S.madhopur20.Tonkp


Uttar Pradesh19 96 C (16%)

Chhattisgarh, 2.55 Cr. (2%)

Haryana, 2.54 Cr. (2%)Delhi, 1.68 Cr. (1%)

J & K, 1.25 Cr. (1%) Uttarakhand, 1.01 Cr. (1%)Other states & UTs,

2.61Cr. (2%)

19.96 Cr. (16%)

Kerala3.34 Cr. (3%)

Jharkhand, 3.30 Cr. (3%)

Assam, 3.12 Cr. (3%)Punjab, 2.7&Cr. (2%)

g , ( )

G j t

Orissa4.19 Cr. (3%)

Maharashtra11.24 Cr. ( 9%)

Karnataka

Gujarat6.04Cr. (5%) POPULATION POPULATION

SHARE OF SHARE OF STATESSTATES

(IN CRORE)(IN CRORE)

BiharRajasthan

Karnataka6.11 Cr. (5%)

(IN CRORE)(IN CRORE)

Bihar10.38 Cr. (9%)

Tamil Nadu

Rajasthan,6.86 Cr. (6%)

West Bengal9.13 Cr. (8%)

Andhra Pradesh8.47 Cr. (7%)

Madhya Pradesh7.26 Cr. (6%)

7.21 Cr. (6%)

Source: Census 20117

PopulationSource: Census-2011

India Rajasthan

• Total : 1,21,05,69,573

M l 62 31 21 843

• Total : 6,86,21,012

M l 3 55 50 997– Male: 62,31,21,843

– Female: 58,74,47,730

– Male: 3,55,50,997

– Female: 3,29,97,440, , ,

• Urban: 37,71,06,125

, , ,

• Urban: 1,70,48,085

• Rural: 83,34,63,448 • Rural: 5,15,00,352


Demographic IndicatorsDemographic IndicatorsIndia Rajasthan

SC Population 16.6 17.8

ST Population 8.6 13.5ST Population 8.6 13.5

Literacy 73% 66.1%

Male 80.9% 79.2%

Female 64.6% 52.1%

SIHFW: an ISO 9001:2015 certified Institution

9

Demographic indicatorsPARTICULAR INDIA RAJASTHAN

CBR 21.4 25.6CBR 21.4 25.6

CDR 7.0 6.5

TFR 2.3 2.4

Natural Growth 14 5 19 3%Natural Growth 14.5 19.3%

Sex Ratio 943 928

Source: Census: 2011(Rajasthan)/Demographic Indicators September‐2014on

Child Sex Ratio 914 888

Source: Census: 2011(Rajasthan)/Demographic Indicators September 2014on https://nrhm-mis.nic.in/SitePages/HMIS-PeriodicReport.aspx


Slum PopulationSlum PopulationTowns Reporting slums

Total No. of Households

% of total slum population toslums Households population to urban population

India 2,613 13,920,191 17.4

Rajasthan 107 394,391 12.1


11

District Population – Census 2011

971

9

6663

9

1

2584

913 3671

999

8194

1 2604

453

2549

121

2410

459

3677

45

392

4117

222

63 69

520

9650

0151

27 3965

8 3685

681

59 0491 33

0923

438

533

3 4 2677

737

06 1130

6754

9

2

1798

1223

921 2 2 23

1113

725

1544

320

416

372

1207

293

196

1779

6720

0818

3014

1132 21

3

1458

4519

5

203

8682

3111

5828

313

3811

1037

185

1388

9 014

2171


Sex Ratio: IndiaYear India Rajasthan

2004 06 908 8822004‐06 908 882

2005‐07 914 876

2006‐08 915 876

2007‐09 914 869

2008‐2010 945 8792008 2010 945 879

2009‐2011 946 880

Sex Ratio (Raj)( j)

935926

891

908

883875881 877

891

867Total

RuralRural

Urban

At Birth Age (0‐4) All AgesAt Birth Age (0 4) All Ages

14

Source: AHS – 2011-12SIHFW: an ISO 9001:2015 certified Institution

Child Sex Ratio (0-6 yrs.)( y )

940

960 945927

914916

India Rajasthan

900

920914916 909

888

860

880

840

860

1991 2001 20111991 2001 2011Source: Census of India


Female & Child Sex Ratio-INDIA

970

980972

976Females per 1000 MalesChild sex ratio 0-6 age group

950

960

970 964

955950

945 946

964 962

945

930

940941

930934

927933

940

927

900

910

920 914

880

890

900

1901 1911 1921 1931 1941 1951 1961 1971 1981 1991 2001 2011

16Source-www.censusindia.gov.in- SIHFW: an ISO9001: 2015 certified institution

Female & Child Sex Ratio-Rajasthan

930921 926 Sex ratioSex ratio

910

920

905908

917

905

921

908911

919

910

915910

Child Sex Ratio (0Child Sex Ratio (0--6 6 Year)Year)

890

900

905 905 910

880

890 885 888

860

870

1901 1911 1921 1931 1941 1951 1961 1971 1981 1991 2001 2011

17Source-www.censusindia.gov.in SIHFW: an ISO9001: 2015 certified institution

District Sex Ratio – Census 2011st ct Se at o Ce sus 099

098

898

798

297

997

096

995

895

195

095

094

994

894

594

493

893

892

622 5 99 92 915

909

906

906

904

903

900

894

894

887

877

858

849

845

Dun

garp

urR

ajsa

man

dPa

liPr

atap

garh

Ban

swar

aC

hitto

rgar

hB

hilw

ara

Uda

ipur

Jalo

reA

jmer

Jhun

jhun

uTo

nkN

agau

rJh

alaw

arSi

kar

Chu

ruSi

rohi

Bar

anB

undi

Jodh

pur

Jaip

urH

anum

anga

rhK

ota

Dau

saB

ikan

erB

arm

erA

lwar

wai

Mad

hopu

rG

anga

naga

rB

hara

tpur

Kar

auli

Jais

alm

erD

holp

ur

H

Saw


Highest Child Sex Ratios-

Lowest Child Sex Ratios-

Districts

990990

890887

Districts

986

988

990

988987

870

880

890

858

877

982

984

986

982840

850

860 845 849

980

982

820

830

840

978

19Source-www.censusindia.gov.in

1919SIHFW: an ISO9001: 2015 certified institution

District Literacy Rate– Census 2011st ct te acy ate Ce sus 055

.58

56.0

256

.30

57.2

057

.49

58.0

460

.78

62.1

362

.31

62.4

662

.51

62.7

162

.74

63.2

363

.93

64.0

865

.92

66.1

967

.09

67.3

467

.38

67.4

668

.37

69.1

770

.14

70.2

570

.46

71.1

671

.68

72.9

874

.72

76.4

477

.48

5 5 5

re ohi

rh ra er er ur ar di nk rh ra ur ali

nd ur er ur ur uli

an ru rh sa ur ar er ur ar ar nu ur ota

Jalo

Siro

Prat

apga

Ban

swa

Bar

mJa

isal

mD

unga

rpJh

alaw Bun To

nC

hitto

rga

Bhi

lwa

Uda

ip PaR

ajsa

man

Nag

aB

ikan

Saw

ai M

adho

pJo

dhp

Kar

auB

ara

Chu

Han

uman

gaD

aus

Dho

lpG

anga

nag

Ajm

Bha

ratp

Alw Sik

Jhun

jhun

Jaip Ko

S


Organogram – DM&HS (Raj )Organogram DM&HS (Raj.)


Hon’ble Minister for Medical , Health, FW, Ayurved and ME

Hon’ble State Minister for Medical and HealthHon ble State Minister for Medical and Health

PHS, Medical, Health & Family Welfare

Director (PH)

AddlDir-RH

Joint Dir-TA

AddlDir-Gaz

FA

State TB

officer

Joint Dir-

RPG

Joint Dir-Plan

State Leprosy Officer

DyLegal

Advisor

Directorate General

AdminDDO

ALR Store OfficerDy. Dir.

PlanDy. Dir

Assembly

Chief AO

Dy. CM&HO

SeniorAO

Plan


Addl. Director (Rural Health)

Joint Director (Malaria)

Joint Director (Famine & Epidemic)

Joint Director (RH&PFA)

SPO (Blindness)

Statistical Officer ( ) p ) ( ) ( )

Dy. Dir Dy. Dir Dy. Dir Chief PublicyMalaria

yEntomology

yPFA

Chief Public Analyst

Asst. Dir. Dy. CM&HO

(Health) IDSPEntomology


PHS, Health & Family Welfare Deptt

MD NRHMMD, NRHM

Director (RCH)

Addl Director(RCH) Joint Director(RCH) FA (FW)

Dy. Director (2) Cold Chain Officer SMO (2)

AO AAO (2)AO AAO (2)

Demographer & Evaluation Officer Joint Director (IDSP)Divisional Level

Joint Director(Zone)

District Level

Social Scientist Stat. Officer(2)

District Level

CM&HO24


CM&HO

Dy CM&HO (Health) RCHO Addl/Dy CM&HO (FW)

MCH Center Urban FW CenterBCMO CHC

PHC

SC


Organizational Structure of NHMHon’ble Minister, Medical & Health

Principal Secretary, Medical & Health

MD NHM

Spl. Secretary, Medical, Health & FW

MD-NHM Director – IEC, AMD-

NHM

MD-RMSCL Director –

PHDirector –

AIDS

Director –RCH

Dir-FinancePD-NRHM

JD Fi

Chief Eng, M&H

Ad. Dir. IECDD-IEC

Ci il

SPM-NRHM

A t SPM

PD-MMJRK PD-PCPNDT

DDAD-AYUSH Addl S

Consultants

JD-Fin DD-FinAOSFM

Civil Wing

Asst.SPMSDOPO

DD-PCPNDT

HM (PNDT)

US Addl.Sp-PCPNDT

AYUSH MOs

PD-MH PD-CH PD- DD-FW CRIME C

PBI StaffCPD MH PD CH PD

Immu.Immu Cell

DD FWDEO-FWFW-Cell

BRANCHSI HC Constable

Constable LDC Info Asst

H l h I fHealth Infrastructure


Establishment of SC –Five year plansEstablishment of SC Five year plans

No of SC estblished

80009400 9926 10612 11487

14407

10000120001400016000

o o SC estb s ed

3790

8000

200040006000800010000

0


28

Establishment of PHC –Five year plansEstablishment of PHC Five year plans

No of PHC Established

1616 16741499 1528

2082

1500

2000

2500

o o C stab s ed

448

1048

500

1000

1500

0

1981

‐

h Plan

5‐90)

1992

‐

1997

‐

2002

‐

h Plan

2012)

12‐17

Sixth Plan

(85)

Seventh

(1985

ight Plan (

97)

Ninth Plan (

2002)

enth Plan (

2007)

Eleventh

(200

7‐2

20

S E N Te


29

Establishment of CHC –Five year plansEstablishment of CHC Five year plans

NO of CHC estblished

337382

567

400500600

O o C C estb s ed

76185

261 263

100200300

0


30

Health Facilities (Govt.)Health Facilities Rajasthan India

Sub-centres 14407 153655PHC 2079 25308PHC 2079 25308CHC level hospitals 579 5396

SDH 19SDH 19 -

Satellite 8 -DH 34 -3


Source: Pragati Prativedan 2016-17

Health Facilities (Govt.)P l ti P l tiNorms Population covered per facility

Population covered per facilityy

India y

Rajasthan

Sub-centres 3000‐5000 5615 4487

SIHFW: an ISO 9001:2015 certified InstitutionPHC 20000‐30000 34641 33731

CHC level 80000‐120000 172375 134922hospitals

3232

Average no of Villages covered

No of Villages

Sub-centres 4

PHC 27

CHC level hospitals 133


Blood Banks

TotalTotal

India 2708Raj. 111 (52 govt.,59 trust)

Source: Central Drugs Control Organization (CDSCO) , MOHFWCBHI: NHP 2016 Prgati prativedan 2016-17CBHI: NHP 2016, Prgati prativedan 2016-17


Eye Banks

India 255

Rajasthan 13 registered ( 7 Govt 6Rajasthan 13 registered ( 7 Govt,6 Pvt)

Source: CBHI: NHP 2016


Mental HospitalsMental Hospitals

Government Private Totalsector sector

I di 20893 5096 25989India 20893 5096 25989

Rajasthan 627 110 737

CBHI: NHP 2011, data till July 2002


Medical EducationIndia Rajasthan

Medical College/ 412(48855) 13Medical College/ Intake

412(48855) 13(2100)

Dental College 308 14Dental College-BDS

308 14

Source: NHP201637SIHFW: an ISO 9001:2015 certified Institution

AYUSH Colleges/InstitutionsAYUSH Colleges/Institutions

Ayurveda Unani Sidhdha Naturopath Homeopathy y

INDIA 279 43 8 19 195INDIA 279 43 8 19 195

Rajasthan 11 2 3 8

Source: CBHI: NHP 2016Source: CBHI: NHP 2016


38

Nursing Schoolsg

1921 19531921 1953

1283

India

1283 Rajasthan

443

33 90 83

ANM GNM B.Sc. M.Sc.

33 90 83 17

Source: www.indiannursingcouncil.org (2016 )39SIHFW: an ISO9001: 2008 certified institution

Human Resource in HealthHuman Resource in Health


Manpower Status India RajasthanTotal Allopathic Doctors 960233** 35168**Total Allopathic Doctors 960 33 35 68Total Allopathic Doctors in Govt.

106987 ** 8788 **

T t l D ti t 156391** 4243**Total Dentist 156391** 4243**

Total Dentist in Govt. sector 6051** 395**

Total Ayush Doctors 744563** 17815**Total Ayush Doctors 744563 17815

Total Registered ANMs 786061 * 103994 *

Total ANMs in Govt. 217780 * 16258 *

Total Registered GNMs 1780006 * 175542 *Total Registered LHVs 55914 * 2550 * Total Specialist at CHCs 4091* 651 * MBBS Doctors at PHCs 27355 * 2111 *

* NHP 15 ** NHP16


WHO norm

• WHO normWHO norm1 doctor per 1000 population( we are having 1 doctor per 1700 people)doctor per 1700 people)India need 4 lakh more doctors by 2020 to achieve WHO normachieve WHO norm

WHO norm 25 nurses/ midwives per 10,000 populationpopulation

India has 19 health workers ( doctors 6 ,nurses 13) per 10,000 population13) per 10,000 population


42

• WHO – 5 beds per 1000 people

• In India 1678 average population per government hospital bedg p

• Rajasthan1521 average population served per Hospital bedHospital bed


43

Manpower Status: Rajasthana po e Status ajast a

2562

RequiredSanctionedIn position

20822268

2111

1617

In positionVacant Shortfall

1511

860

1617

651451

0

Doctors at PHC Specialist at CHC

0

Source: RHS 201444SIHFW: an ISO9001: 2015 certified institution

Health IndicatorsHealth Indicators


S I di t P t St t

Health indicatorsS. No.

Indicator Present Status

Rajasthan India

4 CBR24 8** 20 8**24.8 20.8

5 CDR6 3** 6 5**6.3 6.5

6 TFR2.4 **** 2.3 **

Source:* SRS –Bulletin Sep 2014** Demographic Indicators on HMIS portal on MOHFW *** SRS –Bulletin Dec2016,****NFHS-4


S I di t P t St t

Health indicatorsS. No.

Indicator Present Status

Rajasthan Indiaj India1 IMR 41 **** 37***

2 NNMR2 NNMR 30*** 25***

3 Under 5 U de 5Mortality Rate

50*** 43***

4 MMR4 MMR 244* 167 *

Source:* SRS –Bulletin Sep 2014** Demographic Indicators on HMIS portal on MOHFW *** SRS –Bulletin Dec2016,****NFHS-4


Performance indicatorsUrban Rural Total

NFHS-4Current Use of Family Planning Methods (currently married women age 15–49 years) Any method4 (%) 64.1 58.3 59.7

Any modern method4 (%) 57 9 52 1 53 5Any modern method4 (%) 57.9 52.1 53.5

Female sterilization (%) 35.3 42.5 40.7

Male sterilization (%) 0.2 0.2 0.2

IUD/PPIUD (%) 2.1 1.0 1.2

Pill (%) 3.5 2.1 2.4

Condom (%) 16.5 6.1 8.7

Unmet Need for Family Planning (currently married women age 15–49 years)5years)5 Total unmet need (%) 12.4 12.3 12.3

Unmet need for spacing (%) 5.2 5.8 5.7

NFHS_4 Urban Rural Total

Maternity Care (for last birth in the 5 years before the survey)

Mothers who had antenatal check-up in the first trimester (%) 74.9 59.6 63.0

Mothers who had at least 4 antenatal care visits (%) 53 8 34 1 38 5Mothers who had at least 4 antenatal care visits (%) 53.8 34.1 38.5

Mothers whose last birth was protected against neonatal tetanus7 (%)

93.5 88.6 89.7

Mothers who consumed iron folic acid for 100 days or more when they were pregnant (%)

25.6 14.8 17.3

were pregnant (%)

Mothers who had full antenatal care8 (%) 17.5 7.4 9.7

Urban Rural Total

Maternity Care (for last birth in the 5 years before the survey)

Registered pregnancies for which the mother received Mother and Child Protection (MCP) card (%)

91.3 92.6 92.3 Mother and Child Protection (MCP) card (%)

Mothers who received postnatal care from a doctor/nurse/LHV/ANM/midwife/other health personnel within 2 days of delivery (%)

71.3 61.5 63.7

2 days of delivery (%)

Mothers who received financial assistance under JananiSuraksha Yojana (JSY) for births delivered in an institution

46.6 59.1 56.1 j ( )

(%)

Average out of pocket expenditure per delivery in public 3,387 2,969 3,052 health facility (Rs.)

Children born at home who were taken to a health facility for check-up within 24 hours of birth (%)

4.1 0.8 1.2 c ec up ou s o b (%)

Urban Rural Total

Children who received a health check after birth from a 24.5 22.0 22.6 doctor/nurse/LHV/ANM/ midwife/other health personnel within 2 days of birth (%) Delivery Care (for births in the 5 years before the survey)

I tit ti l bi th (%) 90 3 82 3 84 0Institutional births (%) 90.3 82.3 84.0

Institutional births in public facility (%) 57.6 65.1 63.5

Home delivery conducted by skilled health personnel 2.9 3.3 3.2 (out of total deliveries) (%) Births assisted by a doctor/nurse/LHV/ANM/other health personnel (%)

92.8 84.9 86.6

Births delivered by caesarean section (%) 16 4 6 5 8 6Births delivered by caesarean section (%) 16.4 6.5 8.6

Births in a private health facility delivered by caesarean section (%)

28.8 20.4 23.2

Births in a public health facility delivered by caesarean 12.2 4.6 6.1 p y ysection (%) Child Immunizations and Vitamin A Supplementation

Children age 12-23 months fully immunized (BCG, 60.9 53.1 54.8 measles, and 3 doses each of polio and DPT) (%)

Urban Rural Total Children age 12-23 months who have received BCG (%)

95.3 87.0 88.8 (%) Children age 12-23 months who have received 3 doses of polio vaccine (%)

68.5 64.5 65.4

Children age 12-23 months who have received 3 doses 78.4 69.8 71.6 C d e age 3 o t s o a e ece ed 3 dosesof DPT vaccine (%)

8 69 8 6

Children age 12-23 months who have received measles vaccine (%)

86.5 75.8 78.1 ( )

Children age 12-23 months who have received 3 doses of Hepatitis B vaccine (%)

58.0 51.7 53.1

Children age 9-59 months who received a vitamin A 47.3 37.5 39.6 dose in last 6 months (%) Children age 12-23 months who received most of the vaccinations in public health facility (%)

88.8 96.0 94.4

Children age 12-23 months who received most of the vaccinations in private health facility (%)

11.1 2.4 4.4

CBRSource: Health and Family Welfare Statistics-2013

30 335 India Rajasthan

24.326.8

23.5 23.1 22.8 22.1 21.8 21 6 21 4 21 20 8

30.328.6 28.3 27.9 27.5 26.7

26.2 25.9 25.6 25 24.825

30

21.8 21.6 21.4 21 20.8

15

20

5

10

0

5

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015


2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

CDRSource: SRS – Dec 2011

8 7 6 7 5 7 4 7 47 689 India Rajasthan

7.6 7.5 7.4 7.4 7.2 7.1 7 7 6.7 6.57.6

7 6.9 6.8 6.8 6.7 6.7 6.6 6.5 6.4 6.3678

345

012

02005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015


IMR90

72 70 68

83 81 79 7975

68 67

80

90India Rajasthan

68 6660 58 57 55 53 50

68 67 65 6359

5549

60

70

50 4742 40 39 37

49 47 46 4340

50

20

30

0

10

SIHFW: an ISO 9001:2015 certified Institution 55Source: SRS

MMRMMR

445450

500

388

318350

400

450

301

254

212

318

255 244250

300

India

178 167

100

150

200 Rajasthan

0

50

100

2001‐2003 2004‐06 2007‐09 2010‐12 2011‐13


56Source-SRS

TFRTFR

3.74 3.73.5 3.4 3.3 3.3

3.1 3 2.9 2.8 2.8 2.72.9 2.8 2.7 2 6 2 6 2 5

3

3.5

2.6 2.6 2.5 2.4 2.4 2.3 2.3 2.3

2

2.5

Rajasthan

1

1.5 India

0

0.5

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 20152005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015


57

Source: Sample Registration System, Statistical Report (Registrar General, India)

Annual Health SurveyAnnual Health Survey

2012-13


58

S N I di t P t St t (R j th )

Health indicatorsS. No. Indicator Present Status (Rajasthan)

1 CBR 23.82 CDR 6.43 NGR 17.74 IMR 555 NNMR 376 PNMR 186 PNMR 187 U-5 MR 74

Source: AHS-12-13


Crude Birth Rate

1.8

24.4

.2 3.2 24.6

3.1

3.2

2.6

23.4

28.9

27.2

27.1

1 2.9

23.5

23.4

23.9

23.9

31

27.4

24 2.8

23.6

3 23.3

.2

27.5 29

.3

27.6

30.3

6

24.9

24.8

22. 2 2 2 22 2

22. 22 2 2 22 2 23 2

22.

21 21. 6

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aJh

alaw

S

60


Crude Birth RateCrude Birth Rate

28.6

6.8

6.8

31.8

27.1

27.1 28

.8

27.4

30

30

3524

.1

22.1 22

.9 24.1

23 22.8

22.3 23

2 2

21.8 22.5 23.1

23 23.5

23.9

2

23.8

22.7 23.3

22.7

22.9

22

2 2

20.8 21

.6

24.9

24.6

20

25

10

15

0

5

n r h r u u r r r li r a r r r r r r e i i r k i a d r r a h a n r

Raj

asth

anSr

i Gan

gana

gaH

anum

anga

rhB

ikan

eC

huru

Jhun

jhun

uAl

wa

Bha

ratp

uD

holp

uK

arau

law

ai M

adho

puD

ausa

Jaip

uS

ika

Nag

auJo

dhpu

Jais

alm

eB

arm

eJa

lore

Siro

hPa

lA

jme

Tonk

Bun

dBh

ilwar

aR

ajsa

man

dU

daip

uD

unga

rpu

Ban

swar

aC

hitto

rgar

hKo

taB

aran

Jhal

awa

S Sa


61

Source: AHS – 2012-13

Crude Death Rate

7.2

7.2 7.

5 7.6

7.4

8.3

8

7.3 7.

6

6.4

6.3

6.3

6.3

6.2

5.8 5.9

5.9

5.9 6.

27

6.5

5.8 5.9 6.

56.

2 6.6

67 7

6.6

6.4

7

6.3

75.

65.

66.

5

Raj

asth

an Sri …

anum

anga

rh

Bik

aner

Chu

ru

Jhun

jhun

u

Alw

ar

Bha

ratp

ur

Dho

lpur

Kar

auli

Saw

ai …

Dau

sa

Jaip

ur

Sika

r

Nag

aur

Jodh

pur

Jais

alm

er

Bar

mer

Jalo

re

Siro

hi

Pali

Ajm

er

Tonk

Bun

di

Bhi

lwar

a

Raj

sam

and

Uda

ipur

Dun

garp

ur

Ban

swar

a

Chi

ttorg

arh

Kot

a

Bar

an

Jhal

awar

Ha

62


Crude Death Rate

.1 7.3 7.5 7.6

7.2

8.2 8.3

7.2 7.

6

6.4

6.2

6.1

6.1

6 5.7 5.8

5.7 5.9 6.

37 .

6.7

5.7 5.8 6.

36

6.6

6.2

7 7 6.8

6.3

7

6.6 7

5.7

5.6

6.4

Raj

asth

an Sri …

anum

anga

rh

Bik

aner

Chu

ru

Jhun

jhun

u

Alw

ar

Bha

ratp

ur

Dho

lpur

Kar

auli

Saw

ai …

Dau

sa

Jaip

ur

Sika

r

Nag

aur

Jodh

pur

Jais

alm

er

Bar

mer

Jalo

re

Siro

hi

Pali

Ajm

er

Tonk

Bun

di

Bhi

lwar

a

Raj

sam

and

Uda

ipur

Dun

garp

ur

Ban

swar

a

Chi

ttorg

arh

Kot

a

Bar

an

Jhal

awar

Ha

63


Neo-natal Mortality Rate (Raj.) y ( j )

3841

3740

28

37

26

Total Rural Urban

64

Source: AHS – 2011-12 , 2012-13SIHFW: an ISO 9001:2015 certified Institution

Post-natal Mortality Rate (Raj.)y ( j )

19 20

1819

1212

Total Rural UrbanTotal Rural Urban

65

Source: AHS – 2011-12 ,2012-13SIHFW: an ISO 9001:2015 certified Institution

Under 5 Mortality Rate (Raj)y ( j)

76 838176

54

7481

5452


66

Source: AHS – 2011-12 ,2012-13SIHFW: an ISO 9001:2015 certified Institution

Under 5 Mortality Rate(Raj)y ( j)

87 M l

68

758187

59

MaleFemale

45

59


67


Infant Mortality Rate y

2

55 5245 47 48 48

52 4958

69 6753 50 50 52

4650

70 7 265

5450

5765 64

5963 63

5763

5563

4 4 4

36

than

agar

garh

aner

huru

unu

lwar

tpur

lpur

raul

iop

urau

saip

urik

arga

urhp

urm

erm

erlo

rero

hiPa

lim

erTo

nkun

diw

ara

and

ipur

rpur

war

aga

rhK

ota

aran

awar

Raj

ast

Sri G

anga

naH

anum

ang

Bik

aC

hJh

unjh A

lB

hara

tD

hol

Kar

Saw

ai M

adho Da

Jai S

Na g

Jodh

Jais

alB

ar Ja Sir

Aj T Bu

Bhi

lwR

ajsa

mU

dai

Dun

gar

Ban

swC

hitto

rg K Ba

Jhal

a

S S

68


Neo-natal & Post-natal Mortality Ratey

PNMR NNMR

21

1717 1816

21232017 25

1521

3719 1821

373133363653374632

474730313841293527

5246352945253939384831

44343941

1819192120 12 15 1822

21161522 1217

11

131521 19 181821

Rajastha

n

Ajm

er

Alwar

Banswara

Baran

Barm

er

Bharatpu

r

Bhilw

ara

Bikane

r

Bund

i

Chittorgarh

Churu

Dau

sa

Dho

lpur

Dun

garpur

uman

garh

Jaipur

Jaisalmer

Jalore

Jhalaw

ar

Jhun

jhun

u

Jodh

pur

Karauli

Kota

Nagau

r

Pali

Rajsam

and

Mad

hopu

r

Sikar

Sirohi

angana

gar

Tonk

Uda

ipur

C D

Han

J R

Sawai M

Sri G

a

69


Under 5 Mortality Ratey95 94 91

74 70 74 7185

7080

6785

7762

8273

8163 65

71

7869

6381

68 7180 80

7485

7179

9

47

Rajastha

n

Ajm

er

Alwar

Banswara

Baran

Barm

er

Bharatpu

r

Bhilw

ara

Bikane

r

Bund

i

Chittaurgarh

Churu

Dau

sa

Dho

lpur

Dun

garpur

Han

uman

garh

Jaipur

Jaisalmer

Jalore

Jhalaw

ar

Jhun

jhun

u

Jodh

pur

Karauli

Kota

Nagau

r

Pali

Rajsam

and

awai M

adho

pur

Sikar

Sirohi

Sri G

angana

gar

Tonk

Uda

ipur

Sa

70


Maternal Mortality Ratio( t Z l l l)(at Zonal level)

285 293

238 251 261 262 263 264285

71


CHC- XI FYP vs. PG seats

4809CHC XI FYP India RajasthanCHC XI-FYP India Rajasthan

2180 1981

1259

2180

1386

682 624 61986 71 58 73 17 17 21

94

72SIHFW: an ISO9001: 2008 certified institution

Source: RHS 2011/ MCI, 2012 (www.mciindia.org)

Service Provider Status

1.4

1.37

11.2

0.63

0.94India Rajasthan

0.40.60.8 0.46

0.41 0.43

00.20.4

D t D t N N P l tiDoctor Population Ratio

[per 1000]

Doctor Nurse Ratio

Nurse Population Ratio [per 1000]

Source: DLHS 3 73SIHFW: an ISO 9001:2015 certified Institution

Health Sector Schemes and I iti tiInitiatives

• One year PG Certificate for Doctors :‐ OneOne year P.G. Certificate for Doctors : One Year training Certificate Course for in service doctors in 10 specialities has been starteddoctors in 10 specialities has been started from 9 March 2015.

• 267 Doctors were selected in phase I 97 more• 267 Doctors were selected in phase I. 97 more doctors were selected for phase II which has started from 13 07 2015started from 13‐07‐2015.


74

Health Sector Schemes and I iti ti tdInitiatives contd …..

• ADARSH PHC Yojana‐ August 15 2016ADARSH PHC Yojana August 15,2016– Ist Phase 295 Adarsh PHCs

II nd Phase– II nd Phase

Bh h h S th Bi Y j• Bhamashah Swasthya Bima Yojana


75

Health Sector Schemes and Initiatives contdInitiatives contd …..

• Mukhya Mantri Jeevan Raksha Kosh• Mukhya Mantri Jeevan Raksha Kosh

• Janani Suraksha Yaojana• Rajasthan Janani-Shishu Suraksha Yojana (RJSSY)

assures NIL out of pocket expenses in all Government Health Institutions for Pregnant Women g& Newborns

• HBPNC/ HBNC+ /Yashoda

• Mukhya Mantri Rajshri Yojana

•


Health Sector Schemes and I i i i d

• Routine Immunization Program

Initiatives contd …..• Routine Immunization Program

• Hepatitis B vaccine in Routine Immunization

program – Dec11Pentavalent Vaccine (launched from 1st Nov,( ,2014)Mission Indra DhanushNavjaat Shishu Suraksha Karyakram (NSSK)POSHAN


77

• Deshi Ghee Scheme on First Delivery to BPL women

• 100% State Govt. sponsored scheme• Implemented in all the districts from 01 03 2009• Implemented in all the districts from 01.03.2009 • Provision of 5 litre Saras Deshi ghee as a token of

gift • For the BPL, on first delivery, at Govt. Institution.• Provided through medical officer in urban areas

and ANMs in the rural areaand ANMs in the rural area • A Deshi ghee coupon is provided at the time of

discharge from hospital indicating Dairy booth numbernumber .

• 5 liters Deshi ghee is delivered at the concerned booth within 15 days of issued coupon.


• “Policy to promote private sector in Health care facilities-2006”facilities 2006

• Sanjivani scheme -specialist services in tribal and desert areas through health campsg p

• Swasthya Chetna Yatra


• Jyoti Yojana- Any woman who has undergone sterilization after one or two girl child only wouldsterilization after one or two girl child only would be empowered– Set as Role model for villageSet as Role model for village– Preference for ASHA selection, AWW, ANM

selectionse ect o– Preference in higher education


• Balika Sambal Yojnaj

– Bond of Rs. 10,000/- to maximum two girl

child, if parents undergo sterilization

• Rajiv Gandhi Mobile Medical UnitRajiv Gandhi Mobile Medical Unit

• 108 Emergency Referral Service


• Promotion of generic medicines

• Mukhya Mantri Nishulk Dawa Yojana• Mukhya Mantri Nishulk Dawa Yojana

• Establishment of RMSCL in 2011 for free delivery

of quality medicines.

Mukhya Mantri Nishulk Jaanch Yojana• Mukhya Mantri Nishulk Jaanch Yojana


82

• Toll Free ‘104’ Medical Advice Service

• Swasthya Sandesh Yojana( SMS Alerts to Citizen and

Health Workers ))


KMK (Kushal Mangal Karyakram )

• Kushal Mangal Karyakram (KMK) with an aim to bring

down maternal mortality ratio (MMR) in the state.

Under the new scheme the health departmentUnder the new scheme, the health department

would identify high‐risk pregnancies.

• Surakshit Matratva Divas

P i Ni j Di• Prasuti Niyojan Diwas

84SIHFW: an ISO 9001: 2015 certified Institution

Activities/ initiatives under NHM

• Social Review of Maternal Death (Oct, 2014)

• Expansion of services in ‘104’ Toll Free Medical

Advice Service

• Complaint of illegal sex determination

I f ti di t t t f l t iti• Information regarding treatment of malnutrition

among children

• Badhai Sandesh (launched from 11th Oct, 2014)

• ASHA SancharASHA Sanchar

• ANM SAMVADContinue…

Nishulk Sanitary napkins vitran yojnaNishulk Sanitary napkins vitran yojna• Sanitary Napkin –

As per Budget 2015 16 announcements Hon'ble Chief– As per Budget 2015‐16 announcements Hon'ble Chief minister for girls health and hygiene a special scheme Nishulk Sanitary napkins vitran yojna was introduced.

All h 33 di i f h i i l• All the 33 districts of the state in in rural areas from class 6 to 12, approximately 15.50 lacsschool going adolescent girls and approximately g g g pp y4.50 lacs 10 to 19 years old non school going adolescent girls of BPL families, will be benefited Under this scheme there is a provision ofUnder this scheme there is a provision of distributing 12 free sanitary napkins per month to each girl.


86

e‐Initiativese Initiatives

Of GoR


87

ASHA Soft (The Online Payment and Monitoring System)a d o to g Syste )

• ASHA Soft (The Online Payment and MonitoringASHA Soft (The Online Payment and Monitoring System):‐ It is an online system launched on 26th December, 2014.,

• ASHA Soft facilitates the user to capture beneficiary wise details of services given by ASHAbeneficiary wise details of services given by ASHA to the community, online payment of ASHA to their bank accounts, generate various reports to g pmonitor the progress of the programme and to ensure their timely and seamless online payment


Th t i d i d d d l d b th• The system is designed and developed by the National Informatics Centre – Rajasthan

• Rajasthan is the first state to start online payments to ASHAs in its all districts. This online payment and performance monitoring system rolled out in all districts of Rajasthan for 47000 ASHAs


Pregnancy, Child Tracking and Health Services Management System Plus (PCTSServices Management System Plus (PCTS

+)• Pregnancy, Child Tracking & Health Services Management

S t i li ft d ff ti l i &System is an online software used as an effective planning &management tool by Medical, Health & Family Welfaredepartment, Govt. of Rajasthan. The system maintains onlinedata of more than 13000 government health institutions in thegstate.

• The System facilitates :Integrated system for HMIS andPregnant woman & child tracking– Online tracking of pregnant women– Online tracking of infants & children– Better health surveillance

Better monitoring of immunization programme– Better monitoring of immunization programme– Monitoring of institutional delivery– Identification of cases for sterilization– Better management of health institutions– Better management of health institutions– Online directory of health institutions


90

• IMPACT‐Integrated system for monitoring ofPCPNDT actPCPNDT act

• E‐Sadhan

E U k• E‐Upkaran

• OJAS

• SNA


91

Thank You

For more details log on towww.sihfwrajasthan.com

or contact : Director-SIHFW

on

[email protected]


Documents

Rajasthan at a glance at a glance.pdfDistrict Level Social Scientist Stat. Officer(2) District Level CM&HO 24 SIHFW: an ISO 9001:2015 certified Institution CM&HO Dy CM&HO (Health)