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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
5SIHFW: an ISO 9001:2015 certified Institution
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
6SIHFW: an ISO 9001:2015 certified Institution
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
8SIHFW: an ISO 9001:2015 certified Institution
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
10SIHFW: an ISO 9001:2015 certified Institution
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
SIHFW: an ISO 9001:2015 certified Institution
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
1212SIHFW: an ISO 9001:2015 certified Institution
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
15SIHFW: an ISO 9001:2015 certified Institution
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
1818SIHFW: an ISO 9001:2015 certified Institution
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
2020SIHFW: an ISO 9001:2015 certified Institution
Organogram – DM&HS (Raj )Organogram DM&HS (Raj.)
21SIHFW: an ISO 9001:2015 certified Institution
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
22SIHFW: an ISO 9001:2015 certified Institution
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
23SIHFW: an ISO 9001:2015 certified Institution
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
SIHFW: an ISO 9001:2015 certified Institution
CM&HO
Dy CM&HO (Health) RCHO Addl/Dy CM&HO (FW)
MCH Center Urban FW CenterBCMO CHC
PHC
SC
25SIHFW: an ISO 9001:2015 certified Institution
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
27SIHFW: an ISO 9001:2015 certified Institution
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
SIHFW: an ISO 9001:2015 certified Institution
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
SIHFW: an ISO 9001:2015 certified Institution
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
SIHFW: an ISO 9001:2015 certified Institution
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
3131SIHFW: an ISO 9001:2015 certified Institution
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
3333SIHFW: an ISO 9001:2015 certified Institution
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
34SIHFW: an ISO 9001:2015 certified Institution
Eye Banks
India 255
Rajasthan 13 registered ( 7 Govt 6Rajasthan 13 registered ( 7 Govt,6 Pvt)
Source: CBHI: NHP 2016
35SIHFW: an ISO 9001:2015 certified Institution
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
36SIHFW: an ISO 9001:2015 certified Institution
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
SIHFW: an ISO 9001:2015 certified Institution
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
40SIHFW: an ISO 9001:2015 certified Institution
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
41SIHFW: an ISO 9001:2015 certified Institution
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
SIHFW: an ISO 9001:2015 certified Institution
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
SIHFW: an ISO 9001:2015 certified Institution
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
45SIHFW: an ISO 9001:2015 certified Institution
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
46SIHFW: an ISO 9001:2015 certified Institution
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
47SIHFW: an ISO 9001:2015 certified Institution
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
53SIHFW: an ISO 9001:2015 certified Institution
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
54SIHFW: an ISO 9001:2015 certified Institution
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
SIHFW: an ISO 9001:2015 certified Institution
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
SIHFW: an ISO 9001:2015 certified Institution
57
Source: Sample Registration System, Statistical Report (Registrar General, India)
Annual Health SurveyAnnual Health Survey
2012-13
SIHFW: an ISO 9001:2015 certified Institution
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
59SIHFW: an ISO 9001:2015 certified Institution
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
an gar
arh
ner
uru nu w
ar pur
pur
uli
pur
sa pur
kar
aur
pur
mer
mer ore
ohi
ali
mer nk nd
iar
a nd pur
pur
ara
arh
ota an w
ar
Raj
asth
aSr
i Gan
gana
gH
anum
anga
Bik
anC
huJh
unjh
unA
lwB
hara
tpD
holp
Kar
auSa
wai
Mad
hop
Dau
sJa
ip Sik
Nag
aJo
dhp
Jais
alm
Bar
mJa
loSi
ro PA
jm Ton
Bun
Bhi
lwa
Raj
sam
anU
daip
Dun
garp
Ban
swa
Chi
ttorg
a Ko
Bar
aJh
alaw
S
60
Source: AHS – 2011-12SIHFW: an ISO 9001:2015 certified Institution
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
SIHFW: an ISO 9001:2015 certified Institution
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
Source: AHS – 2011-12SIHFW: an ISO 9001:2015 certified Institution
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
Source: AHS – 2012-13SIHFW: an ISO 9001:2015 certified Institution
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
Total Rural UrbanTotal Rural Urban
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
Total Rural UrbanTotal Rural Urban
67
Source: AHS – 2012-13SIHFW: an ISO 9001:2015 certified Institution
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
Source: AHS – 2012-13SIHFW: an ISO 9001:2015 certified Institution
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
Source: AHS – 2012-13SIHFW: an ISO 9001:2015 certified Institution
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
Source: AHS – 2012-13SIHFW: an ISO 9001:2015 certified Institution
Maternal Mortality Ratio( t Z l l l)(at Zonal level)
285 293
238 251 261 262 263 264285
71
Source: AHS – 2011-12SIHFW: an ISO 9001:2015 certified Institution
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.
SIHFW: an ISO 9001:2015 certified Institution
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
SIHFW: an ISO 9001:2015 certified Institution
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
•
76SIHFW: an ISO 9001:2015 certified Institution
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
SIHFW: an ISO 9001:2015 certified Institution
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.
78SIHFW: an ISO 9001:2015 certified Institution
• “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
79SIHFW: an ISO 9001:2015 certified Institution
• 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
80SIHFW: an ISO 9001:2015 certified Institution
• 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
81SIHFW: an ISO 9001:2015 certified Institution
• 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
SIHFW: an ISO 9001:2015 certified Institution
82
• Toll Free ‘104’ Medical Advice Service
• Swasthya Sandesh Yojana( SMS Alerts to Citizen and
Health Workers ))
83SIHFW: an ISO 9001:2015 certified Institution
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.
SIHFW: an ISO 9001:2015 certified Institution
86
e‐Initiativese Initiatives
Of GoR
SIHFW: an ISO 9001:2015 certified Institution
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
88SIHFW: an ISO 9001: 2015 certified Institution
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
89SIHFW: an ISO 9001: 2008 certified Institution
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
SIHFW: an ISO 9001:2015 certified Institution
90
• IMPACT‐Integrated system for monitoring ofPCPNDT actPCPNDT act
• E‐Sadhan
E U k• E‐Upkaran
• OJAS
• SNA
SIHFW: an ISO 9001:2015 certified Institution
91
Thank You
For more details log on towww.sihfwrajasthan.com
or contact : Director-SIHFW
on
sihfwraj@ymail.com
92SIHFW: an ISO 9001:2015 certified Institution
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