GOVERNMENT OF KARNATAKA

AN EVALUATION OF ‘ CARE’ ASSISTED POSHAK PROGRAMME

EVALUATION UNIT PLANNING DEPARTMENT KARNATAKA GOVERNMENT SECRETARIAT BANGALORE-560001 1980 ;s 'f ‘S ‘i' Vj* ■'>

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# GOV^RIJII-SNT OF KARNACAKA I 7)* 'if

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m mLOATIOiJ OF »CA- A3 .ISrED P0STT4K PROG’lAjnni]

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j} ■if Evaliiation Unit, Planning Department, Vs Karnataka Governneni: ueoretariat ■l BAITGALORE. ' 1980 I ¥ i;-

NIEPA DC I I D03265 A I' /' .»■ /V 'X «' > 0 ■«>” ‘

i>ub. National Systems Unit, National Institute of Educational Plnnnin^ and Aministration 17-B.SfiAurbit)^'M|^tg.NevvDelbi-11001f D O C .N o j P K F A C

PoshdK is one of the three nutrition oriented jjrogrdiiuii® f or pre school children, introduced uti­

lising the fooa suj^jjlement proviued Dy the Co-opera­

tive tor Aniericcin Relief iCvery-where (CakE ) . This progrdiiuae cominenced in the year 1 9 7 b/ was for Child­

ren of the econoiitically weaKer sections in rural areas and »vas impieiiiented through priiiiciry health centres. The evaluation of this progranune was coitiiiienced, aiong with that of Balahar ond duraksha

prograiunes, re^jorts of which have oeen firougnt out

earlier,

b>-i S .Alfred Samuel, r\ssistant Director,

coiladoratea with me in tfiis stuay. Sri V.Shankara

keddy, benior Investigator, assisteo in the com­

pilation and taDulation of tlie information collected,

1 wish to acknowledge the guidance of

Dr ,D . w.i\lanjundappa. Secretary, Planning Departaient.

D r .isi .s .P .kiirfu; LiliO Bangalore, Director of valuation, 3 0 th i-iay IJSO . Planning Department. CONTENTS

Chapter Page Title Number Number

I Summary and recommendations 1

II Introduction o

III The Programme 11

IV Distribution of Food Supplement 21

V Beneficiary survey 62 Td^ie Page T itle nuirioer nuiiiOer

] . Populcitxon cina priiudry hedittn centres in 11 KdrnatdKd - 1977-

Popuidtion dnci pocentiai nuuioer of children 13 unaer PostidK Progrdniine - 197 7,

3 . Eiigioie children in che progrdiniiie drea (0 0 0 's) 14 - 1977.

4 . iiiJiigibie ciniidren in ttie prograiume drea - 1977 * 15

Potential ana target for the nuuioer of oene- 5 . 18 fic ia r ie s in the progra.nme area - 1977.

uuanti ty of fooa supj_^leuient delivered r>y C a k E 6 . 21 and nuuioer of oenef iciarie^ .

7. The ratio of tne nuinoer of oeneficlaries and quantity of food supplement supplied ana devia­ 24 tion from normal.

8 . iMuifioer of oenef 1C lanes collecting food during 26 a week.

9. The average targettea and actual nuiiioer of 27 oenef 1Claries .

10. Average nuuiuer of oeneficiaries collecting food in 29 the distrii. utlon centres - 1977 .

11. Actual nuirioer of weeks when distriDution was done 35 in 1977.

12. Co-efficient of range. 40

13. bujjpiy of food supplement tiy Cpd-^si and quantity" 51 collected oy oenef iclaries .

14. Hontliiy diotriDution of food supplement y 1977 . 53

15. Total requirenients of food supplement for the state..55

16. Total requirement and supply in the area covered 56 oy the programme - 1977*

17. j^ge ana sex composition of the Oenef iciaries. 62

18. bize of the houserioid of the oeneficiary. 63

19. /-ige of the parents of b e n e fic ia r ie s . 64

20. Occupation pattern of tne pdients of Pene- f i c l a n e s . 65

C o n td , TaDie Poige n cie nuiiioer nuiiiuer

21. Averaye income of parenLs of oeneficiaries . 66

. Average inooiue of the househoxd of tne oene- 67 f i c i a r i e s .

23 . ijevex or educcition of trie pcirents of tne 68 Denef iciaries .

24. isiuiiioer of txmes xn a aay ttiat the suppiement 69 was consumea.

25. i\Iuiiioer of aays ^^er weeK the food suppleirient 70 idS teia.

26. Participatxon in hedxtn care activities. 72

27. Index of response Figure.. ' to 3 .

-oOo- A:>pendix Title Page number number

I Population in the selected centres-1977 74

II Monthly quantity of food supoletnent supp­ lied by CARE during 1976 and 1977 in the programme area of Karnataka 83

III Index of response - Figure 1 to 16 92

IV Index of :;esDonse - Index numbers 108

V Quantity of food supplement distributed during 1977 at selected Primary Health Centres (in kgs.) in Belgaum District. 131

VI Quantity of food supplement distributed during 1977 at selected Primary Health Centres (in kgs.) in Dakshina Kannada District. 132

VII Quantity of food supplement distributed during 1977 at solected Priinarv Health Centres (in kgs.) Gulbarga District 133

VIII Quantity of food suonlement distributed during 1977 at selected Primary tiealth Centres (in kgs.) in Mysore District. 134

IX Quantity of fcor’ supplement distributed during 1977 in selected districts in the St ate 135

Details of equipment and otliei facilities sunolied by CARE to Primary Health Centres. 136 Oi'J_Oi]_LAKxi! /-iw>bXo TxiiD P OS HA K PR JGR AlnMc]

J;..JTER-1

b iJi“iMARY j-vNiJ RjiiC iNiDAJ 1 OmS

Providing good aiet contdining proteins and vitamins is

of prime necessity for the growth and airound deveiopinent of

the children, specidiiy, in the age group of U-b years and in

rural areas. The assistance was extended oy CARi^ (co-opera­

tive for American Relief Everywhere) in this oehalf, through

the 'Poshak' progranuiie, which was launched in the state during

the yecir 1^15, in consultation with Government of India. The

progranuue covered children upto six years of age, in areas

coverea ay selected primary health centres in the state.

^n Rvaluation of this prograifune Weis taken up with the

following objectives.

i) The numoer of chilaren actually receivea food suppleiuent anu the regularity of supply and dis triDut.ion „

ii) Ttie exten+'- to which the food supplement reached the target population.

ill) whether c.iie food supplement was properly utilised Dy the recipients and the manner in which it was consumed.

iv) The effect of the programaie on the selected popu­ la t io n .

v) Usefulness of the programme.

VI) The problems involved in the distribution and uti­ lisation of the food supplement and possiole s o l u t i o n s .

The information requirea for the scudy was collected tirough schecules, questionnaires and interviews of the officials ana oeneficiaries.

The Poshak programtie v/as in operation in 32 primary health centres spread out in eight districts of the state. ndineiy, beigaurn, riiciar, B i jd p u r , c hickiricigaxur, D ^k sh in a

Kanndda, GuiiDarga/ Hassan and Mysore. For detailed study,

16 priiuary health centres, in four districts, namely, Belga-um,

Dakshina Kannada, GulJoarga and Mysore were selected and 74

Deneficiaries covered. The analysis of the information coliectea indicateu the following.

CaRh; food supplement was to oe supplied, at the rate of

80 Grams per day per oeneficiary, for all the 365 days in a year to children upto six years and from families whose income was t\d.3U0 per month or less.

There were 48.68 iajchs of children, in age group of

0-6 years, in rural areas of the state. The total nunioer of such children in the eight districts covered toy the programme constituted 46 perceat of the aDove. The nuu\Der ot children targetted to C>e covereo oy the progra/niiie was 6 0 ,0 u u . This was oniy o. .e percent of the to al numoer of e_,igitile children

in the state. The nmmjer of children eligible in the progra- inme area (eight districts) was 1.01 lakhs, of which 49 percent weie covereo under the progranune.

mnong the districts selectea for the study, as against the targetted nuiiioer of 2 5 ,8 0 0 denef iciaries, the actual numoer of oeneficiaries, who collected food supplement during each week was 22,110, it Peing maxiritum in Belgaum district

(93%) and minimum in Dakshina Kannada district (7 9 % ), as against the overall average of 86 ^jercent.

The distriDution of the food supplejnent was done through

180 suD-centres, covering on an average 274 oeneficiaries per centre. in the study area, the average per week was 3 00,

a . . . 3 • . - : 3 in the suD“centres, tine aidxiii.uiii was 1,110 is in Hagax'gundi of

GuiDcirgd d is t r ic t and the minimum was 137 in Urhagaon of delgaum district.

Though the foou was to be distrijjutec during aii the

52 weeks in a calendar year, the actual numoer of weeks during which was done varied froni 17 to 52.

The fJ.uctucitions j.n the nuinoer of Deneficiaries coxlecting

food supplement was high in 20 centres, out of 74 selected

for the study ania tiie co-effj.cient of range (measure of

dispersion) var.ieo .letween .51 to .81.,. The response was

yeneraily low durint) seasona.! -.or: cu.i.tural operations.

totaJ quantity oi ,.ou.ney of fooa supplement was

suppliea ny uar.ina 1976 ana 1977, of which 17 pe.rcent was

i n the area se.i.t-c, i.e,, f .jr stndy , Tut aev.-'av.ion of the

’supply from norui-.i revii.ireu'ent Wt s - Ij. ^e'cent in che study

cirea. On an avc;ray.3 ‘i'tO '.ta .3 ef food supplement was dis-

triDuteo per month. The oe.-oent-ige d is tr ir u tio n was more than

90 percent in .-.nLx the diST..rlccs selected foi the s tu d y .

The total requiremeiiu of the food supplement for the

state,, of ail eligible chi Loren were to re covered, was

estimated to oe l„42J.akhs tonnes per year (as at the end

of ly77). The reguiremenc of the program.ie area itself was

^r.5/8 tonnes, v.^hereas the distribution accounted for only

/ percent of this in 197*^ or':, ou.’-cc;nt in 1977 .

The average size of the family of the beneficiary was

6.5. The ma:

i'annada and Mysore d is t r ic t s . .fbe agd " the parents was

relow 40 years .’.n 78 j-ieroent j.^: the cases, the mother being

. 4 , , . . mostly oeiow 3U yeax's of dye. Tne idrgest group of the pdrenits of the beneficiary were engaged, in agriculture dnd oniy 17 percent were in salaried, einployifient. The individual average incoHie per month was ks.1 6 j . rt v^/as ko. 2 08 in cuse of father and to. 77 in the case of mother. Seventyfour percent of the house­ hold had monttny total incoiae r>elow ks.300. Fortythree percent of the parents had. no education. Among the fathers, 53 percent were eaucated, while oniy 26 percent of the mothers were litexcite. Only in 7 percent of the cases uoth the parents hud eaucation upto 7th standard or aoove.

Host of the Deneficiaries vvere fea food supplement in the form of 'Uppittu'. It was feu laore than once a day in 35 per­ cent of the cases, though it was expecte^ to oe fed only once and this was highest in Guioarga district (65 percent) . Pood supplement lastea for seven days in 51 percent of the cases,

for six days in lOpercent of the Ccises and for five days or

less in the rest. The parents of the ueneficiary generally collectec the fooa supplement from the distriDution centre.

There were no complaints of major illness o^- upset in

health due to consumption of the food supplement. The ' programme was well accepted a ll the parents who were

interviewee.

Some of the shortcomings oPservec in the programme were the following.

The coverage under the programme, which was only 0.1 percent of the total eligible children in the state (taDle-1) , was far oelow whdt is desirable.

All the eliglDle children in the. area of o p e r a t io n of the programne had not Deen coverec , (taole 10 and Annexure-l) resulting in aiscontentmen-c dinong thosa not included.

The tc 'get fixea for the r. .laoer of oenefi^iaries was rather arioitrary, ana rxOt proijortionate to the potential

I nunuer of eiigiDre children in che progranune area (taoie-S).

The nurriDer of oeneficiciiles handled in the distrioution centres varies, ctnd was too large in. certain cases (taole-lO). rt.8 a result, tnere was not much scope for health care acti­ v ities .

in quite ci few centres (J4 percent), the nuniDer of distriDution weeKS was less than 40 weeks in d year (taoie-ll),

This was iiiainly attriouteu. to irreguidr supply of food suppler inent to the primary tiealth c en tres.

There was consideraole variation in the average nmrioer of Denef ic lar ies who coileccee' food sui_'piement auring each dibtrioution week (taX5ie-12) . Irregultii release of stock of fooa supplement to the piimory liealth centres haa resulted

in fluctuating response from the oenef ic i.aries in collecting

the food svipplement (iinnexure-il, IV ) .

■rhe sui.jply of fooa supt,.>lement to che primary health centres, without spreaa-iny it. over the period, in required q ua n tities, had not only adaed to the storage prof)lems out

had also resultea in irregular distriDution (Anriexure-li) .

The lack of storage facxlities, like separate godowns at thie primary health centres ana lack of stands to stack

the oags. especially in high rainfall ana humidity areas, re­

sulted Ir^ -aeterioration in the quality of the food supple-

aent. baiooth aj-o tri^atiOJi was ctaversexy atf ec tc^U xn some areds , aue to ijj.gb cobt of opo-i^tijoni-n piaces not connectea oy

DUS transport.

The roliowj-ng ore recoiuinendutions arising froni the s tu d y .

The prograiiuiie, whicn was wei± accepter cy the rural peo­ ple ana was of (luich help to theiii, may oe extenaecL to cover a l l the eiigiDie chiiclren in the rural areas of the state.

There is nee^i to ensure dxstriDution of food supplement in a ll the 52 weeKs in a calendar yeax', so that the main objective of proviuing nutritious food to ensure good growth and health of the poverty sticken children, durxng the vul- neranie period of their life, could oe achieved. Continuity in distribution is very impox'tant.

bince the response is low during the peak time agricul­

tural opero^ions, tt^exe xs neea to regulate th distrxtoution during such seasons according to the neeu of the area.

The nunioer of oenef icxaries per ais trioution centre neeas

to De kept at a ruanageciiale level so os to ensure greater

attention for health care activities.

The jurisdiction of the auxiliary nurse-mid-wives, wh^ are entrusted wich distrioution ana nealth care, neeus to i^e kept at a reasonooie level so as to ensure the effective­ ness of the prograinine.

There is neea to provide suitaale storage place and stacking Denches to store the fooa materj.al, especially in

the coastal and m^lnad regions . rt.lso care needs to De taken r , to see that the I'adterxal' aoeb not get. wet during transport and. transhipuicnt to ana from the'trucxs/ especially auring rains.

- ' I .-t ■ . _ " Proper raui,ntenance of health records, especially record of weight of the beneficiaries, is essential, to Know the impact of such progrcmiute . ■

_ There is need to inciKe. pxoviaion to itieet the transport charges, since the cost of transport cannot De iriet by sale ’'' O ' ■ of empty bags alone.

Since clerical work is j.nvoivea in maintaining records for each ueneficiary, there is neeo to proviae an allowance to ttie person in chary,e of this worK.

-^oOo- AN EVALUATION OF CARE AS5ISTFD OF "POSHAK” ^R0 3RAMI'€: CH.\PTER-II

P^TRODUCT ION

Protein and vitamins play a vital role in the develop­ ment of children. In rural areas/ esp e c ia lly among a g r i­ cultural labourers and other economically weaker sections of the xJOP'Jl?-tion quantity rather than nutritional content o f food receives priiae a tten tio n . As a result^ young children are fed a protein and vitamin deficient diet^ ' even if they get sufficient food and the spectre of mal­ nutrition is ever existent.

Concerted efforts have been made by government »ot only to step up food production/ but also to raise the nutri­ tional standard, under plan progriammes. But in view of the

fact that the population is growing at a faster rate 'than

food production, there is nUsfays a deficit of food. The

assistance extended by CARF. (Co-operative for American

Relief Everywhere), through the supply of nutritive food,

ha^ been of greiat significance.

The food distribution programme undertaken by CARE,

In consultation with Government of India, concentrates

on providing supplementary nutrition, supplying nutritious

food, rich in protien and carbohydrates fortified with vitamins, to the needy and vulnerable groups, such as

schools children, pre-school ohildren and lactatlng mothers. This study is concerned with the 'Poshak' programme,

V which was started in the year 1975 and was confined to

rural areas. It is an Integrated nutrition-cum-health

prograjnme for the delivery of nutrition-cum-health package

to rural pre-school children, in the age group upto six

years, of the under prlviledged section of the community. The number of children covered under Poshak Programme was,

however, relatively small. Since the government felt that

the programiTfe. should be extended to cover all those who

needed nutrition assistance during the vulnerable period

of their l i f e , an evaluation of the programme was taken up.

Objectives:

The study was taken up to ascertain the progress

achieved and the impact of the CARE assisted Poshak Programme

The specific objectives vrere to ascertain,

1) the number of children receiving food supplement and the regularity of supply and distribution;

2) the €:xtent to which the food supplement reached the target population; '

3) v/hethr r the food supplement was properly utili­ sed by the recipients and the iiicinnei in which it was consumed;

4) the effedt of the prograinme on the beneficiaries;

5) the problems involved in th; distribution and uti- Jxsation of the food supplement and possible solutions for them.

Methodology:

Discussions were first held with CARE authoritie s

and the Depprtjnent of flealth and Faraily Welfare, which

implemented the programme, at the state level. One pri­

mary Health Centi'e atS .R4-Iundi, in Mysore District was

visited to understand the o^je ration. Details of the

programme for the state as a whole, including infonnetion

on the distribution of food and the numbt'^r of beneficiaries

(cViildreri) involved, was collected from the Department of

Health and Family Welfare, as well as, CARE, through sche­

dules designed for the purpose.

For detailed stud'y a sample of sixteen primary health centres was selected. In doing so, four districts, out of the‘ eight in which the prograimnc w£is implemented, were selected at random. In each district the prograimne had been introduced in four primary health centres and all these were included for study. Of these sixteen primary health centres, eight were visited,, at the rate of two in each district, and eight to ten brneficiaric s were contacted, in each centre, at random, to collect, informa­ tion on the use of the food oroduct. CH/\FTFR-III

'T^hc Programme

The Poshak programme was one of the food distribution pro.gramme undertaken by CARF, in collaboration with Govern­ ment of India and the State Government. The principle objective of the Poshak Programme was to provide 'take- home' food to the children aged upto six years, living in the rural parts of the state. ’

The food supplement was provided by CAPF, on a 'take-

home' b a sis, at the rate o f 80 Grams pe: r child per day,

for 365 days in a year. The distribution was done by the primary health centres of the Health Department, spread out in rural areas of the state.

Number of Primary Health Centres and rural population;

The rural population in the state in 1977 was estimated

at 25.71 millions, accounting for 7 6 per cent of the state

population of 34.00 millions. There were 438 primary

health centres to c^'ter to the health care nreds of the

rural, folJ<, The distribution of the population, numbc r

of primary health ct ntres and the average population

served by each px'imary health centres are give:n in table- 1.

Table-1

Population and primary Health Centres in Karnataka-1977

Popula t ion (O O C s) D is t r ic t No .of Population Total Rural PHCs. PHC ( 0 0 0 's)

Bangal«re 3,961 766.61 28 63

BeIqaum 2,810 2, 2 3 1 .1 4 21 106

Bellary 1, 302 9 4 9 .1 5 17 56

B idar 949 8 1 1 .3 9 S 101 1 2 3 4 5

B ijapur 2, 311 1 ,8 2 1 .0 7 21 87

Chickmagalur 846 7 1 5 .7 1 37 19 Chitradurga 1,629 l,259.9i 22 F9 Dakshina Kannar 2,2 35 1 ,7 8 1 .3 0 20 89 da Dharwad 2 ,7 2 4 1 ,8 6 3 .2 1 24 78

Gulbarga 1, 926 1 ,5 8 3 .1 7 17 93

Hassan 1, 262 1 ,0 9 0 .3 7 31 35

Kodagu 442 37 3.49 ' 3 125

Kolar 1,793 1,'423.64 23 62

Mandya 1,353 1 ,1 6 6 .2 9 ’ 24 49

Mysore 2,392 1 ,7 8 2 .0 4 38 47

Raichur 1 ,6 4 6 1 ,3 9 2 .5 2 15 93

Shimoga 1,533 1 ,1 7 1 .2 1 54 .....22

T uinkur 1,908 1 ,6 8 4 .7 6 24 70

Uttar Kannada 979 805 .7 2 1 1 ^ .■ 7 3

State 34,003 2 5 ,7 1 2 .73 . 438 59

The average population served by a pr.imary health

centre was 59,000 in the state. In thirteen districts the

average popalition was equal to or more than the state ,

average, the iriaximun being 1, 25,000 in Kodagu District

and mininiujTi being 59,000 in Chitradurga District. In the

remaining districts, the average varied between 19,000

(chiclanagalur) and 56,000 (Bellary) . The average was

relatively low in Malnad and Seini-Malnad areas in the state.

The Poshak Programme was confined to providing 'take-

hoine' food to the children in the age group upto six years,

belonging to weakc r section ,of the population. Children,

coming from the rural families having income of about Rs.300/- per month, were covrred under this programme. The number of such children and the corresponding total rural popu- lation during 1977 was estimated to be 4 8 .6 8 xakhs and

218.56 lakhs respectively. The distribution of the same in different districts in the state was as given in table-2. Table- 2

Population and potential _ of children under Poshak Programme - 1977

Rural populr'i.Jon Potential number of children ( 0 0 0 's) ______Jn age gr oup 0-6 years__ __ D is t r ic t Male Female Male Female Total

Bangalore 761„':^7 7 39 ,8 5 1 6 0 .7 4 162.69 32 3.43

Belgaum 9 6 9 .8 5 92 6.61 221..13 207.75 428 .88

Bellary 407,42 399.36 8 8 ,0 0 8 8 .0 2 17 6.02

B id ar 350,08 33 9.60 7 6 .2 1 7 4 .9 5 151.16

B ijapur 7 7 9 .5 3 7 68 .3 8 1 7 5 .5 5 171.20 346„75

Chlckmagalur 313.49 294,87 70,01 73 .2 2 143.23

Chitradurg 565.40 53^ .55 123.32 123.61 246.93

Dakshlna 7 3 1 .9 2 782,19 17 7.35 166.22 344.07 Kennada Dharwad 806.59 777.14 187 .70 1 8 3 .(1 37 0.71

3ulbarga 6 7 6 .3 5 66 9.35 146„43 143.98 29 0.41

Kassan 4 7 6 ,2 1 4 5 9 .6 0 106.48 108.05 214.53

Kodagu 165.66 151,81 . 3 5 ,5 0 3 6 .5 0 7 2 .0 0

^olar 614.97 595,13 124.04 125.33 249.37

Mandya 503.80 487.54 110,84 108 .97 21 9.81

Hysore 7 7 6 ,7 6 737.98 163.S2 162.95 326.77

Raichur 5 9 5 .2 6 588.39 133,28 13 0,50 263.78

Shimoga 5 1 2 .8 0 482.73 121.13 12 3.92 24 5 .0 5

Tumkur 7 2 9 .0 5 7 0 2 ,9 9 150.33 151 .,84 302.17

I'ttera 350.10 334„76 77 .51 7 5.42 152.93 Farnada

State Total r 11078 ,02 10777 .83 2 449.87 2418.13 4868=00 The Poshak Prograirane/ however, was confined to eight dis­ tricts in the state viz., Belgaum, Bidar, Bijapur, Chikmagalur

Dakshina Kr.nnada, Gulbarga, Ha^san and Mysore. The proportion of population in the area comprising the above districts was as given in table-j-3. Details for each of the sub-centres are provided in appendix-1. '

As can be seen ■from tablei-S, 22.46-lakhs or 46 per cent of the total eligible children were in eight districts where the programme was in operation.

TabIe-3

F lig ib le children in the prograjnme area (ooo's)-»-1977

Programme Other Percentage Particulars area area of the total

Total population:

Male 5065 6U13 45 .7 2

Female 4979 5799 46.20

Total 10044 11812 4 5 .9 6

Number of children 0-6 y ea rs:

Male 1138 1312 4 6 .4 5

Female 1108 I3 in 45 .82

Total ' 2246 2622 46 .1 4

Although the programvae was in operation in these eight

I districts, having 193, primary health centres (44 per cent of the total number in the state), only 32 primary health cen­ tres were selected for. the distribution of food, with four primary health centres in each district. Thus the number of primary health centres involved in the programme was 7 per cent of the total number in the state and 17 per cent of the total number in the programme districts. The eligible children in the area cover•ed by the 32 primary health centres were as given in table'-4.

Table.-4

FJligible childrg’n in the programine area - 1977

_____FJ-igib ie children District/Primary Health Male Female T o tal centre

1 2 3 4

A, Selected area: 1 , Belgaum

1 Uchagaon 2451 23r,)4 47 55

H irebagev/adi 1317 1295 2612

, Naganoor 1859 18 03 3662

K ittor 1853 1828 3686

7 485 7 230 14715

2. Dakshina Kannada

Suratkal 4 39 4057 839fi

U lla l '3 9 5 SI"! 6566

Brahmavar 37 25 3 482 7207

Kota 1542 1440 298 2

• 13U01 121 50 25151

3. Gulbarqa

Narona m s 1087 2205

Madanhipperge 990 961 1951

Farhatabad 1739 1687 3426

Kainalapur 1067 1036 2103

4914 47 71 9685

4 , Mysore

C hama ra j ana ga r 1454 1470 2924

Ummatur 1168 1182 237 0 : 16 Tabic -• 4 (Contd.)

1 2 3 4

Elwal 88.. 875 1755

S .R . Hundi 1152 1146 2298

■ - . 4674 4673 9347

Total 1 to 4 = A ,. 29382 29516 58898 (57 .,99) (5 8 ,1 8 ) (5 8 .0 9 )

B. Area not selected

5 . Bidar

Chillarge 1454 1430 2884

Janwad 641 826 1667

Santpur 431 423 854

Kamalanagar 1040 1023 2063

3766 37 02 7468

6 . B iiapur

Indi 3356 3274 6630

Chadcha:. 188' 1841 3728

Almel 2695 2627 5322

Kalkeri 20x6 1965 3981

9954 97 <57 19661

7. Chickmaqalur

Mallandur . 797 833 1630

N idagatta 520 5^6 1066

Koppa 1652 1726 3378

Hirenallur 785 821 1608

3754 3926 7680

8 . Hassan

Salagame 625 635 1267

Ankapura 983 997 1980

Udayapura 883 903 ' 1786 t 17 :

1 2 3 4

Mattinavile 132^ 1343 2664

3812 3878 7690

Total 5 to 8 = B 21286. 21213 42499 (42.. ;.i) (4 1 .8 2 ) (4 1 .9 1 )

Grand Total A + B 50668 50729 101397 (1 0 0 .0 0 ) (100.00) ( 100.00)

Note; Figures in parenthesis are percentages.

Of the eight districts, having 32 prime.rv health centres/ iu the programme area, four districts grouped under (a ) in table-4 viz.., Belgauin, Dakshina Kannada^ Gulbarga end My­ sore, and consequently 16 primary health centres were selected for detailed study. The eligible children in the areas selec­ ted for the study were 56898 or 58 per cent of the tot?.! of 101397 In the programme area.

It was further seen that the total number of eligible children (101397) in the projramme area constituted only 2 per cent of the total of 48-^8 lakhs in the state.

Target for beneficiaries;

It was estimate.d that there were 101397 eligible children in the age group 0-6 years in the programme area. As against this, a target of 50.000 children was set to br covered under the programme, resulting in a proposed coverage of

49.31 per cent of the potential number of beneficiaries in the prograjnme area. The distribution of these benefi­ ciaries' in the prograrime area was as provided in the tablc-5. TaDiei-S . Potentxctx ang_ target.for the_naniper of_ ijen e fi cj-dries in the progratiime a re a - j^977

Progx'dinine a-'ea Hun.jer of benefxcxarxes ^ ------Percentage Potentxax Target

1 . rie igauiu (Jc hagoan 4755 14 Ou 29 .44

i-*ireDagevudi 2 b l 2 1400 53 .60

i:\laganoor Jb62 1400 3 8 .2 3

Kittox 3 68b 1400 3 7 .9 8

14715 5600 3 8 .0 6

2. Dakshina Kannada

ourahtixai 8396 1700 2 0 .2 5

u i i a i 6566 170u 25.89

rirahmavar 7207 1700 23 .59

Kota 2982 1700 57.01

25151 6800 27 .04

GuXiJarga

r^arona 2205 1650 74.83

Madanahijjjjarge . 1951 1650 8 4 .5 7 '

Farthauad 3426 1650 4 8 .1 6

Kamalajjur 2103 1650 7 8 .4 6 '

, ^685 6600 6 8 .1 5

Mysore

C hainarci jan agar 2924 17’)0 5 8 .1 4

Uinmatur 2370 1700 71 .73

rJiwai 1755 1700 96<.87

b . K . nundi 2298 1700 73 .98

i 9347 680o 72 .75 ; 19 : Table - 5 (Contd.)

1 2 3 4

Total 1 to 4 (a ) :58B98 00 43.81

5. Bldar

C h illa r g i 2884 1400 48 .5 4

Janwad 1667 1400 119 .07

Santpur 854 1400 163.93

Kamalanagar 2063 1400 6 7 ,8 6

7468 5600 7 4 .9 9

6, B H a p u r

Indi 737G 1500 20.35

Chandchan 2988 1900 5 0 .2 0

Almel 5322 17 00 28 .1 8

Kalkerl 3981 17 00 37 .68

19661 6800 3 4 .5 9

7, Chlckmeqalur

Mallandur 1630 1400 8 5 .8 9

Nidaghatta 1066 1400 131.33

Koppa 3378 1400 4 1 .4 5

H irenallur 1606 1400 87 .17

7680 56 00 7 2 .9 2

8 . Hassan

Salagame 1260 1550 123,01

Ankapura 1980 1550 7 8 .2 8

Udayapura 1786 1550 8 6 .7 9

Mattinavile 2664 1550 5 8 ,1 8

7690 6200 8 0 .6 2

Total 5 to 8 = (b ) 42499 24200 5 6 .9 4

Grand total A+B 101397 50000 49 ,3 1 It was seen that out of the 32 centres selected in as many as 13 centres, the coveragef was belov/ the average for

all centre 6f 49 per cent and it varied betwe- n 20 per cent

in Indi and Suratkal to 49 per cent in Chillargi. In the

other 15 centres, it varied beti^.’cen 50 percent in Chadchan

centre to 97 per cent in Elwal centre. ■

At four centres, thp target fixed was far more than

the total nvamber of children eligible under the programme,

indicating tha.t the department had not taken into consider­

ation, the potential number available when fixing the target,

This undoubtedly might have resulted in denying the benefits

of the programme to the needy children in other prograJTime

areas, where the target fixed was fa.r below the total number

of eligible children in that area. ■ Cli^.PPrF IV ■

D I STFIBUTICN OF FCOT SUPPLFiMFNT '

The r’istribut ion of food supplied by was done by the

Department of Plealth and Family Welfare through Primary Flealth

Centres and sub crntres. Thr supply was made directly to the

Primary Fiealth Centres by CAPF v/hile the supply from the p r i­ mary Health Centre to sub centres was done by the Department itself. The quantity of food supplement delivered, the number of Sub centres involved in the distribution and the average number of beneficiaries utilised per sub centre was as provided in Table-6.

T a b le -6

.. Quantity of food supplement delivered by Ci\FF and number of beneficiaries

Fame of the Number of Kuiribe r of Total Quantity of PHC sub-centres be^neficia- numbe r food supple- ries per of bene- ment deliver- sub-cen- fic ia r ie s ed (Q tls.) tre s (as on 1976 1977 Tot.il Ju ly 1977)

1 2 3 4 5 6 n/

i. Selected area I . Belqaurn

Uchagaon 7 200 . 1400 240 270 510

Hire bage wadi 3 433 1300 100 3 60 460

Naganoor 4 34f. 1390 100 , 270 370

Kittoor 3 594 17'63 100 245 3'i5

T o t a l ; 17 345 5873 540 1145 168 5

2o Dakshina Kannada Suratkal '' 4 25 ..... 17 00 512J5 360 87 2i;:

U llal 42 5 1700 3 0li2 3 20 6?li?

Erahuiiavara 7 249 - 1745 37 eh 140 516^

Kota 6 284 17 05 491k 320 8 Oli:

T o tal: 21 326 6850 1611k 1140 2811^.: 22 : Table - 6 (C o n td .)’

1 2 3 4 5 6 7

3 . julb^rqa

Narone 5 339 1696 437 360 797

Madana h ippe rge 2 825 1650 215^4 180 395%

Farhatabad 6 27 5 1650 300 270 570

Kajnalapur 2 . 830 1660 2883^^ 360 648%

Total ; 15 444 5656 1241 1170 2411

4 . Mysore

Chamara j ana gar 6 278 1665 463% 295 7 58%

Ummatur 4 425 1700 345%' 27 0 619%

E Iwa 1 6 208 1250 413% 335 748%

S .R . Hundi 4 426 1704 315 320 635

Total: (1-4)-A 73 352 25698 4990 4675 9665

B . Un-selectcd are a :

1. B idar C h illa r g i 7 200 1400 315 160 495

J anwad 3 467 1400 215 90 305

Santapur 3 467 1400 50 180 230

Kamalanaga-r 4 350 1400 240 270 510

Total: 17 329 5600 820 720 1540

2. Biiapur

Indi 6 192 1150 425 260 685

Chadchan 7 243 17 00 406i^ 270 67 6%

A line 1 7 243 17 00 487fe 270 7 57%

Kalke ri 4 425 1700 498% 360 8 58%

Total- 24 250 62 50 iei7^i 1160 2977% 1 2 3 4 5 6 7

3 . Chlckmgqalur

Mallandur 5 28 0 1400 190 180 370

Nidagatta 6 233 1400 240 360 600

Koppa ! 200 1400 162:- 180 342is

H lrenallur 4 363 1450 240 360 600

22 257 5650 832J5 1080 1912i5

4. Hassan

Salagame 8 . 194 1550 2^1h 360 59lh

Ankapura 6 250 , 1500 145 180 325

Udayapura 13 120 1560 2'ilh 230 46lh

Mattinavile 17 ■ ^ 91 1550 2 65 360 625

Tota 1;■ 44 .. 140 ^ - 6160 885 1130 2015

Total {■ 1-4)-B 107 221 23660 4355 4090 8445

Grand Total; 180 274 49 358 9 3 45 8765 18110

Therewpre 180 d istrib u tio n centres in the programme area, to distribute food supplement to 49/358 beneficiaries

(utilised). The number of such distribution centres varied from 2 to 17 per primary health centre. The average number of beneficiaries handled per distribution centre was 274, the maximum being 8 30 at Kamalapur (Gulbarga d is t .) and minimum at Mattinavile (H assan, d istrict) .

D u rin 3 the two years ending with 1911, a total qua.ntity of 1,811 tonnes of food supplement was supplied by CAPF, of which 52 percent was supplird during 197 6 and 48 per cent in 1977. Total quantity supplied to different primary health centrcs during each monla is provided in Appendix-II.

If the quantity supplied by the CARF during each year were according to the norm prescribed by them, the ratio between number of beneficiaries and quantity supplied should be 5.5. But, the ratio between the- actual number of bene­ ficiaries supplied with food supplement and the food supple­ ment delivered by CAF^F during 1977 was as provided in yab3e-7, for the four centres selected for the study*

T a b le -7

The ratio of _the number of benef iciaries and quantity of food supple^ment supplied and

Primary Health Percentageof deviation Ratio Ce ntre from normal (5.6)

Belqaum

Uchagaon 4 .80 -14.29

Hirebegewadi . ,.19 + 2E .39

Nr.ganoor 8 .02 +43.21 ,

Kittoor 2.6 2 -53.21

Average 4 .9 1 -12.32

Dakshina Kannada

Suratkal 4 .62 -17.50

U lla l 6*01 + 7*32

Brahmavara 2 .9 3 -47.68

Kota 4 .5 2 -19.79

Average 4,57 -18.39 ; 25 :

1 2 3

Gulbarga

Narone 4 .9 9 -10<.89

Madanah ippa rge 5 .4 4 - 2 .8 6

Farhatabad , 4„90 -12.50

Kamalapur 8 .2 6 + 4 7 .5 0

■ -• Average 5 .7 4 t- 2.50

Mysore

Charna raj ana ga r 1 3 .0 0 + 1 3 2 ,1 4

Ummathur ; .11.63 + 1 07.68

Flwal 10 .43 + 8 6 .2 5

S .R Hundi ■ e .85 + 5 8 .0 4

Average 1 0 .8 5 + 93.75

All centre s 4.96 -11.43

The prrcrntagf deviation from the normal reveals that the supply we.s below normal in 8 centres, the maximam de­ viation being at Bralimavar Centre (-47„6f) and the minimLun at Madanah ipperge (-2.86) . in other ctntres it was above normal, the naxiinuin being +132.14 at Charnarajanagar centre and the mininum being +7.32 at Ullal centre. The deviation was abnormal at all the centres in Mysore district. The overall deviation was howe.ver not very sig n ifican t and it was below normal by 11 percent.

Number of beneficiaries in the selected centres:

The total numbf.:r of beneficiaries who collf cted the food supplement during a week in 1976 and 1977, as against the target fixec?, in the d is tr ic ts self ctcd for the study was as given ir T a b le -8.

T a b l e -8 .

' Muniber of bs ncf iciaries collecting food • - during a week '

Ivumbe r Fumbfr of bene- Percentage of PHCs fic ia rie s cove re d D is t r ic t invo±- vt:d Poten­ Target __ ^Actual___ V a r i ­ 1976 1977 tial ation 1976 1977 ove r 1976

Peigaum 4 14715 5600 4656 5181 + 11.3 83 93 (25) ( 22) (26) (24)

Dakshina - 4 25151 6800 4836 5085 + 5.2 71 75 Kannada (43) ( 26) (26) (23)

Gulbarga 4 9685 6600 3623 5713 + 57.7 55 87 (16) (26) (20) (26)

Mysore 4 9347 6800 ■5202 5817 11188 77 86 (16) (26) (28) (27)

T o t a l ; 16 56898 258 JO 18317 21796 + 19 .0 71 85 (100) ( 100) (100) (100)

Note; Figures in parenthesis are percentages

In the four districts selected for the study, the distribution of the target number v;as not in proportion to the potential number available under the prograirjae. Dakshina

Kannada which accounted for 43 per cent of the total potential number had only 25 per cent of the targetted number, whereas Mysore, which had only 16 per cent of the pete ntial numbe-r, had 26 per cent of the targetted number.

Further, as against the total target of 25,800, the number of beneficiaries wlx) collected the food supplement was 71 pcrcent during 1976 rnd 85 pcrccnt during 1977.

Kxccpt for Bclgauiri district, in 1977, in none of thr other

areas has the pcrccntagc covcxagr fxceedcd 90 percent. The

coverage was as low as 55 pc rcent in 'iulbarga district

during 197 6, However, compered with the number of bene­

ficiaries in 1976, the coverage Incrrased by 19 percent

in 1977. T h is inert ases was maximum in julbarga d is t r ic t ,

since the coverage was low in 1976. The re were sixteen ■

primary health centres in the four districts selected for

the study and the coverage in each of these centres during

1977 was as provided in Table-9. '

The ave rage tar ge ttcd and actual numbe r of bene f ic iar if^s

Primary Health Pc rcentage Tar 3e t Actual Centre cove rage

Bel ^aum

Uchagaon 1, 400 1, 254 8 9 .6

Hire bagewadi 1, 400 1, 233 Be .1

Nr ganoor 1 ,4 0 0 903 6 4.5

Kittoor 1, 400 1,791 127 .9

Total 5, 600 5, 181 9 2 .5

Dakshina Kannada

Suratkal 1 .7 0 0 1, 580 92 .9

Ullal ' 1 .7 0 0 1, 169 68.8

Kota 1, 7 00 1, 401 82 ,4

Brahmpvara 1 .7 0 0 1, 249 7 3 .5

T o tal; 6 ,8 0 0 5, 399 7 9 .4 • 28 :

1 2 3 4

Gulbarga

Naro ne 1, 650 1,983 120.2

Madanoh ipparge 1, 650 973 5 9 .0

Farhatabad 1, 650 1, 605 97 .3

Kama lapur a 1, 650 1, 152 69.8

Total ?■ 6, 600 5,713 8 6 .6

Mysore

Chamc raj ana jar 1,700 1, 372 80.7.. iMmatur 1 ,7 0 0 1, 62 6 9 5 .6

Elwal ■. 1 ,7 0 0 1, 4 39' 8 4 .6 .

S.R. Hundi 1,700 1, 380 81.2

Total: 6,800 5,817 8 5 .5

All centrcs; 25,800 2 2,110 85.7

As compared to the total target of 50, 000 beneficiaries f i x e d for the entire prograTmne area , the study area accounted fo r 52 p e r c e n t .

The total number of beneficiaries, who actually collected the food supplement during c:ach week, as compared to the tar ge t fixed for c:ach primary health centre in the area under study, reveals that, as against the total target of 25,800 beneficiaries, the coverage was 22,110 or 86 pe rc e n t ,

The maximum coverage was in Belgaum d istric t (93 percent) and the minimum in Dakshina Kannada district'- (79 percent). Among the individual primary health centres,

Naganur in SeIgaum district recorded the lowest coverage

of 65 percent. Of the sixteen centres, only five centres

recorded a coverage of 90 percent or more. In other

centres it varied between 65 to 88 percent. The costal

area recorded the lowest coverage.

Distribution Centres: '

The average distribution of be.neficiaric: s in each sub

centre of the primary health ccntrcs, collecting thf food

supplement during each week of the month was as given in

Table-lO. 3en( rally selected as distribution points.

There v;ere 73 such distribution points in the area selected

for tht study and the number in e;ich primary hiealth centre

varied fraa 2 to 7.

Tabic -10

Average nuinbf r of beneficiaries co 1 lecting food in the distribution ccntrcs - 1977

District/Primary Health ------Wf eks in a month Average' , Centre/Sub-ce ntre II III IV V 1 2 3 4 5 6 7 BeIgaum

Ucha qeon

Aste 126 127 124 12 6 113 125

Uchagaon 112 108 106 107 111 109

Mrrihal 37 4 354 400 361 396 374

Honaga 174 171 165 160 145 166

Kalakamba 141 130 136 133 148 136

Kakati 208 202 185 202 208 200

Charged 141 145 152 139 133 144

Ave rage 178 17 2 174 17 0 182 174 Table - in (Contd .)

■ 1 2 3 4 5 . 6 ' 7

r • • Hirebeqev.7adi

Hirebegt wadi 752 827 . 970 776 895 785

Mutnal 210 208 207 108 208 208

Pceranwadi . 233 248 232 247 216 240

Avc rage 421 428 392 1389 503 414

N-qanoor

Nrganoor 231 27 9 251 2 45 253 252

T i g a d i 147 165 145 138 127 149

Wakundi 246 248 228 2 46 259 243

Vannar 227 259 276 2 69 284 259

Avc rage 212 229 227 225 251 2 28

Fittoor

Kittoor 626 6C5 557 621 533 597

Arabidagattc. 626 605 557 621 533 597

Balwadi 626 605 ■ 557 621 533 597

Ave rage 62 6 605 557 621 533 597

District Average : 310 : , 311. 298 314 331 310

Dakshiiiar Kannada

Suratkal

Iddya 565 566 543 5 67 5 64 560

Hosabettu 289 279 269 281 296 280

Mulki 558 525 553 556 580 550

Habangf^di 191 191 190 189 187 190

Average 403 39 3 390 401 410 398 31 :

T-'ble - 10 (Contd. )

1 2 , 3 4 5 6 7

U lla l ' 406 371 381 379 450 389 aa-npadgi 125 118 129 138 162 128

Mannar 484 466 401 443 410 449

J c epp i n am o ga ru 189 199 204 204 2 53 203

Average 309 296 284 289 338 297

Kota .

iiliyar 167 166 164 164 149 164

/ Manoor 262 261 258 265 273 262

Kotathattu 296 298 292 315 396 306

Bannady 269 268 267 2 67 2 64 2 68

Karkada , 224 - ■ 224 224 224 231 224

Pandeshwar 177 178 178 18 0 166 177

Average 232 23 2 230 235 237 233

Brahiiiavara

Varamtaalli 244 ^)9 2 35 243 305 246

Uppoor 208 191 194 192 179 197

Kr* r j e 131 142 142 139 136 138

Kanjal 17 9 17 7 177 168 168 175

Kakkf rnc 168 17 5 179 198 179 179

Chantar 148 133 165 175 147 154

Havanje 141 241 200 ] 58 - 160

Avt rage 17 8 178 186 182 184 ■ 181

r istrict Avc rage: ^ 266 261 260 266 282 2 64

Gulbarga Narone

Narone 7 04 704 704 704 7 04 704 Table - 10 (Contd .)

1 2 3 4 5 6 7

Kama la na geir • 242 24^ 2 44 242 250 243

V.K. Salagar ' 38^ 395 408 350 - 387

Ladmujli 199 198 195 214 252 2 04

Rudravadl 45 0 450 430 450 450 44 5

Average 416 430 422 433 447 424

Madana h ippc rqe

Madanahipper je 43 4 398 446 460 456 435

Kadganchi 529 513 544 544 69 0 538

Avc rage 468 44 3 48 3 492 534 473

Farhatabad

Farh?tabad 381 38 2 38 2 356 374 27 6

T llgu l 172 17 2 170 167 17 6 171

Hagargundi 578 396 572 47 3 - 533

Fe rozabad 359 381 3 48 362 - 363

Betsaroggi 163 156 161 176 154 162

Average- 338 284 295 246 259 299

KajnalapCir

Kamalapur 754 389 461 403 - 520

Mahjaon 605 629 626 650 662 632

Avc: rage 690 502 531 535 662 573

District Average 4 26 391 400 412 415 408 : 33 : Table - 10 (Contd.)

Mysore District

C hr.nara i ana gar

Udigala 241 259 242 225 - 244

V . Chatra 263 258 248 256 276 2 58

Yanganahalli 156 171 176 148 - 163

Basavapura , 218 225 228 224 244 225

Kothalwad i 247 27 6 27 4 265 277 265

Arkalwadi 211 222 219 218 220 217

Avrragr 224 238 234 229 264 232

Ufliraatur

Uinmatur 565 570 571 5 64 540 567

G alipara 191 196 216 217 221 206

H-’ rve 47 2. ^:,F5 477 468 - 47 6

Kude ru 381 370 377 381 384 377

Avcra.vge 399 391 394 390 356 392

Elwal

E’lwal (a ) 366 355 349 358 347 356

Flwal (B) 134 115 119 123 130 12 3

Belvradi 3 40 34 2 367 356 341 350

KaIlur 154 159 151 155 152 155

Jayapura (A&B) 223 22 3 243 199 103 213

Hosakote 244 244 243 243 226 242

Avc.rage 242 239 244 236 226 239 4

S .R . Hundi

S .R . Hundi 318 315 309 300 294 309

Varakodu 205 206 208 2 08 212 207

Kodakola 302 303 303 304 297 302

Varuna 151 154 146 149 146 150

Udboor 423 417 403 407 409 412

Average 2B0 27 9 274 273 271 276

272 273 27 0 263 262 2 69

305 390 295 299 300 300

^ ^ ^ _ - _ « __ — _ ^

There were, on an average, 300 .beneficiaries who

collected the food supplement in each sub-centre. The variation was from 970 in Hix. bagewadi to 106, in Uchagaon, both in Beljaum district. For the district as a whole,

Gulbarga had a greater number of beneficiaries per centre,

and the averages for the district was 408 as cc;mpared to

264 in Dakshina Kannada district, 302 in Mysore district

and 310 in BeIgaum district. .

Normally there should be 52 distribution we^eks in a

year. But the information collected from the selecte'd

distriution centres revea^led that the average number of weeks during which distribution was done was 47 or 64.6

percent of the normal. The position in each of the

selected distribution centres was as provided in Table—11. Tablc-11

Actual number of weeks when distribt-'tion was donr in 1977

Actual number of weeks Percentage Bclgaum District when d istrib u tio n was done to normal

Uchaqaon

Aste 51 9 8 .1

Uchagaon 52 100.0

Marihal 41 78-8

Hona ga ' 47 9 0 .3

Ko Ikainba' 47 9 0 .4

Kalkate 43 8 2 .7

Changon 38 7 3.1

C:cntr£ ' s ave rage 44 8 4 .6

Hircbaqcwedi

Hire ba gt'wad i 41 7 8 .9

‘lutnal 4 4 8 4 .6

Pf c.ranwa.di 3 6 6 9 .2

Centre'' e avc rage 41 7 8 .9

Naqanoor

Na ganoor 51 9 8 .1

T igadi 36 6 9 .2

Wakundi 35 67 .3

Vrnnur 35 67 .3

Centre's average; 40 7 6 .9

K it t o or

Kittoor 52 100.0

Ambida jatte 52 100.0

Ealwadi 52 100.0 : 36 : Table - 11 (Contd.)

1

Centre's average 52 100.0

District average 46 e e .5

Dakshina Kannada

Suratkal

Suratkal 51 9 6 .1

Hosebc ttu 45 8 6 .5

Mulki 49 -94; 2

Haleangud i 51 ' 98 .,1

Ce;ntre's average: 49 9 4 .2

U llal

U llal 52 100 .0

Talapadgi 36 6 9 .2

Mannar 40 7 6 .9

Jeppinamo laru 52 100.O'.

Centre' s avf rage 46 8 8 .5

Kota

G iliy ar 52 100.0

Manoor 46 88 .5

Kotathattur 52 100.0

Bannady 52 100.0

Ka rkala 51 9 8 .1

Pande.shwar 52 100.0

C e n tr e 's average- 51 9 8 .1

Brahiiiavara

Varam balli 45 8 6 .5

Uppoor 40 7 6 .9 1 2 3

Krr jc 4 6 88 .5

J

Ko]

Chantar 15 28 .9

Hrvanje 35 67 .3

C c, ntrc ' s av ^ ra ge 39 7 5 .6

District average 47 .9 0 .4

Gulbarqa district

Narone

Fa rone 4 3 82 .7

Kamal?n?gar 37 7 1 .2

V.K. Salajar 28 5 3 .9

Lall^ucjli ' 23 44 .2

Rudravadi 38 7 3.1

Centre's average 38 7 3 .1

Madanahippt rqe

Madanahipparge 44 ^ 8 4 .6

Kapgerchi 26 . 5 0 .0

C e. n t re ‘ s av r r r gC' 36 69 .2

Farhctabad

Kirangi 44 8 4 .6

T ilgur 8 4 .6

H ’>gargundi 17 3 2.7

Farhr:tnbad 44 8 4 .6

BeIsardgi 34 65 ,4

Centre' s average 39 7 5 .0 1

Kamalapur

Kejnala.pur 40 7 6 .9

Mahagaon 36 6 9 .2

Centre's average 38 7 3.1

District average 38 7 3 .1

Mysore district

C haina ra j a na qa r

Udi gala 39 7 5 .0

V . Chptra 49 9 4 .2

Yanganahalli 29 55 .8

Basavapura 48 9 2 .3

Kothalwadi 40 7 6 .9

iirakalawadi 39 7 5 .0

Centre' s average -.1 7 8 .9

Ummattur.

Unmattur 36 69 . 2

Galipur 38 1 3 . 1

Har-ve 21 4 0 .4

'Kuderu 38 7 3 .1

Cent re ' s ave rage 34 6 5 .4

Elwa 1

Flwal (A) 52 100. 0 ,

Elwal (B) 51 . 98 .1'

B e: Iwad i 46 88 .5

Kallur 48 9 2 .3

J a ya pura (A&B) 52 100.0

Hoskotc 51 9 8 .1 : 39 :

Table - 11 (Contd.)

J. 2 3

C e nt re' s av e ra ge 50 9 6.2

S .R . Hundi

S .R . Hundi 52 1 0 0 .0

Varakodu 52 , 1 0 0.0

Kadakola 52 1 0 0 .0

Varuna 52 1 0 0 .0

UeJboor 52 100 =0

Centre's average 52 100 .0

District average 88 .5

All centres avi ra le , ■ - 4 8 4 .6

Considering the districts as a whole, it was S( cn

thpt, Dfikshina Kannadc. d is t r ic t had tht raaxi’'num nunbt r of

distribution wt eks durin the pntirr ytrr. Thr; ptrcentajc

to normal being 90.4. In other districts it was 88.5

(Be'lgaun) , 86.5 (JMysort ) and 73.1 (Gulbf raa) .

Of the 73 distribution centres^ in 31 distribution

centres, i.e., 12 in Mysore district, 11 in' 8a]-3hina

Kannada district and 8 InBclgaum district, the number of

actual distribution weeks was mere: than 90 percent of the

normal. In the remaining 42 centres this percentage varied

bt twc! n 29 (Chantar in Dakshina Kannada district) and

89 (Hannur and Krrje in Dakshina Kannada district and

Belwadi in Mysore district) . In ge'neral, the lovjcst

number of distribution weeks in all the^ distribution centres

v/as in Gulbar ja d is t r ic t , the maximum percentage being

85 and minimum 35, of the normal. I-k.asure of dispersion:

• Tp.Vinj into considcr.^ticn the nanbc r of distribution weeks given in Tablc-12 end the number of brncficiarics collecting the food supplement during cpch wee>', a measure of dispersion was wor>ad, ce^iiuputinej the co-efficient of range and the modal value for each of the sub centres selected for the study, in order to know the extent to which the number responding for the progranime fluctua,ted during the year 1977. The highe'St ?-nd the lowest number of beneficiaries, modal c p I s s and the co-efficient of range ,

for each of the sub ccntre was as provided in Tablc-12.

Table -12

Co-e ff icie nt of ranqc

Kuiabe r of bene- f icia r ie s Modal Co-e f f icie n Centres c I p ss Rancje Highest Iiowe st

1 2 3 4 5 Belgaiora d is tr ic t

Uchaqaon

Uchagaon 137 104 113 .14

rihal 155 7 5 113 .35

Kalklairiba 454 128 413 .56

Honage 286 104 188 .47

Aste 278 82 113 .54

Kakate 288 27 188 .83

Chandgad 260 42 113 .72

All sub centres 454 27 113 .89 s 41 : t'lble - 12 (Contd.)

Hirobaqrwadi ,

Hircba jf wadi 970 220 863 .63

Pccranawadi 235 206 188 .51

Mutnal 332 117 263 .48

All sub centres 970 117 188 .79

Kaqanoor

N'-^ganoor 320 118 263 .46

Vannar 212 50 187 .62

W-'^kkudi 320 42 263 .77

T ig ad l 390 119 263 .53

All sub centres 390 50 263 .77

Klttoor

Kittoor 964 100 863 .81

Anbidagat ,c 964 100 863 .81

Bala.wad i 9 64 100 8 63 .81

All sub centres 9 64 100 863 .81

All Primary Health 970 27 113 .95 Centre

DakshiLna Kannada D is t r ic t

Suratkal .

Iddya 597 318 563 .31

Hosabf ttu 298 195 2 63 .21

Mulki 599 230 563 .45

Haleangady 2 00 172 188 .08

All sub-centres 599 17 2 563 .55 4

U llal

Mannur 67 5 161 413 .62

Talapadi 165 62 113 .45

Jeppinamogaru 699 285 488 .36

UllaKHq.) 253 164 188 .21

All sub-centres 675 62 ir 8 .83

Brainiavar '

Varamballi 3 29 135 263 .42

Kanjal 2 65 67 188 .50

Karjc 159 60 113 .45

Kokkarnc 2 30 67 188 .55

Havanjo 199 71 188 .47

Uppoor 3 25 112 188 .49

Chanthar 2 30 104 113 .38

All sub-centres 329 67 If 8 .66

Kota

Giliyer 194 129 168 .20

Manoor 300 2 30 263 .13

Kotathata 371 101 338 .57

Banady 292 230 263 .12

Karkada 224 224 2 2<±

Pandeshwar 212 105 188 .34

A l l sub-ce^ntre s 371 101 263 .57

All Priiaary Health 67 5 60 188 .84 Centre s Gulbarcfa I is tr ic t

Narona

Narona 7 04 704 713 0

Rudravadi 263 225 263 .08

Ladinugli 520 300 413 .27

V .K .S a l g a r 252 136 168 .30

Karnalanagar 450 270 4f 8 .25

All sub-centres 704 136 2 63 I .68 4f 9 V 713 1

Ma dana h ippe r qt.

M a da n n h i px:)c r gej 532 129 413 .61

Kadaganch i 690 27 6 45: B .43

All sub-centres 690 129 ‘il3 .69

Farhatabad

Farhatabad 4 0 17 6 413 .43

B . Seradgl 176 132 188 .14

Kirangi 396 209 413 .31

T ilgul 309 132 IFO .23

Haga'rgundi 1110 352 413 .52

A ll sub-Cf ntre s 1110 132 188 .79

FgjialFpur: .

Kainalapur 972 160 3 38 .72

Maha.gaon 808 480 563 .26

All sub-ctntrcs 972 160 638 .72 1 2 3

Primary Hf alth Centres ■ 1110 129 413 .79

Study /\rca 1110 129 413 .79

Mysore district

Chamara janaqar

KothalVc'dy 308 176 263 .27

Easavapura 300 170 2 63 .28

Ysnganahalli 196 132 188 .20

V . Chatra 2 65 140 263 .31

Arakalwadi 306 240 263 .12

Udigala 243 132 lee .30

Centre Total: 308 132 263 .40

Dm a t u t

Galipura 592 538 563 .05

Ummatur 2 26 211 186 ,03

Harve 660 253 4t8 .45

Kuderu 385 305 413 .11

Centre Total; 592 211 563 .47

Elwal

Flwal 428 313 338 .16

Hlnkeil 160 89 113 .29

Kallur 399 2 64 338 .20

Jaipur (a ) 182 108 188 .26

Jaipur (B) 527 C82 263 .73

Sag?!.rakatte 251 236 263 „03

Centre Total: 5 27 82 133 .73 338 3 4 5

S ,R .Hundl

S.R. Hundi 449 184 263 .42

Varakadu 2 53 172 188 .19

Kodukola 352 264 263 .14

Varuna 160 119 188 .15

Udbooru 456 228 413 .33

Centre total: 456 119 188 .53

District Total: 660 82 18 F 1 .78 263 I

Study Are a 1110 27 188 .^ 5

Of the 73 sub-cc n t r c , tlic co-tfficicnt of r-“inge was wore thfin .5 in 2 0 ce ntrc s rnd varied be twe en .51 (pe e ran wadi-Be Iqpi’n district) ar^d .F-1 (f ittoor - Pe I t-'UIU d istrict) .

For primary health centre s ei whe)lr, the co- efficient or range was high in 14 out of 16 centres selected for the s1;:udy. For the entire study area the co- efficient wns as high as .95.

The high co-efficient of dispersion of thf numbex' of beneficiaries aiione^ the sub-centres was attributable; to the variation in the number of beneficiaries collccting food supplement during each week in the year. In the case of the. primary health centres, it is attributable mainly to the variation in the number of beneficiaries collecting the food supplement and pr‘rtly to the. varying t-rrgets fixe d for sub­ centres, within the area covered by the primary health centre.s. Index of rt sponse

, Taking into account the actual numbt r of bcneficiarirs who collected the food su Pj_)ltTu nt during tach week, an index has bt cn constructed, to study t,hc trend in the: response during each wee k, by co-nparing the saine with the average response over the entire period which was taken as

100, An overall iDOSition for each of the 4 districts selected for tht study is provided in figures I to B/.

The response was fluctuating in 7ulbarga district, the fluctuations being wide and frequent. In all the oth; r districts, the response was low during the pc riod of agricultural operations, which is but natural in rural areas. The response in Dakshina Kannada district was more steady than in Ilyscrr ane Eelgaiim. d is t r ic t s . Be Igaum district a] so recorded censide,^ble fluctuation,., the response' loving away frori the normcl in quite a few weeks.

In order to study thi trend within the district sclec\:ed for the study, sivil^-^r index has been constructed

for each of the sixteen prifiiary health centres and the presenta­ tion of the sai.ie is given in /.ppe nd ix-II I (Figures 1 to 16) & iv

An analysis for each of the sub-centres is also provided in

/append ix IV-A ■

Quantity of food suppleracnt c o lle c t e d :

Information on the ouantity of food supplement

collected by the children was obtained from the selected

centres for 1976 and 1977 . The total quantity colie cteei. Fiyure-I

Index of response 1977 - Belgaum District B c H

a . D . i-'ion-c.n/Week Scale .s "= 4 weeks .S Figure-lx

Inaex of respbntie 1977 - Dakshina sKanndda, D is t r ic t

-F=« a>

J.D. Mont n/ we e K S c a l e .8 "= 4 weeks ^ .S Figure- Iil

Index of response ls)77 ^ GulDarga Eisrrict

4^ UD

J.D. Monuti/ v

O

J.D. ^ , 6c .S 'S agpinst the supply by CAPE, was as given in table-13.

T0ble-13 ■ ■

supply of food s upplriaent b y C/^R F and quantity collected b y bf nc f ic ir ries

______.)______Pf rcentagc Primary ^ ____1 . collcctcd iirairn Centre 1976 1977 Total 1976 1977 Total 1976 1977 Total

1 2 3 4 5 6 7 8 9 10

' Ee IqauEi Eistrict

Uchagaon 240 270 510 135 315 450 56 117 88

Hire bag( - ' 100 360 4 60 178 2i 0 458 178 78 100 vadi Naganoor .100 270 370 105 201 306 105 7 4 83

Kittoor 100 2 45 3^5 382 521 903 38 2 213 262

Total; 540 1145 1665 f; GO 1317 2117 148 85 115

Dekshxna Kennada District

Suratkal 513 360 07 3 4 02 -x3 6 838 78' 121 96

UlLal 301 32 0 621 146 295 441 49 92 71

Brnhnavar 376 140 516 323 270 593 86 193 . 115

Kota 481 ' 320 801 414 398 812 86 124 101

T o t a l ; 1671 1140 2811 1285 1399 2 684 77 125 96

Gulbarga 6 istr j ct

Naronci 437 360 797 358 #04 762 : i 2 112 96

Mad-^mahi- pper jr 216 IBO 396 IBO 185 359 '63 103 92

Faxhatabad 300 27 0 570 254 308 562 85 114 99 Table - 13 (Contd .)

1 2 3 4 5 6 7 8 9 10

Kfiaala pur 288 360 648 234 2^.4 478 81 68 7 4

' T o tal; 1241 1170 2411 1026 1141 2167 83 98 90

Mysore D is tr ic t

Chama raja- 4 64 295 759 393 322 715 85 109 94 nagar Urninatur 345 270 615 314 299 613 91 111 100

Elwal 414 335 749 ■ 361 402 763 87 120 102

_S.E . Hundi 315 320 635 328 402 730 104 1 26 115

Tot.-l: 1538 1220 27 58 1396 1425 2821 91 117 102

A l l cent-' '499 0 4775 9665 4507 5283 9789 ■ 90 111 101 res

'■ Thf'. suppl’y and distribution of food supplcrrifnt over thr

period of two yr ars showed th^t. as against thf total auen-

tity of 966.5 tonn-s suppli

had b' tn distribute e’ in the cantrcs sc Icctad for the study.

_Thc district avr ragr s rrvcal that the distribution was

”iorc: tnari 90 percent in all the 4 districts se lected for

the study. The breakup for the individual years reveals

that the distribution vjas riuch better during 1977 than

during 197 6 .

The prinery ht:alth centres selected for the study

accounted for 53 pe rce nt of the total guantity of food

supplcine-nt supplied by CAPF for distribution, whereas the

targetted be ne f icir r ies for the same ar<;ra was 50.2 percent

of the total number fixed for the entire progranme area. Of the total gu.intity of 5263 quintals of food supplr- rnent distribute d durino 1977, it v/rs st c n thnt on an avcrago

440 quintcals was distributed per nonth, in the four dis­ tricts selected for the. study. As corrix-)?rf''d to this monthly ovc rail ave rage, the monthly PVi rage distribution was above the overall avt rage in Mysore, Dakshina Fannada and Belgaum districts by .'7-pe roe n t , 6 pcrccnt respectively. while in Gulbarga rnd Bel jauri d is tr ic ts . it was Ic ss by 14 percent and .02 pe rcc nt respectively. The total auant ity distributed monthly in each of the four d istricts wps es pre^vidf d in Tabic-14. Table -14

I'fonthly distribution of food supplement - 1977

(Quintals' Daksh j na Month Belgaura ' I'julb^'-rga I'vs ore T o tal Kann-'ca

January 97 .4 111.8 9 0 .4 115.3 4 1 4 .9

Pebrurry 8 3 .7 121.1 9 4.6 121.7 4 2 1 .1

March 98 .7 129 .3 112.8 123.4 4 6 4 .2

/.pril lOr; .8 1 1 6 .2 81 .6 ^ 133.2 '■ 441,7

fey 110.6 109.2 110.7 129 .7 4 8 0 .2

June 1 3 9 .6 1 ? 5 .0 8 4 .4 109 .6 458 .6

July 8 6 .9 118 .3 8 4 ,9 7 3 .9 3 6 4 .0

August 1 0 8 .4 1 2 8 .2 8 0 .8 1 0 2.3 41 8.5

ptcmbe r• 1 0 9 .0 121 .8 106.9 132-8 4 7 0 .5

Octobe r 102 .4 117 .2 106.6 127 .7 454.3

Fovembe r 137 .0 9 1 .2 91.7 132 .8 452 .8

Dc ceinbe r 114 .3 107 .4 95.7 122.3 43 9.7 i-ivcrage 109 .8 116.6 95.1 118 .7 4 4 0 .1 Considering the total qurntity distributed during each month in the entire sole etc d area, it w s found th.-'t the distribution v/as lowest durinn July 197 7, oeing 17 percent lower than the overall average of 440 quintals per month. ■

During January 77 and Jiugust 77 ifc vros lower by 6 pr rcent

?nd 5 percent. During 5 months, the monthly distribution was below the average^.

The share of tech distrj.ct in the total quantity distributed was; Belgaurri-25 percent, Dakshina Xannada-27 percent, Julberga-21 pc rce;nt and Mysore-27 percent. The distribution of food supplement over a period of 12 months was below the respective district average in 8 months in

Eelgaun district 5 months in Dakshina Kannoda district,

7 months in Gulbarga district, 5 months in Mysore district.

The de^tails for e aci' eof the primery health centres within ■ the aif^trxct are providea in Appendices V to TX..

The highest and lowest quantity distributed per month was 140 and 84 quintals respe.'Ctively in Belgaum district,

129 end 91 quintals in Dakshina Kannada, 113 and 82 quintals

in jJxo tvict, tina 13 j 74 quintals in i-.^sure Jia trxct.

Total requirement of food supplement

As pointed out earlier, the Poshak Programme was under ope ration in somt; areas of the 8 districts selected for the

Implementation of the programme. If full coverage were

.desired covering all the eligible children in the rural areas of the state, the total requirement will be as given in Table'-15. Total requirements of rood supplement for the state,

Pequirement in D is t r ic t tonnes

Proqranrnc area

T-. Belgaum ' 1 2 52 3 .3 f • 2. Bidar 4 4 1 3 .9 ,

3. Bijepur 1 0 1 2 5 .1

4. Chic]

5. Dpkshina Kannada 1 0 04 6 .9

6. 3ulba.rga ' 8 4 8 0 .0

1, Hassan 6 2 6 4 .3

8. Mysore ■ • 9 5 4 1 .7

Total (A) 6 5 5 7 7 ,5 .

E. Non Pro 'ra.:.ii)( area

1 . Ban ja lore; 9 4 4 4 .2

2. Bellary 51 3 9 .8

3. Chitradurga 7 2 1 0 .4

4. Dharwad 10824.7

5. Kodagu 2 1 0 2 .4

6. Kolar 7281 .6

7. Mandya ' 6 4 1 8 .5

8 . Paichur 7 7 0 2 .4

9. Shlrnoga 7 1 5 5 .5

10. Tunkur _ . 88 23 .4

11. Uttar Kannada 4 4 6 5 .6

Total (B) _ 7 6 5 6 8 .5 _ _

State (.\+B) 1 ^ 2 1 4 6 .0 Considering thr progr?mf area itself, to extend the scheme to a ll e lig ib le chilc'rcn, the total rcguirernent w ill be 65576 tonnes. iiS against thi 3 requirement, th< actual distribution accounted for 7 percent during 197 6 and 8 per­ cent during 1977 . Howe Vf-r, for the e ntirc state the total requirement of the food suDplement w ill be 1.42 lakh tonne'S per year (es at the end of 1977) and the' present oovcrage account for only .32 percent in 1976 and .38 percent in

1977. Therefore, the prograiane com> s cut as a nominal effort to meet the needs of the vulne rrble sections in the rural arc'as .

"^*ven if the area actually covered by the progrmme is taken into consideration, the inf'orin'''tie^n colle-cted reveals that a wide gap still f'Xists betwe^en the.' actual supply and the total requirt'Trie.mt of the food suoplr ment. The d e t a ils are provide.d in Table -16.

Table-16

Total require.nent anel supply in the area covc rc d by the procfrarnme - 1977 _ _ _ _ q u in t a ls )_ District/ Total re- .\ctual Gap as Primary Health quireiaent supply percentage Ce ntre

1 2 3 4

(/i) Study area

Belgaum district

Uchagaon 138 .85 27 .00 8 0 .6

Hire-bage wadi 7 6 .2 7 3 6 .0 0 52.8

Naganoor 1 0 6 .9 3 27 .00 7 4 .8 1 2 3 4

Kittoor 107.63 2 4 .5 0 7 7 .2

Total; ^29.66 1 1 4 .5 0 7 3 .4

Lakshina Krnn^dr dist­ rict

SuratVal ' 2 45.16 3 6 .0 0 8 5 .3

Ullal , ■ 191.73 32 .00 8 2 .3

B rehmava r 210.44 1 4 .0 0 93 .4

Kota ' 8 7 .0 7 3 2 .0 0 63.3

Total : 734.40 1 1 4 .0 0 8 4 .5

Gulbarqa

Narona ' 64.39 3 6 .0 0 4 4.1

Madanahippargc 56.97 le .00 6 8 .4

Farhatabad 100.04 27 .00 7 3 .0

KanaInpur 61.41 3 6 .0 0 41.4­

Total; 2b2.ei 117.00 58 .6

Mysore

Chainaraj ana r f- 5 . 38 29 .50 6 5 .5

Ummatur 6 9 .2 0 27 .00 6 1 .0

Flwal 51.25 3 3 .5 0 3 4 .6

S.R. Hundi 6'/. 10 32 .00 52.3

Total 27 2.9 3 122.00 55.3

Total (70 1719.8 2 4 6 7 .5 0 7 2 .8

(B) Fon study area

Bldar district

Chillargi 84.21 IF .00 7 8 .6

Janwad 48.68 9 .0 0 8 1 .5

S^ntapur 24.94 18 .00 27 .8

Kajnalanagar 60.24 27 .00 55.2

Total: 218.07 72 .00 67 .0 Table - 16 (Contd.)

1 . 2 3- 4 .

Biiapur District

Indi 1 9 4 .7 6 2 6 ,0 0 86.7

Chandchan 108 .66 27 .00 7 5 .2

/Mme 1 1 5 5 .4 0 27 .00 8 2.6

Kalkeri 1 1 6.25 36^.00 6 9 .0

T o t a l : 5 7 5 .2 7 116.00 7 9 .8

ChicJcnaqalur district

Mallendur 47 .60 18 .00 62 .2

K idagatta 3 1 .1 3 3 6 .0 0 -

Koppa 61 .03 18,00 7 0 ,5

Hire nallur 1 9 .6 2 36.00 -

T o t a l : 159 .38 108.00 32 .2

Hassan district

Sa lag nine 3 6 .7 ‘ 3 6 .0 0 2.2

Ankapura ‘ 57 .82 16 .00 68.9

Ud? yapura 52 .15 23 .00 55.9

Mrttinnvile 77 .79 3 6.00 53.7

T o tal: 2 2 4 .5 5 113 .00 49.7

Total (B) 1177 .2 7 409 JOO.' 65.3

3rand Total (A+B) 2 8 97 .0 9 8 7 6 .5 0 69.8

The gap between total requirement and actual supply,

in the areas of the 3 2 primary health centres covered by the progrniune,, was as high as 70 pc rcent. This mf ant only 30 percent of the. total requircnent had been met by C7-iPF food distribution. The gap was highc’r in the areas selected for -hr study (73 prrctnt) than in the other- four districts

65 pt; rcent) .

In the area studied, the wps es high as 85 pf rcf nt

in Dakshnina Kannrda district, followed by 7 3 pcrcent in

Eelgauin district^ 59 p( rccnt in julbarga district and

55 pcrcent in Mysore district. In the re. st of the area

under the projraiine, the gap was 80 pcrcent in Bijapur

district, 70 pcrcent in Hassan district, 67 pcrcent in

Bidar district and 32 pcrccnt in Chickmagalur district.

Among the 16 primary healt,h centrf s se lected for the

study, the gap was raorc than SO pcrcent in four pri’Tir-ry health

c ntre s, it was ebovc 50 pc rcc nt but less than 6’0 pc rcent

in nine priiriary hcalbh ce ntrc s .“-nd If ss than 50 p< rccnt in

the remaining thr< c prlm' ry health centrf s. In the other

sixteen prir. iry he -‘1th ccntrrs, the gap was mot. th^n

GO percent in three centres, ,lor^ than 50 and less than 80

percent in nine centres and 1( ss then 50 pcrcent at two

centres end n il gaD rt two centre s. i V ciil i n i s t r t i o n :

Staff ;

The work of eistiibution of food supplcrient was entrus­

ted to ruxillc'ry nurse-cuJ:i-Tfiid-vrivc s . The distribution

worl was supervisee by the Ticdical office x's of health of

th‘ ^'Y centres.

Equipment :

Th<; re quirc'd equipnents like W( iqhing scales, me-'Sur-

ing cups, bentficiory cnrds, growth charts, health ee'^ucf'-

tion material, etc., h^d be en suoplie d by the Ch PF autho- rities to the health ccntres. Sincc then w. re quite ? few sub-cc ntrr s in e ,-n::h of the prinriiy health centre, the required nLwnbcr of wc.iqhing scr'.les were not available in seme sub-ce ntrtjs. f a c i l i t i e s Drovidce'' arc give n in the ^.ppendix ~ X„

Storage :

The food supplenf nt was stored in the primary health centre building itself f ith. r in a roon or kitchen rooia

I or th< r

Transpo r tab i on :

The transporta tion of feed suppl< t:ii nt from the primary health centres to sub-ccntres was done by the dep?rtmental vehicles to the e^xtent possible. '

Fxpe nditure :

Some expenditure ha^:^ been incurred for transportation of food supi lement and the menthly expenditure vprif d from

R.-.9 to 279/- pc r month. This expend iturt v/as mainly due to the transportrtion of foodl supplement to the sub-centres which were not generally approachable by dc rtmental vehicle s .

Probli ms :

Three problems, connected vrith the physiC''^! aspects, we re obse rve d . -

1) There we rc' crses where the food materirl was damaged due to either wetting during trf'nsioortatiO'n or moisture: in the storage godowns, cspecir-^lly in the coastal region. Proper storage space was Isclving in some primnry health ccntrt s ?-nd he ncc shift, a.t rongcmrnts h r been made.

Also there were' no stocking benches, vrith a result that bags kept on the ground got dcmajec due to floor moisture

seeping in. Some bags had ?lsc got wet, during transport

in the trucks or tr-nshipnient fron the trucks to the sto­

rage -places, especially during reiny season, in the coastal a re a . '

2) No provision had been made to me et transport charges

from the primary health centrc to the d istrib u tio n sub­

centres. If it was not done by thi • vehicle of the primary

health cemtre , the e ypc'nse s v/ere e^xp cted to be- de frayed by the sale of bags. Many of the bags were damaged by

rodents, etc., and did not gr t reasonable prices. k I so the- momey realised was not sufficient to meet the transpor­

tation charge G, especially when the material h^d to be

carried by cr^rts ■ nd head-lo’d o\n r considerable distances.

3) Consider.-ble wor} was involved in measurJ.ng and

distribution, as well as, in maintaining I'ecords of the?

stocks and of individual be nef icia.ri: s. No assistance

of rny type had been providee to the 'u x i l i a r y nurse-cum- raid-wive:s, who were d istrib u tin g the mate ri-^1 , ^nd this

was stated to come in the v/ay of attending to the health

ser\7ice s . : L- .

dn) Y__b UKVr. Y

The, jJenef icxciry survey v^as conuuccec in oraer to dscer- tdin the impcict of tlie progr^nune. riie parent or toe guuraian of cue Deneficidry WaS interviewed. liight to ten oeneficia- ries were interviewed, ut rdndoin, in each of ctie Priiuary ■

Health Centre for this purpose. The nuiruoer of priinciJiy health centres covereu was eight, tvvo in each of the four aistricts selected for the study. The findings ot cue survey are pre- sentea oelow. iNluiiioer ot distriPutxon centre covered: -

- There were 2 to 7 aiscriuution centres in the areas seie- ted for the study. xn o trier progrcuiiaie a re a s, the numoer of such dis tribution centres Vcirie i froia 2 to 17. For the purpose of the survey oetwet^n tvvo ana oix ais trxjJutxon centres were v is ite a , in each of the ei^h t priiuciry liealch centres i^eiected for the survey.

The distance ot ttie distrij^ution centres froin the main centre variea from 0. 1i

e ho 1 information i-^qe ana sex coinposition of tne denef iciarjes :- '

The information on tne age of the Deneficiary and the

sex coinposition was as given in t.aiJj.e-17.

raP le-17 <^ge anu. oex Coniposition of the beneficiaries (in percentage to total)

Age groups (years ) Hale Female Total rieiow 1 2 .5 5 .4 3 .9 (33,3 ) (66.7) (100.0) 1 - 2 10.0 1 6 .2 13 .0 (40\0) (t.'O.U) (100. 0)

2-3 17.5 16.2 I d ,9 (53.9) (46.1) (100.0) Age groups wa ie Female Total (years)

3 - 4 25 0 24-4 24 .6 (3 3 .3 ) (Db .7) (100. 0)

4 - 5 2 7 .5 1 8 .9 23.4 (6 1 .1 ) (3 8 .9 ) (100.0)

5 - 6 1 7 .5 1 8 .9 1 8 .2 (5 0 .0 ) (5 0 .0 ) (100.0)

Total 100 . 0 loO.O 100.0 ) (52) (4 8 .0 ) (100. 0 )

Fifcy two percent of trie total nuniDer of oeneficiaries

Interviewea were males ana 48 percent fejiidles, wtiile 62 percent of the females interviewed were less than 4 years of age, in che case of males the percentage was 55. There wei-e no Ccises of oenefici.iries exceeaing 6 yedrs of age.

of the house hold

The aistrlDutlon of the househoia or the oeneficiarief’ according to its size was as provideo in t-^oie-18.

TaDie-18 bize of the household of__the peneficiary

Size of the Percentage distrlDution in house hold (persons ) Daks hina A-ver' ti el gaum Guloarga Mys ore Kannada age

1-2 -

3-4 5 .6 15 .8 3 0.0 1 3 .0

d-6 3 3.3 52 .6 3 0.0 5 0 .0 41 .5

J-8 5 0 .0 21 .1 3 0 .0 3 5 .0 33 .8

9-10 - - 10.0 5 .0 3 .9

11-12 11-1 1 0 .5 - . 10.0 7 .8

iOtal luo.o 100.0 100.0 100.0 100. 0 In che uiea coverea oy the survey, 75 percent of the riousehoxds contjistea of 5 to 8 persoas cincl the, average size of the tiousehoxa was 6 .b persons . In Dciksliind Konnaad and.

Mysore a is tr rets 50 perce/it of the hoase-hoius were in the size yroup oetween 5 ana 5 pcrrsons while in rselgduin district

50 percent were in the size yro'ap uet.veen 7 anu 6 . In Gui- jjcirga district 40 percent v.-eie in the size group oetween

7 ana 10 persons. The dveidye .size of i:h^ household was

7.2 person in Belyduin district, b-4 person in Dakstiina Kannada distric;t, 6.0 persoii in Guioarya uistrict and 6.9 person in

Mysore discrict. The niaximuiii and mxni.iiujii size of the house­ holds in these districts waS 4 cind 12, 4 and 12, 3 ana 10,

5 and 12 respectively.

Ttie aye of the pcirencs of the Deneficiaries waS as pre­ sented in taDle-ly.

TaPle-19 /i^e of the parents or peneficiaries (pt' rce n ta ye to . to ta 1 )

rt.ge group Father I'iOther Total

1 j-20 1 .3 0 .7

2 0-3 0 y . 6 bl,l 31.3

30-40 5 3 .4 39 .2 4 6.2

4 0-50 3 0 .1 6.8 Id . 4

50-60 b.9 3 .4

Total 100.0 100.0 lOO.O

Of the mothers bO percent were Deiow 30 years of aye, as ayainst 10 percent lii the case of fathers. The dveraye age of the mothers Wds 2 9 years ^na that of the fathers

37 y e a r s . Occupdt-xon q-na xnconlej_-

The occupdtion yroups xn whxch the parents of the c>ene-

fic id rie s were eiupioyevj. ona the civerciqe monchly income was as

given in taoie-^0 .

TaDle-20 Occupation pattern or the parents o£ peneficiaries

i\iuiiiber of persons (percent to total) Occupation /average

delgaum Daks hina Gulioarga I'iysore Kannada

Agricu-L. ture F 3 7.5 10.6 4-^ . 5 6 4 .7 39.1 L 11 b o . 0 50 .0 2 5 .0 57 .2 44 . 4 i oalaried F- 6.<^ 3 6 .8 ^ 2.2 2 3.5 23.2 L employment I'l 20.0 8.3 - - 5 .6 j l

belf F 43 .8 3 6 .8 11.1 11.8 2b .1 i iimpioymsiit 11 2 ij. 0 8 .3 - - 5 .6

uaDOur/ F 12 .5 1 5 .8 22.2 — 11.6 1 .9 Coolies M — 3 j ,4 75.0 42 .8 44 . 6 1

£' lUO.'O 100 . 0 lOO.O iyO.O 100.0 I Total 100.0 i-i 100.0 1 00 . 0 100. 0 liJO.O 100.0

F = Father ii - liether

The iiiaxn occupatxon of tUe famiiieo was ayricul tui'e,

accounting for 41 percent, wiiiie ^:3 percent vvere lauourers

or coolies. be if-eiupiloy..tenc in cacpentry, stone dressing,

pecty shops, liotels, tisti ven^^ing, etc. accountr;cl tor IJ per­

cent ana s a la r ie o positiiTins lik e peons, post-jiian, iJOlice-

constaDXe, mici-wife, etc. accounteu for 17 percent. AJiiong

ttie uiscricts, except for Uaksnina K^nnaaa aistrict, the

inajority of the men foxK weic engaged in agriculture. in

Dakshina K^-inn.aaa ciistrxct, tney were empioyed. as saiarieci

persons or self empioyea. ms regciius womcin foiK, excep)t

in GulDargci a istrj.c t, ca juajority were a lso eiiiployeo in

ayriculture, jaostry as laijouieis, while in Guloarqa they were

einployed as coolies . Tte infornidtion on tne dVe;rciye inconife of the pcirents of the Selected DeneficiciXies Wc-,s ds given in tiDie-^1.

iciDxe-21 ' £ji.ve rag e income of parents of Deneficlaries

(Kupfcies )

qri- b ala rled oelf D istric t eu'ij-loy- employ - jjciDour Average cui fure ment iiient

Beigaum F 2b8 350 2 21 75 229 H 63 450 12-0 ‘ - 133 2U0 40u 2 09 75 2 06

Dakshina F 15 U 3 02 2 06 82 216 Kannada i'l 50 350 60 78 85 A 75 3 08 188 79 165 uulDarga F 150 295 150 118 175 70 -- 61 : 63 r t . 128 295 . 150 78 130

Mysore F 15 0 375 125 — 200 I'l 44 - - 35 l z 2 3 75 125 - 156 i-iverage F 177 322 1J8 ' 108 208 W 55 400 90 58 77 A 131 3 30 186 75 163

F = Fa ther. = i-lother. = zvverage

T he average ina.iviaucil incouie of the parent v^as Us. 163/- per month per par ent. Clve j. of the father oeing i\S.2 0d/- and that of ttie- motht:r ■,.o>.7 7/ - per iiionth. v/hen the aveTciye j.ncOiiie pe r parent was. analys eu oy occupation group. in the salarieu group. it vvas Ks. 3 3 0/ - per month which in a il other groups it v»/dS' much less. It Wos Ki.l86/- in the case of

the self eiaployea, Rs.133/- in agriculture and aS.75/- in iaoour,

bince in sonie households Doth father anu iuochex were working while in otners omy one of them, monthly average incojite of the household was estiiiiabec ana the distrlDucion of the household of tne Deneficiary, according to household income, was as providea in taole-22. TaD -z 2 i^Vtirage income of the nousciholu of the D eneficia ries

(P V- rcentage )

Average Percentage nunioer of households , , .L incoiae Centres groups iSelgaurn DaJcshina G u iDarga i^lys ore Kannada

0-100 1 1 .8 5 ,3 - 5 .5 5 .4

100-200 23 .5 2 6 .3 50 .0 5 5 .6 3 9 .1

200-300 35 .3 3 6 .8 3 0.0 lb.7 2^.7

3u0-400 ■ 17.6 15 .8 1 5 .0 1 1 .2 1 3 .5

4U0-6O0 - - 5 .0 5 .5 4 .1

5 00ra600 5 .^ 1 0 .5 - 5 . 5 5 .4

600-700 - 5 .3 - - 1 .4

1000-1100 5 .J „ - - 1 .4

rotai 100 .0 1 0 0 .0 1 0 U ,0 100.0 100.0

in the case of hoasehold incomes, 7'i pfcircent of ttie , laonthly , house noius of the jJwnef ic i a r i e s had an overage/income oelow ks. 3 0 0 / — fourt'.tjen percent huci IncoJie Joe tween uj.400-500 and the remaining 12 percent more ttian k;..500/- per !i!lonth. i\ s imi Itir pattern of distmjutxon v/as diso ODserved in the indiviciual districts seiecteo for tue study •

Jjtvel of eo u c atio n :-

The level of ciducdtion of t he pa re n ts was as g iv en in tOijie-23 . Tcijj Xfci ~ 2 3 j-iBVex of eouccttloi'i of thci, p.^ients of the oeaef ic i a ries

U'JUiiijjt r )

Mother CDtandard Percen­ tage 14 li 1-y. 3--4 5-b 9-10 Total

Nil 31 2 - 1 35 4 7 .3

1-2 - 2 2 .7

3-4 4 3 1 - 9 12.1

5-6 1 - - 7 9 .5

V 7-8 7 1 2 1 13 1 7 .5 j::: 1 +J (0 9-10 -4 fi| I 1 1 6 d .l

PUC 1 - ■1 1 .4

Grciiauates - - 1 ':,1 1 .4

Tota-1 55 2 7 4 74

Pex-centcige74 .3 2 .7 9 .4 4 .1 5 . 4 100.0

Both trie parenus had no eauc-ition in the case of 43 per­

cent of the jjenef iciarifcs . Fuitner analysis revealed that 74

percent of tne xaochers uiid ^7 p-^rcent of trie fathers d id not

have any educcition. in 2U percent of tiie Cdses iJoth of them

wwre educat.ec.. Twenty ej.ght percent of the fathers had eau-

cation upto 7th stanOdrd ana aoove, which on^y 10 percent of

the mothers were eciucattic._ upto 7tti standard adove. Both the

parentsOw^re educatec upto 7th stane.ara and aoove in 7 percent

of the cases . I e. Oi^s qi-iPT j- jivi OE' £' OOP S U P P ij: 1-]T

Since tne pro^raiiune was confinec to the children in tne

aye group of u-6 years, trie pattern of consuiaption of food

suppieiaent was ascertainea. It was seen ttiat in 2 3 percent

of the ca^i^es the fooo sapplement v/as fee as supplenient to Dredst feeuiriy anu xii itsinoiiiiny cose xt .fcs supj.,lemented t>y

hoiae aiet. Trie time of consujnption was either morning or

evening or Doth, when consuiiied more cnan onc:e d dey. lilxcept

in Dakshina Kannada, wtiere it was consumed rnostxy in tne forn\

of poridge (graei), it was generally consuiaeu. in the form of

'Uppittu'. it was consuiiied in the form of poridge, mostly

in the case of inf cints .

Ttie type of tiome diet was gc:; ner^liy, jowar 'roti' in

Belgdum and Guluarga districts, rice in Dakshina Kannaaa cind

rice diia ragi ' roti ‘ or 'balls*' in Mysore. It was consumed

twice a day in 45 percent of ttie Cctses and thrice a day in

55 percent of ttie cases .

Generally, the food supplci.iient wcis to oe consumed once

a day out the actual situation in the case of oeneficiax'ies

studied wao as provided in tai)ie-Z4 ,

i.e-2 4 iMUtiiuer of txfaes in o day thdt che s u^^piement WtiS c onsumed

1percentage)

i'jumoc-.r of times per day D istric t Oncf. Twice Thrice

belgaum 6b . 7 33 ,3

Dakshina Kannada 63.2 3 6 .8

GulJoarga 35,0 5U.0 1 5 .0

Mysore :^U.O lU.O

Average 6 3 .6 3 2 .5 3 .9

There were instances, when trie food supplement was consumed more than once d day. Tne inciaence was as high aS 65 percent in GulDcirgd a is t r ic t , 37 pexcent at uakshj.na Kannaaa a is tr ic t ,

33 percent .nt tseiqaum discreet ana 10 percent at Mysore aistrict. Feecxnj tl:irice a clay was reportec only in Guloarga district, in 15 percent of tne Co.Sc:s .

In Mysore district alone tfii::; consuiaption pattern was yeneraixy ^ccordiny to that jjrescrice^, that is in -^0 per­ cent of the cases / as conipaiec to the ovt=rall a\/eruge of

64 percent. The fooa aUt^pieiiient wus fea Dj, the mothers in aiiaost a il Cases. in a tew cnses either the grana mother or the elder sioiing fed trie child.

The food suppleiiient stioaid lest for all the seven days in a week. i3ut the actual nuiitoer of days it was usea was as shown in taoie-25.

fam e -2 5

i:\iuiiper of days p-.,r week the food supplement lasted

(Percentage) inIo . of dis tricts days per Daks hina belgauin GuiDarga Mysore /average Wee k Kanneda

7 83 .3 73 .6 2 5 .0 2 5 .0 5 0 .6

6 11 .1 5 .3 1 6.0 10.U 1 0 .4

5 5 .6 5 .3 1 5 .0 10.0 9 .1

4 - 1U.5 3 0 .0 4 5 .0 22.1

3 - 5 .3 - 10.0 3 .9

2 - - 15 c 0 - 3 .9

Onxy in 51 percent of tiie Ccises the fooa supplement

lasted for 7 days. h majority of the oeneficlaiies in bei- gaum d istric t foxlovi/ed the norms prescribec: ana 83 percent consumea the suj^jj^ti;,i^_:n t aix the tlays in a weeK. in Daicshina

Kanucida district such cases weie 74 percent, while they were

25 percent in Guloarga and Mysore aistricts. in Mysore aistrict, aithough it was statea that the supj^lement was consumed onxy once a day, it was seen that the quanticy suppixed lasted for onxy 4 days -in 45 percent of the Cases, evidently indicating tn^t tne quantity consumed p=:r day was much higher than the prescriiDeu. (80 grams per day).

Beneficiaires in centres of Belgaum district hdd follow- ea the norms prescriDed for consumption of the fooa supple- % ment more or less rigidly. collection of food supplcr;ment;

In a majority of the cases, the mother of Deneficiary collected the food supplement. in the aosence of tht3 mother, elder sidings coilectea the supj^lement. The auxiliary nurse cum mid-wife was inchdzge of distrioution, supervised oy the m eoical oizficer of the prim

Opinion oB the proqratiune:

A il the pcirencs of the oeneficiaries were of the op.lnion that tne programiae Wcis Deneficial. Regardiny the purpose of ttie progrduuiie, some expresses e x p l i c i t l y that it was help­ ful for the improvement of the health of the child.

in 8 percent of the cases alone there was stomach upset iiiiticiily. There vtoie no serious effect, like diarrohea, in any case.

Hed1th c a re ac ti v i t i e s :

The respoiise of the Dcneficiaries for the health care facilities provided at the prii.iaxy health centre ana su Jd - centres was as given in taDle-2fo. J?dple-2 6 Particii^utxon in Feaxth Care Facill ties

Percentage i c s jjons d)t Types of fa c ilit ie s Gui- A il rie Igaum ijaKs hina i^iys ore :

Immunisation Yes 94 74 95 100 91

(riCG,DPT,Siaciii- pox) XnIo b 2« * 5 - 09

Deworming Yes 33 53 25 50 40

No b7 47 . 75 50 60

Vitdiian con­ - centre te Yes 83 79 lOU 70 83 iM'o 17 21 - 30 17

Iron Folic acid Yes 94 53 30 65 60 (rinlecinemic treatment) i\10 6 47 70 35 40

F'ree druys/ Yes 100 58 100 85 86 iiieaic ine i'JO 42 15 14

luO ,/Jeight record Yes , <^4 100 100 96 i'JO - 16 -- 04

£]xcept for in the case of aeworniny treatnient, there was good. res]j0nse for aij. the health care facilities provided ot tne priiiidry health centres . kecora of v^eiqht;

The weignt recora .Vds not regularly done ttie authorities inchcirge of primary hecixth centres ana suD-cencres . Hence, a stuay to Know the impact of the prograiiuae on the weight of

Denef iciai ies coula not De taKen up.

Uj^inions of persons inchcirqe ot t^he__ d i s trioution of the f ood s upj^lement: ’" - - - - ­

Since tnc woiK of aistriDut^on was caKen up oy the primary

heaitn centffes/ tne auxiliary nurse-cuin-mia-wives , who were positioned at tne suo-centres, were rcisponsioie for aistrx- oution of food sujjjjit^ment to the Oc;nef icioi ies . Almost all / ttie duxiixary nurse-cuin-iaid-Wj.ves, who w^^re contacted, vvere yeneraiiy of the opinion chat the proyrarnrae was helpful for their routine work, sxnce it faciiitcitea reguicir contact with

Kiothers ana chiiaren. Such con'cact was m^iniy helpful in the iiiuiiunisation progruuiiiie anu. fam ily planning a c t iv it ie s .

The ju risd ic tio n of euch au x ilia ry nurse-cujii-inid-wife variea from one square Kilo-iiietrc; to 24 square Kilo-metres .

The jurisaiction wcts consideraoiy largt; in Kota and tiraiaha- vara Prmiary Health Centres ot Dakshina Kannada District.

The avercige area covered jjy each a uxiliary nurse-cum-niid- vvives was 9 square Kilo-inetrc;s and 8 S iuart; icilo-inetres respectively, the inaxiniuiii jjein^j 24 si^uare kilo-nie tres . T a b 1, e s - 74 -

4_,L±. B N D I X - I

T 01al p opul 31i on Children in 0 - 5 Selected centres/ years of age suD centres liale Peraale Total I'lale Female Total

Ucha^aon Ucha,gaon 2706 2585 5291 617 580 1197 I'larilial 2234 2135 4369 509 479 988 Kalk Qi-il*a 1341 1 281 2622 306 287 593 H onage 2198 2099 4297 501 471 972 Aste 1033 987 2020 235 221 456 Kakate 2595 2 480 5075 592 556 1 148 Chandgad 543 519 1062 124 116 240

Centre total 12650 12086 24736 2884 2710 5594

Hireba- ;ei,radi Ilirebagewadi 4111 3928 8039 896 880 1776 Peeranwadi 2183 2085 4268 475 468 943 imtncal 818 781 1599 178 175 353

Centre total 7112 6794 1 3906 1549 1 523 3072 i'Jaganoor Nagan oor 2322 2219 4541 506 498 1,004 V an aur 3005 2871 5876 685 644 1329 V/akkiindi 2672 2552 5224 582 572 1154 i'igadi 1890 1814 3712 414 407 821

Centre total 9897 9456 1 9353 2 187 2121 4308

Kittor Kittor , 5573 5324 10897 1214 1194 2408 Ara'bidagcitte 1775 1695 3470 386 380 766 Belawadi 2689 2569 5258 586 576 1162

Centre total 10037 9588 1 9625 2186 2150 4336

District total 39696 37924 77620 8806 8504 17310 - 75 - A P P E H D I X - I

T ot 0.1 p 0 pul a t i on jhildren in 0-6 Selected centres/ yoc'.rs of age sub centres. Male Jeraale Total Male Female Tot,

Chiliargi Chitta 1393 1351 2744 303 ^ 8 601 Kalegaon 983 954 1937 214 210 424 Chidri 1322 1282 2604 288 283 571 Markunda 1475 1431 2906 321 316 637 Pan 783 759 1542 171 168 339 Kasmpur 485 471 956 106 104 210 Mangalgi 1417 1375 2792 308 303 611

Centre total 7858 7623 15481 1711 1682 3393

J anwad Aliamloer V355 1315 2670 295 290 585 Janwo.d 1 672 1622 3294 364 358 722 Kanthandoor 1514 1469 2983 330 324 654

Centre total 4541 4406 8947 989 972 1961

3antpur 3antpur 859 834 1693 187 184 371 K out ha 814 789 1603 177 174 351 Chandari 655 635 1290 143 140 283

Centre total 2328 2258 4586 507 498 1005

Kane^lanagar Kamalajaagar 2519 2444 4963 548 539 1087 Dongao 1155 11 20 2275 251 247 498 Hosannandur 1078 1046 2124 235 231 466

Centre total 5522 5454 11076 1223 1203 2426

District total 20349 19741 40090 4430 4355 8785 Population in the selected centres-1977. BIJAPUR DlS'mCI

TotcJ. population Children in 0 Selected centres/ years of age. sub centres. Hole Female Total Hale Fema,le Total

Indi 4ihaxga 3519 3272 6591 747 729 1476 Tambe 3536 348 5' 7021 796 777 1573 Salotgi 4389 432 6 8715 988 964 1952 Shirashyad 1475 1453 2928 332 324 656 C. Bevanur 1797 1771 3568 405 395 800 Tadavalga 3019 2976 5995 680 663 1343

Gentre total 17535 17283 34818 3948 3852 7800

Chadchan H alalii 648 639 1287 146 142 288 Havinal 11 05 1090 2195 249 243 492 Bardol 182 3 1796 3619 -! 11 400 811 Loni (B.l.) ) 9 5 9 1930 3889 441 430 871 iJiir.'.sang 1583 1560 3143 356 348 7cv: Zalki 736 774 1560 1 77 172 349 Horte 1959 1930 3889 441 430 871

Centro total 9863 9719 19582 2221 2165 4386

Alrael A1 lel 4472 ^!-407 8879 1007 981 1988 Balogaon 648 639 1287 146 142 288 Kanno] 1 i 2075 2046 4121 467 456 925 Yankajichi 1756 1731 3487 396 386 782 Fioratgi 1885 1857 3742 425 414 839 Devangao 2189 2158 4347 493 481 974 Devarnavadgi 10^19 1033 2082 236 230 466

Centre total 1 407 '1 13871 27945 3170 3090 6260

Kalkeri Kalkeri {li & B) 21-45 2410 4855 551 537 1088 Korxj; 2688 2650 5338 605 590 1 195 Aski 1 606 1583 3189 362 353 715 Hippr.rgi 3791 3736 7527 854 832 1686

Centre totr:l 10530 10379 20909 2372 2312 4684

Dig-urict total 52002 51252 103254 11711 11419 23130 -o. ^ ^ ,,,, e- — — ^ A P P 3 JM D I f

PO'OUl at ion in^ the selected centres- 1977 OHI G’a’'ii.GALUR DIS Till CT

Tot;.1 'opulation CM ldren in 0-6 Selected centres/ yea,r,3 of age sub-centres. Hale I'e aale Total Male PempJLe Tote,: riallandur Dhnnukodge 262 247 509 59 61 120 Jenr.gadde 786 740 1 526 176 184 360 Kotnradahalli 830 781 1611 185 194 379 Aid or 1660 1562 3222 371 388 759 Vastharo, 656 616 1272 147 153 300

Centre total 4194 3946 8 140 938 980 1918

Nidaj^liatta Honchinahalli 387 364 751 86 90 176 Bannur 106 99 205 24 25 49 Pillenahalli 854 804 1658 191 200 391 Huligere 5-57 524 1081 124 130 254 D od dapathe ge 176 166 342 39 42 61 Tangli 662 623 1285 148 155 303

Centre total 2742 2580 5322 612 642 1251-

Koppa Addadgadde 1590 1495 3085 355 371 726 Bandigadi 853 803 1 656 191 199 390 H .H . Pura 1248 1174 2422 279 292 571 Kadadhur 1 180 1110 2290 263 276 539 Talamakki 858 807 1665 192 200 392 Narvey 2967 2791 5758 663 693 1356

Centre total 8696 81 80 16876 1943 2031 3974

Hirenallur Hirenallur 1077 1013 2090 241 252 493 xmthara.gatta 467 440 907 104 109 213 Basur 536 522 1078 124 130 254 Bislare 868 816 1684 194 203 397 C h owlathr1yur 108 101 209 24 25 49 i.so,vandi 1056 993 2049 236 247 483

Centre total 4132 3885 8017 923 966 1889

District total 1 9764 18591 38355 4416 4619 9035

Includes hainlet villaLges. - 78 - 3 iT D I X

Selected centres/ T ot ''.1 I") o pul r,t i on Children in 0 ~ 6 sub“ Cen fcres. yeaj?G of age IL.^le S'emale Toto.1 Male jTemale Toto.l duratkal Iddya 8761 9363 18124 2128 1 990 4118 Hosabettu ■:715 5039 9754 1 146 1071 2217 Ilulki 3375 3607 6982 820 767 1587 Haleangady 4161 4446 8607 1011 945 1956

Centre total 21012 22455 43467 5105 4773 9878 Ullal ¥annur 1362 1456 2118 331 309 640 'To.lapadi 1649 1762 3411 401 374 775 J 0 p p i n an og p. r u 3658 2840 5498 646 604 1250 Ullal (K:..) 10764 10503 22267 2616 2444 5060

Centre tot^'l 1 6433 17561 33994 3994 3731 7725

Brahoavar Vararaballi 4889 5224 1011 3 1 188 11 10 2298 Keuj al 3426 3-61 7087 833 778 1611 Kar jo 1718 1836 3554 418 390 808 K Okie erne 1451 1551 3002 353 330 683 Havp.n j 0 1434 1532 2966 349 326 675 Uppoor 3256 3480 6736 791 710 1531 Chantii;.ir 1857 1985 3842 451 422 873

Centre total 18031 19269 37300 4383 4096 8479

Kota Giliyar 1697 1814 3511 412 385 797 Ilpiioor 2035 2174 4209 495 462 957 Kalthoor ■ 732 783 1515 178 166 344 Bojinady 579 619 1198 1 /!-1 132 273 Karkada 1238 1323 2561 301 281 582 Pojideshirar 11 79 1259 2438 287 268 ■ 555

Centre total 7460 7972 15432 1814 1 694 3508

District total 62936 67257 130193 15296 14294 29590 - 79 - ■p J IJ D I X

' Tot i„l 'oopul,',tion Children in 0 6 Selected centre s / years of r.ge 3ub-centres. , , Hale jj'emnle Total Hale i^’e- lale Total

Na ROHE Wai'’one 1976 1975 3931 427 415 842 Rudravadi 964 954 1918 208 203 1-11 Ladmughli 956 947 1 903 207 201 408 V.K. Salgar 1443 i;27 1870 312 303 615 KamaIanagar 74 ^ 737 1481 161 157 318

Centre tota.1 6083 6020 12103 1315 1279 2594

Maddanhipparse Maddanhipp arge 2676 2649 5325 579 563 1 1>2 Kadaga.nchi. 2702 2675 5377 585 568 1153

Centre total 5378 5324 10702 1164 1131 2295

Farhatabad Perozabad 1792 1773 3565 338 377 765 1‘arh atalad 1685 1o57 3342 365 352 717 B. Saradgi ' 1897 1878 3775 .;.i 1 399 810 K ir a n g i 2400 2377 4777 520 505 1025 T ilg ul 661 655 1316 1 !-3 139 282 Hagargundgi 1011 1000 2011 219 213 432

Centre total 9446 9340 18786 2046 1985 4031

Kanalapur Eauial apur 2970 2939 5909 643 625 1268 i-ahagaon 2826 2796 5622 612 594 1206

Con'ere total 5796 5735 11531 1255 1219 2474

District total 26703 26419 53122 5780 5614 11 394 -80- A P P S IT D 1 X - I I’opulation in the selocted contros

IL'lSSAE DISTllICr .

rotal pojulntion Child]:en in 0 - 6 Solected cantres/ years of age sub-centros Mal( jmo.lo Total Male b'emale I'otc.l

SilLilGriJ’iE

Salagame 554 545 1099 126 128 254 D od dak ondgula 581 571 11 52 132 134 266 Tejur 513 505 1018 117 119 236 Seege 283 279 562 65 66 131 Yala;Ounda 2(57 263 530 61 62 123 jJudda 656 645 1301 150 152 302 Uddurahalli 317 311 628 72 73 1 45 3. KoiDpal 53 53 106 12 13 25

Centre total 3224 3172 6396 735 747 1482

H. Hosahalli 192 188 380 r r 44 88 liarkuli 786 774 1560 179 182 361 Kowshika 609 598 1207 139 1 /11 280 Bo ovanahalli 1162 1144 2306 265 269 534 Shrmtigr ,ma 1511 1/ 55 2997 3'V 1- 349 693 Kattya 81 1 798 1609 185 188 373

Oo'ntre total 5071 ■’988 10059 1156 1 173 2329

Udjayapura G h owd n ahal 1 i ■ 177 175 352 40 !-1 81 Appenahalli 170 168 338 39 ■10 79 Kodihcalli 594 585 1179 135 1 38 273 13 ore g owdcjia K oppal 95 93 188 22 22 A r Bidare 687 675 1362 157 159 316 Uthenalialli 215 212 427 49 50 99 Bagur 1 171 1151 2322 267 271 538 Vaddarahalli 500 493 993 11 -! 116 230 H irib ilth i 204 201 -;05 47 54 101 Pura 231 228 459 53 54 107 A.Kalenahalli 249 24 1 493 57 57 114 Chikka,n0.yakanahalli. 90 38 178 21 21 42 Byaladakere 167 165 332 38 39 77

Centre tote-.l 4550 4478 9028 1039 1062 2101 mi »r 'C ontrL Total population Children in 0 - 6 selected centres/ years of age. sub-centres. i'lalG Pei.ale Tot al -liale Feii'ale T ot a

I'lattinavile

Dodderi 280 275 555 64 65 129 I'Tattanavile 325 319 644 74 75 149 V irupakashapurc. 277 272 549 63 64 127 Kalenahalli 227 224 ■15 1 51 53 104 riarehalli 119 116 235 27 27 54 Santhesliwara 557 547 1 104 127 129 256 Navile 11 34 1116 2250 258 262 520 iidinahalli 183 179 362 ^42 42 84 Rachenalli 177 175 352 40 41 81 C ha.nn e n aha 11 i 299 294 593 68 ■ 69 137 riadalapur^ 106 104 210 24 25 49 J innenahalli 697 685 1382 150 161 320 Kalakere 377 371 748 86 87 173 Anathi 622 611 12 33 1 42 144 286 Kembal 592 583 1175 135 137 272 Bn.lagatta 392 390 782 89 92 181 Mathighatta 461 ,^53 914 105 107 212

Centre Toto,l 6825 6714 13539 1554 1580 3134

District total 9670 19362 39022 ■^-1-84 4562 9046 - 82 - A P P 2' N D I X - P o )ulation_ in th(^ sj3lec.ted .centrej iiI30R^ jlSTxLIGT

T ot rJ p opulat i on Ohildron in 0 - 6 Jolected centres/ years of a-^e sub-centres Lai a i'emale Total Hale Fe.'iale iotal

Oharaara;i Kothalvady ~ 1676 1592 3268 354 352 706 BasaAm'pura 11 20 1064 2184 236 235 471 Yanganaha.lli 933 887 1820 197 206 403 Vo Chatra 1512 1437 2919 319 334 653 ii.rakal-’iradi 976 928 190 1 206 205 411 Udit;ala 1890 1796 3686 399 397 796

Centre total 8107 7704 1581 1 17 11 1729 3440

Unmatur Galipufa 423 402 825 89 89 178 ~ . -I- - 1 Ummatur 2442 2320 1762 &I 5 512 1027 Hoxwe 1759 1671 3430 371 369 740 Kuderu 2005 1904 3909 423 420 843

Centre total 6629 6297 12926 1398 1390 2788 jjelwr.l 3elwo J 168^- 1 600 3284 355 353 708 Hi-ikal 1371 1 303 2674 289 288 577 Kallur 678 645 1323 143 1 42 285 Jaipura (a ) •:72 449 921 100 99 199 Jaipura (B) ;-72 449 921 100 99 199 3afia.rakatto 229 2 18 447 '18 48 96

Gentc; total V906 4664 9570 1035 1029 2064 3 .K . Hundi 3.R. Hundi j 700 666 1366 147 291 Vo^runa | 147 Vaak odu 1558 1 ;B0 3038 329 327 656 Kadokola - 1583 1503 3O86 334 332 666 Udboodu 2586 245s 5042 545 542 1087

Centro total 6427 6105 12532 1355 1348 2703

District totcJ. 26069 24770 50839 5499 5496 10995

Pr0o;rammQ area 267189 265300 532495 60422 58863 119285 - S3 - A P P, a E! D I X - II rlonthly Quantity of food sup supplied b.y G./uiE durinj^-: 197 5 and ~1977 in the *7r^*;r.: iiriie’l ’xo a "of karnatrika r ' ’

BIDAR DISTRICT __ __ ( in E Jr'rimary lie

1976 J anuary - - -- February -- - - riarch -- - - - April - - - May - _ - - - June 5000 5000 5000 4000 19000 July 3125 - -- 3125 August 5000 2500 - 6000 1 3500 September 2500 2500 - _ 5000 October 3750 2500 5000 1 1250 n 0A7 ember 3125 - - - 3125 Deceiber 9000 9000 - 9000 27000

Total 31500 21500 5000 21-000 82000

1977 January -- - ~ February -- 9000 - 9000 liarch -- - April --- 9000 9000 May - --- Juno - - ■■ -- July - - - August 9000 9000 9000 9000 36000 September ------October - -- -- November = - „ - - December 9000 -- 9000 1 8000

Total 18000 9000 18000 27000 72000

.Total 49500 30500 23000 51000 154000 1976 & 1977 Prii'iary laealth centre J-T'f J- oio V 11/ J' O Ci^i- • *p ~ Uch8„20a-n Hirebagewadi N a 2 ran o or K i 11 or Totoa

1976

J anuc'.ry -— -- - February - - - "* ~ I'larch - - - - - i.pril - „ - ~ - May - “ - “• - JuilG “ “- - July ~ - - ~ - Au^j^ust 5000 5000 5000 5000 20000 September - -- October 5000 5000 5000 15000 November 5000 5090 1 0000 Deceraber 9000 ~ - 9000

Total 24000 1 0000 10000 10000 54000

1977 Januo,ry - 9000 -- 9000 February -- - 90''0 - - 9000 Ilarch -- 6500 6500 ii.pril 9000 9000 - - 18000 Hay - - - - June _ _ -- July - -- -- August 9000 9000 9000 9000 36000 September - - --- October _ _ - - - November -- 9000 9000 18000 Decoi'iber 9000 9000 - 18000

Total 27000 36000 27000 24500 114500

Total 5 1 000 4'6000 37000 34500 168500 1976 & 1977 p p K D I Z - II

Primary health centre lionth/year Indi Chc.dchcua Llmel Kalkori Total

.Li7i January 6125 6125 61 25 6125 24500 j^ebruary Moxch 6125 6125 6125 6250 24625 April 3750 3750 7500

May 5000 5000 - - 10000 June 5000 „ 6250 6625 17875

July - 5375 3750 3750 12875

AU;<^USt 5000 - 2500 5000 12500 Sep tember 3750 2500 4375 1 0625

Oct ober -- 2500 3750 5000 11250 November 6250 2750 5000 1 4000 December 9000 9000 9000 9000 36000

Total 42500 40625 48750 :-9875 181750

1977

January - -- February 9000 9000

March - - 9000 9000 18000

April 8000 - - - - 8000

May — “ 9000 9000 June July Augu s t 9000 9000 9000 9000 36000 September nr^r\r\ 0 ct ober = — 9000

N ovember - 9000 9000

December 9000 9000 -- 1 8000

Total 26000 27000 27000 36000 116000

Total 68500 67625 75750 85875 297750 A P P E U D I X - II GHICKi'iAGALUpL DISiaLCT ( i i kgs. )

Primary Health Centre Month/Yoar IlallaaiCiUr Uidaghatta Koppa Herenallur Total

1171

January - - - ~ -

February - - -- -

March - - - - -

April - - - - -

Hay - -- - Juno 5000 5000 5000 5000 20000

July - 5000 - - 5000

August 2500 - 5000 5000 12500

Sept ember - 5000 - - 5000

October -- -- m m i\fovGrabGr 2500 - - 5000 7500 December 9000 9000 6250 9000 33250

SotaX 19000 24000 16250 24000 83250 13.11

January - - - -—

February - 9000 9000 9000 27000

March - " - - -

Ay)ril - -

Hay -“ - 9000 9000

Jmie - - ---

- July - - - - August 9000 9000 - 9000 27000

September -- - - -

Ocijobor - 9000 9000 - 18000

November 9000 9000 - 9000 27000

- D3c ember - ~ ” -

Total 18000 36000 18000 36000 108000

Total 37000 60000 34250 60000 191250 1976 &1977 A P P E iI D I S - II

DiJCGIIIKA KAI!N.J)A DISTRICT ( in K s. )

Primary health centre IIon% /Year Bhranho.vrrra Kota Suro.tlrra Ullal Tot .a

1976 J anuary 3250 6125 - 9375 Pobrue^ry 2875 - 6125 9000 March 2500 6250 - 6125 1 4875 iLpril 5000 3750 6125 , 2500 17375 Hay 2500 6250 6250 - 1 5000 JUilG 3750 -- 3750 July 2500 3750 6250 6250 18750 Ii.uga.3t 2500 3000 6250 2500 14250 3 g ptGinber - - “- _ October 3750 6250 6250 3750 20000 iTove "aber - 3750 5000 - 8750 Da ce:nber 9000 9000 9000 9000 36000

Tot al 37625 48125 51250 30125 167125

1977

J ojiuary - - „ “ - Eebruary - - 9000 - 9000 March 5000 5000 - 5000 1 5000 April - - 9000 9000 9000 27000 May - -- - June - - -- > July - -- - iiUj^, U-k5 9000 ■ 9000 9000 9000 36000 Septerabor ------October - 9000 - - 9000 Novenber „- 9000 - 9000 Deceiabor ~ - - 9000 9000

ToteJ. 14000 32000 36000 32000 114000

Totrl 1976 & 1977 51625 80125 87250 62125 2 8 1125 gulbauga d i s t r i c t ( in K{; S. )

x^rimary health centre Month/Year i'arhi-tabaci Kamo,lapur liadanhipp™ l'To,rona TotriJ.

. or,f!:e. ■ '

1976

January 5950 5950 5950 17850 February March 6000 6000 500 0 17000 A p r il May 5000 3750 6250 15000

Jmie 2500 - 2500 July August 3750 6875 2500 6250 19375 September 1875 5000 6875 October 3750 2500 2500 3750 12500 NoYGiabGr 2500 5000 5000 - 12500 Docember 9000 11500 20500

Tot a 30000 28825 21575 43700 124100

lilL,,.. January Pobruc.ry 9000 9000 « 18000 March :i-i-'ril 9000 9000 ~ 9000 27000 May Juiie July AUi^st 9000 9000 9000 9000 36000 aeptomber October 9000 - 9000 18000 November December 9000 - 9000 18000

Totca 27000 36000 18000 36000 117000

Total 57000 64825 39575 79700 241100 1976 oc I977 - 89 - A P" P B IT D I X ^11

HA33AiI 1)13TRIGT ( in kgs. )

Pri]'iar,y hoc.lth centre Louth/yoar Snligarao ...nkapura Ilattinavelli Udayaput Total

1976

Jsjiuary -- - ~ _ _ Februarj^ - - _ . _ „ iiarch _ _ - _ _ April « _ „ _ _ Hay ^ - Juno 5500 5500 5500 ' 55OO 22000 July _ „ „ _ „ Au^iust 5500 - 7000 3750 16250 SGptonber _ _ „ _ „ October 3750 - ~ 5500 9250 November - - 5OOO - 5000 December 9000 9000 9000 9000 36000

Total 23750 14500 26500 23750 88500

1977 January _ _ „ „ _ February 9000 - 9000 - 18000 llarch _ „ „ _ _ April -- 9000 9000 5000 23000 May - „ „ „ „ June - ■- - - - July -- ■- - - “ August 9000 9000 9000 9000 36000 September _ _ _ _ „ October 9000 - 9000 - 18000 November 9000 - - 9000 18000 December - -- - _ _ ■

Total 36000 18000 36000 23000 113000

197T&^i‘977 32500 62500 46750 201500 - 90 - A P P B IJ D I X ~ II ( in Kgs. )

. Primarj^ Health 0 entre Month/Year ChraTiiaraja- Sidda- Unma- Yelwel Tota,l na^ar rarna Hundi thur

1976

January 6125 6125 12250

Fabruarj/ - -- - - I'larch 6200 2500 6200 3750 I865O April - 3750 3125 2500 9375

I lay 2500 2500 - 2500 7500

Jmie 6250 - 5000 3750 15000 July 5000 6250 5000 3750 20000

AUi'^Gt - - 3750 2500 6250 Septomtior 6250 3750 “ 3750 13750 October 5000 3750 2500 3750 15000

No/omber - - - DecGmbor 9000 9000 9000 9000 36000

Total 16325 31500 31575 ■11375 153775

1977

... J rmuary - - -

February 9000 9000 - 9000 27000 March - - 9000 9000 A'oril 2500 5000 ■■ 3500 11000 May - 3000 3000

June - ~ -- =• -

July - “ - - August 9000 9000 9000 9000 36000

Saptenber - - - - - October 9000 9000 9000 9000 36000

Novenbor - “ - -

December - “ „

Totril 29500 32000 27000 33500 122000

Total 63500 1976 & 1977 75825 61575 74875 275775 - 91 - APrENDIX - II

Pr 0;9:r£'jiiine Lroai ' (:(in Kgs.)

Month/year Program'!!

J aiiuary 63975 February 99100 Ilarch 75150 April 34250 ilay 17500 Juno 100125 July 59750 August 114625 Septem'bor A1250 October 94250 Novembor 60875 DocGinbGr 233750

To::al 934500

1977

January 9000 February 126000 March 48500 April 123000 May 22100 June July =* August 279000

September - October 108000 Noveiaber 81000 December 81000

Tolal 876500

lotal 1811000 1976 & 1977 ■ oo 4J C o o UT

"0 U '-0

VD ISJ

X 1' "0 a H

J .jj. ci. . b , Inaex of response - 1977 .

Belgauin District - Hireoagewadi Primary Health Centre.

CO 4J C •H o a o LT) II

01 H iX) o VD J} U)

X OJ d c: H U3

• oc Fiyure-iV .

Inaex of response - 1977 0) 4J C ■H

I -P c o a o un II

r3 U CO

X (1) T3 G H

J .D . Weeks/Monfh Scale .8"=4 weeks B ,E .& .S Figure- VI

Index of response 1977

Dakshina Kannada ristrict

<1

J.D. B ; Figure-VII

Index of resDonse - 1977

■ V O CD . I

J.D. B .F .& ,S, Figurp-VIII Incex of response - 1977

Cfl Dakshina Kannada T is t r ic t - Brahinawar Primary Health Centre -p C

V.0

J wD . ^'’eeks/Month Scale .F"=4 B .E .& oS. F i^ure-ZK Index of response - 1S77

-P

o o Figure-X Index of response’ ~ 1977

CO 4-> c ■H

o Fi jur<=-XT

Index of resDonse - 1977

CO 4-> c ■H o a o un

0) <—I 0) o cn

C IS)

X cu C

J .D . B tE .6£ oS . Ficure-Xll

Index of response - 1977

CO ■P

c u Figure No. XIII -p c Index cf response- 1977 •i“j o a Mysore D is t r ic t -r Ummathur P.rine ry Heelth Centre

I I-* 0) 0

C 1 H

J .D . B .E . Sc S ({] -p c -H o a o u">

r-i 0) rH ID O U} X o (b tn V C

J.D, E .F .& S 1,0 4^ C ■M o CU o IT)

(JJ rO O X -J] o 0) cr, T3

H

J .D . B .F .& S Figure No. X^7I ‘

Index o f ResponSF - 1977

Mysore: District ~ S.P, Hundi Priinary Health Centre

X (U c H

Weeks/Month Scale 8" = 4 weeks

J.D. B .F . & S AppElJIl - IV Index of response - 1977

Pri-a.ary Health t-v. Feb. iiarch April :lajr June July Aug. Sept. Oct. IIov. Dec, Centre

Uchagaon I 63 78 93 96 100 115 125 131 117 114 133 110 II 61 61 97 76 103 115 125 130 111 99 133 11 2 III 60 56 75 107 1 1 2 1 29 123 101 113 . 93 134 73 IV 61 56 o 1 33 115 110 126 113 103 91 131 58

Hi re bagewadi I 45 70 1^5 135 94 124 132 140 117 24 117 76 II 91 117 109 140 136 1 29 141 133 43 22 112 142 III 40 1 26 71 73 40 125 141 136 -- 150 125 IV 44 125 130 22 1 40 123 72 139 - - 152 132 o CO Jagano or I 127 129 116 113 113 144 23 99 133 95 135 40 II 103 114 120 109 123 149 35 143 143 154 77 40 . III 113 117 97 95 97 132 35 144 143 161 32 46 IV 61 130 P9 125 123 37 55 17 146 131 39 42

M ittoDr I 140 133 17 191 124 142 61 49 49 146 143 132 II 131 54 17 124 152 142 79 124 76 1 21 87 96 . III 119 17 @1 112 34 143 21 53 145 99 142 94 IV 140 17 93 94 157 142 24 59 69 149 160 135 Dak shin a .iannada;

Primary Health. ./eek Jan. Feb. Sept. Centre March April May June July Aug. Oct. Nov. Dec.

Surutkal I 106 111 107 106 106 109 109 1 10 110 110 90 81 II 103 110 107 103 96 1 10 110 109 111 107 67 83 III 106 110 107 1 D4 96 103 109 109 111 107 34 85 IV 109 110 107 104 105 95 104 109 1 11 107 13 66

Ullal I 103 135 121 114 103 1 27 73 105 83 107 96 103 II 104 122 114 119 60 137 109 118 73 105 99 105 ! 1 III 30 125 10S 125 73 69 113 109 101 101 103 81 O IV 57 1 26 7C 85 73 73 115 113 82 90 95 92 UD

Kcta I 108 104 103 106 106 102 95 97 84 104 99 91 II 108 104 10^ 105 106 97 103 97 84 101 97 88 III 106 105 107 104 107 103 105 98 79 •100 86 88 IV 106 107 1^8 105 106 106 1 06 98 34 98 98 95

Brahmwar I 113 118 140 128 1-27 41 92 102 1 18 99 59 94 II 121 1 11 142 94 124 92 101 121 118 97 61 92 III 134 125 101 95 127 81 89 130 1 10 93 59 86 IV 93 136 99 89 50 34 69 135 88 90 59 80 March April May June July Aug. Sept. Oct. Uov. Dec,

ITarona I 123 93 135 54 114 97 32 - 135 1 28 98 91 II 126 137 139 58 97 98 82 - 135 130 129 90 III KO 159 55 23 97 82 69 78 135 130 145 101 IV 33 139 53 112 97 82 50 126 137 101 1 46 101

Maddanhipparge I 131 151 145 111 173 67 63 — 68 151 81 63 II 130 118 151 153 146 67 110 - 61 138 67 75 III 144 124 152 166 173 - 81 - 67 60 60 151 IV 130 145 151 173 173 - 80 - 61 75 68 144

0 Farhat ab ad I 173 152 217 95 152 91 143 199 99 103 142 125 1 II 108 100 103 35 152 91 113 108 103 112 103 99 III 106 108 108 56 95 95 1 08 91 103 112 185 138 _ IV 91 78 134 17 74 57 30 203 90 52 73 73 .

Kamalpur I 112 104 168 161 155 ^71 177 1 70 111 123 104 117 II - 69 130 103 96 109 1 10 114 123 135 35 129 III - 42 97 131 136 '40 134 134 121 1 32 58 40

IV — 61 61 93 2'^ 96 78 154 166 - 73 Primary Health Week Jan. Feb. March April May June July Aug. Sept. Oct. Dec. Centre Nov.

Chamara3 nagar I 118 122 127 106 1 13 113 1 18 54 125 123 122 105 II 130 125 124 110 113 117 57 66 106 123 123 112 III 127 123 121 90 120 119 17 38 87 114 108 107

I '7 102 110 99 107 106 33 - 40 82 101 59 78

Ummatur I. 167 153 150 153 153 98 — 111 154 132 111 108

II 166 155 107 153 159 45 - 109 145 145 108 1 08

III 160 100 75 153 110 -- 89 89 108 109 56

IV 55 65 - 154 75 -- - 52 152 106 109 36

El-ral I 74 107 104 102 103 106 109 106 110 104 104 104 II 73 91 102 108 107 105 108 106 103 95 102 99 III 71 101 120 109 111 106 109 106 97 103 105 99 17 53 74 102 109 109 98 80 98 95 1 08 104 101

3.R.Hundi I' 97 94 86 97 102 95 98 99 97 113 118 116 II 93 90 87 97 102 100 96 99 103 113 117 113 III 94 91 63 101 97 95 94 102 102 99 114 113

17 85 91 90 99 96 100 94 - 99 108 115 113 Inaey. of response (,>3Ui3-cent.re ) - 19 77 level • oe^uduai axstrict

Prxiiiary Heaxth Centre/ou>j- ,'Veek January Fecruary warch- rt.pril May June Juxy August Sept. Oct. iXOV . Dec . centre

Uc riaiQdOi.

.-is te X 79 106 j l ab 107 1 06 y4 106 120 101 120

X X 117 86 104 85 89 106 104 82 . 106 120 102 ^120 111 85 64 104 85 110 106 104 82 106 120 106 12tf >• ^ xV 87 89 lOy 84 110 107 106 82 96 120 106 ■120

Uc naydor 1 142 89 9 4 95 87 120 130 132 129 4 6 ■■ 74 ro xl 84 94 94 y4 104 87 116 130 132 92 67 91 1 1x1' ‘ 79 98 98 c 9 4 104 100 116 130 132 ' 61 89 70 xT 95 91 88 94 104 102 116 130 132 38 72 69

inarihax 1 —— 49 81 91 100 117 121 116 86 120 120

11 - - 55 34 80 94 . 112. 121 113 97 120 120

X^I - - - 103 92 107 Il l 114 114 . 87 120 .115

IV -- - 75 96 34 106 79 79 90 108 110 Inaex of response (.soD-centre ) - 1977 level

Priiiietry Hedith Centre/-i>uD- WesK J a n . F eo , narch rtpri X I'icty June July /^uy . b e p t . Oc t . iMOV . Dec . centre

Ho ndyci I i l l 101 124 93 63 142 96 172 123 104 114 —

jl'1 9 6 111 130 100 97 12 0 136 172 65 . 83 . 124 - . -L 1 , 96 95 116 100 108 90 169 84 1Q8 83' 145 — IV 96 81 99 36 106 106 151 16^ 108 95 116 --

Ku.Xa.KciifiOcE I 12 4 8y 89 76 111 99 111 115 87 118 204 60

j-I 112 89 89 63 93 85 107 115 10.7 . . 64 1,48 97 J- -L J. Iz 6 89 8y 107 101 85 81 116 114 64 126 - ' 1 lY 116 .. 89 89 110 93 79 65 114 100 - 121 -

Kakdti I — 92 77 65 . 75 108 129 143 125 122 103 i06 . J.1 - - 72 52 84 119 110 1^4 135 104 103 91 - - 66 63 81 125 120 70 131 104 94 76 J-V - - 14 63 96 128 142 137 131 93 106 -

C haryad 1 99 Iu8 94 100 101 55 72 -- 48 142 162 ill ■ 85 105 106 97 106 92 72 - - 29 160 156 XX-L 99 104 103 103 110 185 76 - - 137 - IV 94 1 01 91 100 110 - 76 —— 49 153 — index -vf response (soo-centre ,) - 1977 level pririiciry iiealth L.entre/sujD- weeK Jan. FeJD . 1-jo.rc n iHprxi May June Juxy August sept. Oc t . iXiOV . Dec . cent,re rii r ejj ge w dCt i iiireoctge waQx i 56 95 106 10b 9 0 112 1x2 112 118 118 28 j-I 84 90 101 112 106 112 112 118 -- 112 106 j-± j- - 95 62 4b 112 112 112 112 - - 124 .90 rV - 95 101 - 112 112 28 118 - - 124 101

\ wu-cnai -L - 1 ou 100 1 Ou lOO 100 100 100 100 113 loO 100 X X - lOU - 100 100 loO 100 98 100 105 99 100

iX 1 loo 100 luO luO U O 100 , 99 -- j9 _ 100. 1 xV 100 98 100 100 lOO loO 100 luO -- 100 100

Pee ran Weld i X 92 110 HO — 49 120 111 -—— 13..0 l l 92 92 110 112 112 65 116 87 108 -- 13 8

_x X 73 110 - 75 110 52 117 93 - - 116 12 3. iV 92 ilO 110 - 112 62 111 91 -- 122 116

.uoqcinooir iviagcinoor X 93 79 79 70 83 110 63 111 95 85 H i 111 73 42 95 79 95 113 95 111 111 1 uO 104 111 i l l 71 82 104 95 96 112 95 127 95 104 87 127

xV - 95 1 0 ‘X 314 112 10^ 95 47 95 10^ 106 114 - rfexcjauiii g x s t r i c t Index of response (suD-centre ) - ly77 level

Priii.^ry Heci±th C entre/s ui3- . ,^/eeK Jan • Feo . i'ldrcn ^prix rici Y June # uxy A ug. S e p t . Oct. iNfOV . jec . c e ntre »

TiydCLi 1 98 111 By 86 99 115 — 113 1^6 109 142 —

s.x , 98 110 93 57 111 117 - 110 126 174 - -

XI 1 . 81 ■ 49 90 - 92 111 58 - 112 140 142 --

xV 95 34 89 9y 85 - -- 138 111 - -

waKundi j- 91 96 93 8d 88 94 — 132 115 115 I l l —

. 1-^ 93 107 90 b9 84 103 - 115 119 115 - -

i l l 91 109 - 17 — 88 -- 132 115 --

IV - 126 91 89 56 ------<1

Vannctr X .103 114 y7 116 941 125 -- 95 - 46 —

. "I T J-L 73 100 90 117 94 124 - 102 95 105 --

1 x 1 102 103 106 93 102 1^9 - 89 9 7 13 9 - -

IV 1U7 119 - 103 119 - - - 96 78 --

Kittor Kictoor 1 l4l 139 18 102 125 143 62 49 50 147 149 133 11 132 54 17 125 153 143 79 125 77 122 88 100 j-ij- 12 0 17 81 113 85 144 21 54 146 100 144 95 xV l4l 94- 84 159 l^y 24 60 69 149 161 136 APPENB.IX -IV A rie-^auiii cLiST:rict j.n^ex of resj^onsfc [suij-centre. ) - 1^)77 le v e l

Prj.iuctry Heaxch peRtre/oUD- • veeK J a n . Feo . Wcarc n J- X j‘ici Y June JuXy b e p t . Oct. IsIOV . Dec . centre »

/•■jiu-/ iu.c.gci tte ± 141 Is 9 18 102 125 l'^3 62 49 50 147 149 .133 X I 132 17 125 153 1^.3 79 125 77 122 88 ,1-00 120 17 81 113 85 1^4 21 54 146 100 144 95 IV l4l 17 94 84 ■ 159 l44 24 6U 6r# 149 161 136

i3dlWcld.l I 1^1 U9 18 102 lz5 1*±3 62 49 50 147 149 133 \ 11 132 5^ 17 125 153 143 79 125 77 . 122 88 100 - j-l± 120 17 81 113 85 1^^ 21 54 146 100 144 ’ '95 cn I IV 141 17 94 84 159 1 4^* 24 bO 69 149 161 136

DciXsnj_nci rvanxictad ourdtKax - - - - - iaciya X 100 106 102 102 100 103 104 104 105 103 103 , 77 11 102 106 103 100 102 102 106 104 107 98 103 84

i l l 100 10^ 101 =»9 102 101 104 103 106 98 57 89 . - IV 102 10^ 102 yS 102 103 106 105 106 98 - 89 In a e x of response (suD-Centre, ) -1977 le v e l

Prxiittary Health Centre/,:3UO- ,jeeK J a n . F 0O « riarc h ^p rxl I'^lo Y June July riUgUS t o e p t . Oct-. . l-vJOV . Dec . centre hosdoettu i 105 105 105 105 104 105 104 103 105 1 04 — 91 11 104 1 04t 105 106 10 105 103 102 104 105 - 87

±11 1^0 104 106 104 71 105 104 100 106 105 - 91

IV 104 106 104 106 9 D 105 70 104 106 104 - -

I'iU i K1 1 100 107 104 100 104 106 106 10b 108 108 105 64 Xi 105 107 100 96 9o lOi) 108 1 uo 108 107 42 64

llx 105 lu8 10^ 102 91 lu6 106 108 107 luB - 63

IV 107 107 104 100 1 03 101 108 108 108 107 - 58 !

Haocingaui 1 101 102 100 ^6 93 100 102 103 102 104 115 98 ±1 102 101 102 93 93 103 1 Ou 101 103 y9 105 101 ■ Xxl 103 _, 101 91 93 103 103 101 103 95 105 101

IV 102 103 93* 91 93 - 101 96 lOJ 102 105 98

Uxxdx Uu-xai. 1 69 127 122 104 81 194 104 82 41 104 93 104

xl b:) 84 104 104 82 127 104 126 41 104 93 104

X C)9 89 91 127 104 90 127 93 1U5 104 1 04 IV dl 91 92 139 1 104 1U4 93 105 9 J 93 6y Irxutsx of response (3uc'-centrfc ) - 1977 level

Prijuciry iiedltn Centre/oujD- K J-^n. Feo . I'iarch rtpril rtcny June Juiy tt-uy . b e p t . Oct. Nov. Dec . ccinure

i? Ci j.-_l 1 78 101 107 105 82 116 y8 93 . . .97 ——— 78 101 lu7 105 Bz 116 9 8 93 - 48 - -

_t_-lX 76 125 107 113 109 125 luO 101 - 48 -- IV 78 lz5 129 113 109 116 iJO 104 - --- ridnnar X 119 1j 3 100 luO 100 123 — 91 86 110 100 100 ' 1± 119 133 100 110 - 123 81 91 91 91 lOo 100'“

^ x_ 63 130 1 j O luo -- 70 91 91 81 95 70 CD ±V - 13 0 -- -- 91 91 95 81 100 100 I

J e t.-pinciraogd ru 1 76. 82 89 91 95 97 107 111 89 9 6 85 100- ix 82 57 8^ 91 95 103 109 111'.' ' 89 97 101 ' 111 ^ X J- 82 97 89 5*5 99 99 111 Ill 106 102 98 119 iV 82 97 91 95 99 y9 125 123 - 100 81 113

Kota

Gxxiydr i 118 111 111 115 106 84: 85 lUO 100 ' 99 98 96 11 118 116 112 113 108 85 84 102 100 99 98 79 -

I j. 1 118 116 105 105 112 86 85 99 ^9 98 95 79 ■ xV- 110 113 109 110 110 96 84 99 99 90 95 82 APPENDIX - IV A Contd., DciKshina Kdiinadd a i s t n c t Index of respjnse (sub-centre level)- 1977

Priruary Healtn Centre/oUD- /fc e K JdH . Fee . March rip IT 1 1 iVd y June J"u ly r\ Li^ • S e p t . Oc t . isfOV . Dec . ccntre ridnoor 98 8b 102 39 89 95 9 8 113 - 113 109 Il l Ix 98 88 103 36 88 92 95 111 - ■ 111 113 109 111 38 88 106 36 86 94 98 115 - . 107 107 111 IV 95 9 8 110 38 88 94 96 111 - 107 113 113

Cd trid ttu 1 107 107 107 1U7 115 108 75 94 97 9y 79 66 j-1 I'Ol 107 107 107 115 ■^3 116 94 98 89 71 66 X_ J- 107 107 107 1J7 i:.5 xl8 1^1 98 ■7 7 89 33 72

±V 107 107 107 107 115 118 121 99 99 83 89 84 VX) I riannady X 101 101 101 101 101 101 102 ^7 1.09 101 101 88 xl 101 101 101 101 101 101 102 9 6 109 101 101 86 101 101 101 101 101 101 102 J6 109 IQl 96 • 87 IV 101 101 101 1 J1 101 1 ul 109 97 109 101 88 88

Karkdaa 1 1 uO 100 100 1 JO 1 JO 100 100 100 100 100 100 100 XX 100 loo 1 JO loo 100 100 100 100 loo .100. ■100 100 1x1 100 100 100 100 100 100 100 luO 1 UU 100 luO 100 IV 100 100 loO 100 100 luO 100 100 loO 100 100 100 APPEITOIX - IV A * o n c Q ... jjoksninci Kci.nn.aaa axs trict .naex of response^ (,s tiU-ceacre - 1:^77 level

Pxi.itcixy Hcidlth C entre/ouo- .‘.ee k J a n . Feo . i'la rc h rtprxi J-la,y June July i-iUg . S e p t . O c t . i'JOV . Dec . Cencre

Pctnaes iriwar I 119 Ill 83 119 116 lu8 105 59 103 97 9 9 83 120 108 114 118 116 98 102 59 99 97 92 83 j.^1 117 115 11-:^ 119 11::^ 1 u5 59 y9 97 92 72

-lV 115 il5 114 116 115 9;:' 10b 59 99 99 92 89 is rd riiua.YoEa VctroiiiDctxii X 1 Ob 1 1'i 114 97 y7 83 83 8^ 109 , 100 - 102 IJ. 107 114 114 97 ^7 73 88 111 109 103 - 102 o ij- j. 107 ■ 115 ll4 y7 9 7 8^ 7b 126 5b 96 - 87 xV 107 117 114 97 97 lb 83 127 - 96 - 74

U j^ ^ o o r 1 l4t9 91 165 142 147 «0 70 64 98 97 78 89 -X 137 57 165 - 147 65 ' b2 88 98 91 82 77 160 111 - - 150 65 62 88 8 88 85 77 IV - 158 - - - - - 8o 98 78 89 73

K cir j e 1 b5 3J 107 Iu2 104 lOy 1 03 116 43 114 9 0 94 I x bS y6 10-i: 108 104 112 101 116 113 109 103 101 i x l 101 IOC 106 113 9-^ 102 101 109 113 109 99 87 1 0 1 100 96 9-6 - - - 113 114 107 9y 84 APPsr■:DIX - IV C 0 ritici jJcl Kin 1■s-i 1S H. X X c xiiasx or re£; ponse V ■-c«ncre ■) - 1^77 0 xC'Vex

Prx..,.jry infc!d.-Lt:h C tbiltJCB/O Lu3 — .veeK Jaxi. Feo . -■■i-id. rch -^pri± liay June Jury rtUy . Oct. i'iOV . Dec . C entre

x9 81 98 86 113 114 106 115 XX 10^ 8 110 1 0/ 99 61 105 86 113 114 106 116

J__- 102 _ 9 8 110 ly l 103 55 :>-9 114 1 0^ 109 98 116

..l'V 92 r)l 107 101 ' 9S‘ - 9 11^ 8z ■ lusi y8 114

K^KKarne X 37 111 111 1 J8 101 101 4» ;■> 8 128 — — — r~! x^ 9 6 111 111 108 84 9 7 84 12 0 / 0 - - -

X -1- X lu i 1 11 110 106 ■ j 1 •i9 85 I z G 12 0 -- - (O X V 105 i l l 110 - - i Jc 12 u - - -

C h^rir.cir X —--—--- - 102 97 - 8.9 X X - - . ------102 68 - 89 XXX ------146 ' 86 - 89 IV ------149 IU.3 - 89 l-itavanj e X -—— 44 89 , 76 75 1U4 114 Ill 110 ±_ - - - 49 7b - 72 76 75 IO 4 114 108 111

X Xx , - - -- 64 70 69 . 83 - . 83, . llu 114 114 xV - - - - 84 79 89 89 110 114 1J6 124 ' Gu -ludrgd aist-rxct inaex of response (buo-centre ) - 19 77 level

Priiaciry hecilth Centre/:^uo~ •veeK Jan. F e o . nctrc n .-iprxx riay June July rtug . o ep t . Oct. isIOV. Dec . centre

iNi drone 1 luu I j O UO 100 luO 1 JO luO 100 100

-L J- 100 100 luu - 1 o 0 1 j O luO - luO 100 100 100 -1 -i— luO 100 - - 100 100 lOO 100 100 100 100 100 ■ IV lOU 100 - 100 100 100 UO 100 100 100 100 10©

Kci it icL _L cL n

jN 93 9 J 93 - - - 93 1 Od 108 1 Jd 108

V -K.^dXciyciir ± 90 103 9o 1 u3 — -- - 124 98 109 83 103 93 103 lOj ---- 1Z4 109 103 75 93 luj 1U3 - -- - 103 124 109 103 - xV - 93 103 -- - - 103 134 - lu9 - «

—id QuiUy ^ i. _L — 1.18 85 67 113 106 — - — — -—

Xl - ^7 85 . 9^ 101 1 j 8 ------x il lid db IZ 83 10^ ---- - 110 - xV 118 108 9^ 95 10b - -- - 108 - g-Lstr-xct Iriaex of resj^onscj (,sao-centre ) - 1^77 level.

Prj.jiic.ry neaxtn Centre/i, uD- .jeeK ^ Jcin, x'eu . j-ia rc n r^jjrxx 1-io.y J xne Juxy vf-.ug. oe jjt. Oc t . WOV , jjec . ceiicre

Kucircivciai X 101 101 101 - 101 101 101 - 101 101 -- xl 101 101 101 ■ 101 XUl 101 - 101 101 101 xxl 101 101 - -■ 101 101 61 - 101 101 101 . 101 xV - 101 - 101 lul 101 - 101 101 1»1 101 101

liXj.. ^cjroe iici cxta n ^ til rye X 102 111 102 30 1U2 101 102 IO j 12^ 122 102

X X 101 51 101 ' 82 62 101 102 - 92 102 101 112

J-j-X 121 71 1 j 3 102 103 - ' 122 - 101 90 91 122 J.V lu7 1U2 101 103 1U2 - 1^:1 - 9L 112 103 112

Kv^ay^nc ini X 77 94 94 111 128 _ — — _ 85 — — XX 77 103 103 120 :^z8 - 51 - - db - - X XX 77 9^ 103 120 12 8 - ---- 86 f iV b8 s»4 103 12d 1^8 ---- - 86

F j r ria ci^iX) ._vd \ i;'^ r h_i tar> aa I 105 105 105 105 105 -105 105 ■ 104 94 9 4 ‘ ,94 94 XX . 105 105 105 105 105 105 104 94 - 94 94 xXX 105 105 , 105 ■■ ■ - 105 105 105 104 94 - 94 94 X05 X 05 - XOo X oz 1 o-± J -i - 02 5 6 •,-u^^j^rqj clistrj-ct xnaex of j^onst; 1^3ujj-ceiritr■e) - I j l l level

Priiii.ary He-^xtn c e ntre/ L uo- . J ci S K Jctn. Feo . i^circ h /-\prx X i'lwi y June Ju^y i-iuy . Scj-t. Oc t . i\iOV . ■Dec . Cc;il trc ra-a-yu^ 1 1 0(3 1 03 103 103 1 o3 lu3 103 103 96 96 96 9 b X J- 103 103 103 - 103 103 103 103 9 6 9b 96 96 X -i- J- 9 0- 77 103 - 103 103 1 j 3 lo3 9b 9b 96 122 ±V -- 1U3 - 103 103 - 103 96 - 9 6 77 j. uu y i; u. nci. i 124 83 zOo — 7^ - bb 165 — — 74 74 xl -- - - 1^ --- - 74 -- -L. ' - - - 1^ - - - -- 74 206 74 ro 4^' ±V - 7^ 7-i - - - - ^Ob - - - - i’ciroz.oD^d . 1 10i> 1 U3^ 97 1 JiJ 97 y7 1 'Jy 85 9 7 97 73

X ± lOy 121 1 J9 9 7 109 y7 109 97 97 109 9 7 109 -L^ X 109 109 loj - 109 1 o9 1 Oy 48 97 lOy 73 73 xV 97 lu 9 lOy - - - 85 1U9 lOy 97 73 109 rScjrsuroay i _i_ 109 81 luy _ 1 w<9 _ 109 109 lOy 109 109 &4

X ± dl - 81 - 109 - lOy 1 u9 109 109 109 54 ± X -L 81 ... 81 lOy -- 81 1U9 1U9 109 - 109 IV 109 - - 109 109 - --- 109 ■ - - j.naex of resj^onse (auo-centre' ) - ly77 level

Priiuury Heciitn Centre/buo- /V 0 c; k J a n . FeD . i-idrc h /^prxx i-ic-Y June JuxY /^.ug . o e p t . Oc t . islov. Dec’. cjentre

Kuiriu ±x:i j_)U JT Ko-ifid IcipUX 1 161 173 1 73 173 173 58 58 173 58 la l 17J i- J_x - 115 115 6J 50 69 58 58 77 77 58 77

± - 69 b-j 115 115 115 3l6 9 6 67 67 96 d 7 xV - - - - 38 115 31 - 115 121 - 121

i'-ia ngcion 1 - — 76 la 86 100 ^0 lO^r 1^2 — 113 x l - - 8% yi 93 1 04 109 112 122 - 113 i\i VJI X x± - - 76 8^ 91 9 7 1 Oh 104 111 12 6 - - xV - - 8^* B'i y5 - 1 Jb 107 116 128 -- iviiysorfa d i s t r i c t C hcaiiur^ ] dndgar

Uaigctxd X 117 105 117 99 99 72 108 99 99 108 ' 90 72 -Ll 117 111 117 117 99 108 108 1 u8 108 108 72 X^ X 126 I j ^ 108 9ii 108 108 - - - 76 90 73

XV - 114 - 108 108 108 - . -- 117 ^0 -

V .C h^trci X 102 112 116 X 14 105 1 Oi> 102 t)6 77 85 93 102 Ix 11b 110 110 101 10'^ 98 - 110 77 85 9 3 93 i- 1 1 96 112 1 OJ 111 1 0^ 102 - 85 85 7^ 102 77 IV 116 116 ■ 112 . 112 102 .. y?. - 87 77 93 93 85 i-.ysore a is tr ic c ^naex \jii -L'vJ S jJOild w (s’uUJ-centre ) - 1^11 level

Priiiiux^y riecixth Cent:rc;/oaD- ,feek Jcin. Feo . Ma-rc h rtprxx j-iciy June Juxy bejjt. Oct. dov. Dec . ceiTtre

Ya rii^oHd ha J.li X 108 Iu 8 108 — 115 115 96 - 108 ^ 107 108 81 . ±1 1 Jd l .a 1 u8 - 9^ 115 -- - 106 9^1 9 4 114 iz o 1 08 - 114 - - - 109 . - 9^*

clS ciVCLpU J7 _ j- 'J6 104 105 1 OJ 101 84 - 95 101 115 108 62 XX 94 lu3 1 J4 lOO 94 8::^ ■ 106 104 113 100 91 -x^ X 6 y8 96 IO 3I 108 1 JZ a:i 98 .112 ll'i 103 92

xV 93 ^5 :^5 109 99 89 - 106 101 111 99 98

KO t'i ± W ciCl i X 115 yr) 94 101 yl 95 — 115 108 109 97 X-L lib 9 ^ ;;t4 101 .102 5*5 - - 115 108 112 106 J-L 111 92 94 102 102 95 - - 115 107 112 106 IV 98 :^3 94 101 102 3ID - - 111 - - 104

ArK^xwv^di X 61 1 uO 106 99 =>2 86 107 - 104 112 112 XX 106 106 99 1 Ob 99 80 91 - 106 103 112 112 X 101 101 101 - 91 - j 6 ■ - - 1©7 105 112 103 IV-10b 107 101 - y? -- - 107 92 91 A P P E N E > ^ - V l ^ on-ca. . . .

iiysorc; o.xot:rict -LHaex of rub i^onse (oujJ—c^nrre ) - level

Prii,,^ry tieditii Cent.r<::/>D ao- <'ieciK . n • f’ec . H^rc 11 ripXXX .-iuy Juiie J u iy f\U^ . oept,. # c t . N o v . Dec . c en tre

U

Uiuui^ t cuir X 96 100 95 lO^^r 101 - 102 101 102 98

xl 102 1U3 99 102 105 - - ::>9 101 95 100 99 XJ. X i)':} - U 2 101 103 - - 101 :^9 ■ 99 loO - J-V - - -■ 101 10^ -- 3»d 101 95 98 -

Gdij^ura X 105 1U5 105 105 1 0 5 -- 105 105 105 110 105 x l lu5 105 105 10& 10b - - 105 105 105 102 105

Xx — 105 105 x05 105 105 - - - 105 105 104 105 ro

xV 105 105 - 105 10,5 - -- 105 105 110 -

H:-*rve X 13^ luO 1 JO 105 lOO -- 53 -- Ix 128 100 - 98 106 loO -- 79 ---

1-lX 119 1 0'O' - 98 - - - - 84 - - - xV - 100 - 100 - - -- 95 - --

Kuaeru X 9 7 101 98 lo2 1.0J, —- 102 lOz 102 102 . 102

i± .....98 U l y?' loO 1 0 1 -- 102 lOi 81 101 100 ^ -1- -L. 98 ^9 - 100 lOO -- 101 102 99' 10 1' 100 IV 5) d - - 101 - -- - 102 101 102 102 .naex of resi^ono. (suo-C'=:ntre ) - ly7 7

Prija^ry ne_iith en crci/i5 uo- v'-Jcci K J u n . ?eD . riarcti -ipTx X June Juxy i-iU^ . bt i:--t . Oct. XxIOV . Dec cencre ... UiWoi rJ.iWc_ix (rt) 100 1 j j 1 o::- 1 L/^i 1 Jl 1 01 1 UO 1 ul 120 101 101 101 107 X uO 9d 101 J9 1U3 1 JU 1 U U 104 101 101 85

-L_l. -L 106 3 c5 3> 3 1 u3 lie 86 191 100 1U3 100 100 88 IV 1 j O lu3 102 i Uz; IJO 86 1 00 loo 102 ■10,1 101 ■ * 105 i^.ivVcii (a) X 110 1 0':,-' dS ' yo 13u 1 Z. Sr 112 llu 1 J9 lo9 116 1U9 J-J. ::^6 94 77 9 0 110 1 xio 72 1 09 73 72 1 i J. 77 76 98 98 llu 1 Oo 109 110 , 1 Oy 81 106 73 rv) CO IV 110 50 1 d9 110 111 1 Ud lo^ 110 109 110 1 09 72

je i w ^ i Q i X - 101 92 85 C5l 91 1 1 1 101 107 101 101 99

-l X - ^2 9 2 11^ 104 9 0 1 jy 102 107 101 106 108

- 1 u6 92 115 11 J 1 l u 113 1U2 89 100 106 108 xV - - 92 112 1U7 110 - 9 5 83 108 108 102

K-i^xur X l u l , ^3 93 :;<4 95 113 106 11^ 1 03 75 105 99 X X 9 3 94 95 1 ub 117 112 115 98 - 1,05 y'9 -1. X ^ 95 «4 85 87 1U3 117 112 115 70 99 105 99 4 xV 84 102 10^ 106 117 112 10b 70 99 105 99 1-iysore d x s t r xct ,naex ot ( s ) 1:^77n leve 1

Prxiu^ry Hc;o^th u entrd/6uD- jeex Jan. Feo . i'l^rch .-iprxl June Juxy A u g . i t . 'Oct. Nov. ijec . centre

J.-iy'cipUr :; (if^acni } j- C/6 121 123 118 112 111 108 1U4 ^ 1 113 88 102 ±1 61 IZz 123 119 lio 1 105 103 97 109 9 6 lu2 Xi j- 61 118 2^7 11b 1 J8 111 103 101 :>0 108 b 110

IV- 1 j 4 10^: 104 1U9 5 1 ->! ^ 6b :^0 102 85 110

HosXote 1 101 100 lu2 lOu 1 Jtt =

XXX 1 JO 100 102 jy 1U2 X j O ± u 0 99 101 100 100 100 IV 100 13y 101 102 1U3 1 OO loo 101 100 101 1 U 98

,K .-i iunai b.K.Hunai 1 103 ^9 oO 87 1U2 87 87 87 87 145 145 145 XX 10^ 73 60 87 102 102 87 87 87 145 145 145 xXX 103 73 61 102 87 87 7 8 87 87 145 145 145

XV 6:d 73 61 1^2 £7 87 78 87 87 146 145 145

V^rciKoau X db 83 39 92 ^99 100 104 104 107 107 107 107

XX 86 83 90 92 100 104 108 ■107 107 107 107 Ix X db 83 9u 92 lUO 100 1 04 Izz 107 107 107 107 IJO 104 IV 86 8i^ 91 2 ^ 102 107 107 107 107 107 APPENDIX -IV A w,onca.

H -/s or = qxs t:n c t -na^x Qt resjjc (,SLUJ-cent:re ) - l'y77 level

Priii.^ry Hc<_iith

C:::ent.rc;/«aiJ- 0 o K J an . .'j^rcn rtprii .wy i une Ja*y ^Gpt . t . xnIOV. Dec . cuntre

lOa^icoi: X 87 6:i 91 iiO 91 J1 101 101 109 iig 117 117 XX d,l 91 91 91 101 116- 117 117 117

J..LX 61 ' 89 91 91 91 91 ■ 102 116 117 117 117

IV 87 91 91 91 91 g ' i ■ iCl 94 116 117 117 117

V-^ran^ j- 105 ■ 102 105 103 105 95 luO 102 95 100 109 90

X -L 105 105 105 105 107 lu7 1 0-i 101 105 93 107 90 105 103 105 105 ■ 107 106 «0 103 103 30 80 90 o iV 105 105 i05 107 106 1 9^* 93 103. 101 83 85

UDaoor -L 100 91 97 1 j 8 111 101 luO 103 102 96 108 107

i I 88 103 99 1U8 110 1 0 ^ 96 1 0 1 1 0 2 9 6 107 98

X J. i 92 1 0 ^ y b 109 1 0 ^ ^ lu6 99 103 1 0 2 55 106 98

±V 1 0 0 105 99 1 0 2 109 98 103 90 73 107 99 A. PPBIigiX-Y Quantity of Food suppliment distriTouted during 1977 ai selected primary Health Centres (in kgs.) in Belgaum District.

Months Uchagaoxi Hirebagewadi I^agano jr Kittoor Total

January 1.598.24 1,191.12 1,584.24 5,369.28 9,742.88 February 1 ,5 3 8 .8 8 2.655.52 1.904.00 2.276.40 8,374.80 March 2.109.52 2,336.24 1,992.48 2.384.56 9,372.30 April 2.641.52 2,146.48 1,737.68 4,352.33 10,378.56 May 2.788.24 2,764.16 2,073.12 5.439.40 13,064.92 June 1,977.92 5,762.96 13,956.32 2,978.64 3,236.80 I July 3,581.76 2,751.28 492.80 1,366.48 8,692.32 August 3,058.16 3.117.52 1,775.20 2,389.50 10,340.48 September 2.836.24 396.00 2,351.44 4,769.52 10,903.20 I October 2,553.60 253.68 2 , 250. 08, 5,186.16 10,243.52 HovembSr 3,607.5^ 3,424.40 1.246.00 5,434.^0 13,712.72 December 2 ,1 7 2 .8 0 2,693.60 654.08 5.903.56 11 ,429.04

Total: 31 ,515.12 28,016.80 20,039.04 52,140.60 1,31,711.56 fiiuantity of Food suppliment distributed during 1977 at selected Prii^arjr Health Centres(in kgs.) in Dakshina Kannada District.

Months Suratkal Ullal Kota Brahiaavar Total

J anuary 3,735.76 1,977.92 3,287.20 2,180.08 11,130.96 February 3,732.^6 2,923.76 3,234.56 2,212.56 12,103.84 March 4,270.56 2,681.28 3,543.12 2,432.64 12,927.60 April 3,696.00 2,551.36 3,598.56 1,972.32 11,818.24 May 3,505.04 1,945.44 3,271.52 2,195.76 10,917.76 June 4,216.30 2,903*60 3,591.28 1,792.56 12,504.24 July 3.661.84 2.587.20 3,501.12 2,082.64 11,832.80 August 3,793.46 2.937.20 3,231 .76 2,851.52 12,818.96 September 4.535.84 1,947.12 2,803.36 2,847.04 12,183.36 r\:> October 3,762.08 2, 316.16 3,260.38 2,425.92 11,765.04 iJovember 1,728.Id 2,557.52 3,161.20 1 , 669.92 9,116.80 Jecember 2,952.32 2,192.40 3,234.96 2,308.88 10,738.56

Total; 43,645.84 29,520.96 39,769.52 26,971.84 1,39,908.16 IPPSNDIX- VII Quantity of Food Supplement distributed during 1977 at selected Primary Health Centres (in Kgs.) in Gulbarga district, . ■

Months Harane Maddanipparage part hat abad Kamalapur Total

J anuary 3727.^6 1962.30 2312.23 544.32 9046.76 February 401?,06 1974.56 2432.64 1041.60 9461.76 March 7313.76 2200.30 3543.16 2213.12 11277.34 April 1935.20 2301.12 1153.03 2212.50 3156.90 May 3195.^6 2441.04 2734.32 2650.43 11071.20 June 3475.36 493.36 2316.16 2150.50 3435.33 Ju ly 2232.16 1504.72 2242.24 2503.24 3437.36 August 1366.43 3416.00 2794.96 3077.44 - ,1 September 4313.20 943.04 24-59.36 2439.76 10685.36 October 3357.28 1552.32 2149.34 3096.24 10655.68 November 434-! .12 1015.34 2353.24 952.00 9167.20 Jecember 3553.30 1605.52 2661.12 1740.43 9565.92

Total 40331.04 18495.12 30813.44 24394.20 114033.30 .-1PPEF~0IX - VIII Quantity of Food Eupplament distributed during 1977 at selected Primary Healtt Centres (in Kgs.) in Mysore District

Months Chamaraj anagar Ummatur Yelwal S.R. Hundi Total

January 3102.96 31 66. 2k- 2391 .76 2368.32 11529.23 February 3114.16 3153.96 2909.76 2983.16 12171.04 March 3346.00 1930.72 3771.60 3245.20 12343.52 April 2859-36 3334.16 3535.34 3039.12 13313.48 May 3136.OC 300 2.72 3512.32 3318.50 12969.54 J une 2956.24 854.56 3687.60 3463.03 10961.43 July 1250.48 3172.96 2961.34 7385.28 August 1283.52 2161.04 3314.64 3463.64 10227.84 September 2601.76 3732.24 3427.76 3463.64 13230.40 October 2997.12 2733.24 34 37.84 3542.56 12765.76 I'Tc-vember 2319.04 3049.20 3493.32 3911.60 13273.16 December 2769.20 2056.32 3531.36 3876.88 12233.76

Total 32235.84 29834.40 40136.76 40157.54 142464.54 Quaiiiity of Food Supplement distributed during 1977 (in !'gs. ) in selected districts in the state.

Months G-ulb 2.rga Mysore South Kanara iielgaum ■Total

J anuary 9040. 7s 11529.23 11180.96 9742.88 41493.88 February 9461.76 12171.04 12103.34 3374.80 42111.44 March 11277.3+ 12343.52 12927.60 9372.30 46421.76 April 8156.00 , 13313.43 11313.24 10878.56 44172.18 May 11071.20 - 12969.54 10917.76 13064.92 48023.42 June 8435.?'^ . 10961.48 12504.24 13956.32 45857.42 July 8437.^6 7385.23 11332.30 8692.32 36397.76 August 10227.84 12313.96 10840.48 41964.72 3077.44 VJl Sept ember 10685.36 13280.40 12133.36 10903.20 47052.32 October 10655.68 12765.76 11765.04 10243.52 45430.00 N’ove2iber 9167.20 13278.16 9116.80 13712.72 45274.83 December 9565.92 12233.76 10738.56 11429.04 43967.28

Tot 3.1 1I4O8Z.8O 142464.54 139908.16 131 '^11.56 528167.06 a p ? e :^d i z -x 'Details of equipment and other Facilities' supplied by CASE to P.H.C.S.

District/ rfeighing Measur- G-ro^rth Benefi- Health Edu- Others St o rage Centres seals ing cup charts ciary cation m®t- Records if facili­ cards erials any ties.

2 3 5 6 7

3BL(i:xUM Uchagoan,-,, 6 6 500 20 registers Balahar stored teraporarely in Annex building 6.5.77 6.5.77 6.5.77 6.5.77 6.5.77 which is not upto the marks Hire- 3 3 1 ,450 1 ,450 3 gets 18 In P.H.C. bu­ ilding 19.6.78 Aug. 76 D» 6.5.77 Aug. 76 1977 1977 Ch Efaganur 4 6 2,000 1,250+ 10 . Form ITo.3 & 500 weekl3?- disstri- bution Register. 2 8.76 20.8-76 5.5.77 . 5.5.77 20.3.75 20.8,76 2.1.78 Sittor Q. 3 ?,00C 2,000 5 Despatch slip-1 Registers-5 D. 5.5.77 5.5.77 16.12,77 5.5.77 16.12.77 1 2 3 4 5 6 7 8 9

DAESHINa X i'l --iD A; Surath- Q. 4 4+4 1 ,900 1,700+ 4 sets Sufficient Quarters kal 1,700+ posters quantity for 2,000 storage D• Ddc.76 Jan. Dee. June 75 Dec. 76 N.P. 75 76 Dec. 76 Jan, 78 Ullal Q. 4 10+4 2,000 1 ,000 5 sets 10 No G-odown In a res­ idential ?I.F. D. X.P. E.F. !T.P. F.F. N.F. quarters

Brahma- Q. 6 10 2,000 1 ,750 10 2 Monthly repo­ var rt f arm -a 150, 200 despatch slip D. July 7^i Oct. 75 July 75 July 75 July 75 July 75 Kota ■ '■4- 6 10+11 1 ,700 1,700x3 Supplied 15 X 3 D. June75 June 75 Jime 75 June 75 July 76 J une 75 July- 76 July 76 July 76 Nov. 77 Nov. 77 7 8

GULBa RGA Narona Q. 4 10 1 ,300 1 ,800 5 Bundles Balhar stored in P.H.O. pre­ 0. 22.4.76 5.7.76 5 . 1 . IS 22.9.76 20.12.76 m ises. 20.11.77 j;" add an Q. 1 1 660 660 Yes Adequate Hipparge D. 6.7.76 6.7.76 6.7.76 6.7.76 6.7.76

Parh ^.ta-- Q. 3 5 1,600

D. 1975 1975 1975 CO

Yameala- Q. 2,000 2,000 2,000 ;3ur

D. 10.1.76 75 75 10.1.76 10.1.76

z faj- -w Mi= - ^ 1 2 3 4 5 6 7 3 9

MY30B3; C . R. I'lagar Q 0 6 16 2,000 5,150 6 6 2,000 Pla­ stic casses D. Oct. 75 July 75 ” .P. N.F. I'J.F. N.F. -

Uoinathur 4 10 2,000 5,000 3 6 2,000 Hos­ pital wards & 4.N.M.3. Hou' e

D. Oct. 75 N.F. IJ.F. N.F. sr.F. F.F. - 1

Vj'j Yelwal Q. 6 6 3,000 1 ,700 - - -- P.H.C.(FP) Room. ! rj. 1975 1975 1978 1978 - 1973 -

Q. 5 15 1 ,000 1 ,000 4 Plastic Form.3 18 In P.H.C, Pockets (Three) Kitchen Building in sub- D. 1976 1976 1976 1976 June 78 FelD.78 ceritre A.N.M.3. Headquar-

Mote : D = Date of supply Q = Quantity NF = Not fu r n is h e d