Rajasthan- at a Glance
State Institute of Health and Family Welfare, Jaipur Rajasthan
• Date of formation Nov.01,1956 • 3422393,42,239 sq. km • 10.41% of Land area. • Thar D esert :70% o f to ta l lan dmass • Forest vegetation - 9.54% • The oldest chain of mountains - the Aravali • Roads: 1,51,914 km. (8,798 km National Highway) • 33 districts and 289 development blocks.
SIHFW: an ISO 9001:2015 certified Institution 2 Rajasthan
• Districts: 33
• Blocks: 295
• Total revenue villages: 44672
– TiblditiTribal distric t: 7
– Desert district: 6
– Plain district: 20
SIHFW: an ISO9001: 2015 certified institution 3 Divisions// Districts
Ajmer Ajmer, Nagaur, Tonk, Bhilwara
Bharatpur Bharatpur, Dholpur, Karauli, Sawai-Madhopur
Bikaner Bikaner, Churu, Hanumangarh, Sri-ganganagar
SIHFW: an ISO9001: 2015 certified institution 4 Jaipur Jaipur, Alwar, Dausa, Jhunjhunu, Sikar
Jodhpur Barmer, Jaisalmer, Jalore ,Jodhpur, Pali, Sirohi
Kota Baran, Bundi, Jhalawar, Kota
Udaipur Banswara, Chittorgarh, Dungarpur, Rajsamand, Pratapgarh, Udaipur
SIHFW: an ISO 9001:2015 certified Institution 5 Tribal Desert Plain 1. Banswara 1. Barmer 1. Ajmer 11.Jhalawar 2. Baran 2. Bikaner 2. Alwar 12.Jhunjhunu 3. Dungarpur 3. Churu 3. Bharatpur 13.Karauli 4. Chittorgarh 4. Jaisalmer 4. Bhilwara 14.Kota 5. Pratapgarh 5. Jalore 5. Bundi 15.Nagaur 6. Sirohi 6. Jodhpur 6. Dausa 16.Pali 7. Udaipur 7. Dholpur 17.Rajsamand 8. Ganganagar 18.Sikar 9. Hanumangarh19.S.madhopur 10.Jaipur 20.Tonk
SIHFW: an ISO 9001:2015 certified Institution 6 J & K, 1.25 Cr. (1%) Uttarakhand, 1.01 Cr. (1%) Other states & UTs, Delhi, 1.68 Cr. (1%) Haryana, 2.54 Cr. (2%) 2.61Cr. (2%) Uttar Pradesh Chhattisg,garh, 2.55 Cr. ()(2%) Punjab, 2.7&Cr. (2%) 19.96 Cr. (16%) Assam, 3.12 Cr. (3%) Jharkhand, 3.30 Cr. (3%) Kerala 3.34 Cr. (3%)
Orissa 4.19 Cr. (3%)
GjGujara t 6.04Cr. (5%) POPULATION Maharashtra SHARE OF 11.24 Cr. ( 9%) STATES Karnataka (IN CRORE) 6.11 Cr. (5%)
Rajasthan, Bihar 6.86 Cr. (6%) 10.38 Cr. (9%)
Tamil Nadu 7.21 Cr. (6%) West Bengal 9.13 Cr. (8%) Madhya Pradesh Andhra Pradesh 7 7.26 Cr. (6%) 8.47 Cr. (7%) Source: Census 2011 Population Source: Census-2011 India Rajasthan
• Total : 1,21,05,69,573 • Total : 6,86,21,012
– Ma le: 62, 31, 21, 843 – Ma le: 355509973,55,50,997
– Female: 58,,,,74,47,730 – Female: 3,,,,29,97,440
• Urban: 37,71,06,125 • Urban: 1,70,48,085
• Rural: 83,34,63,448 • Rural: 5,15,00,352
SIHFW: an ISO 9001:2015 certified Institution 8 Demographic Indicators India Rajasthan
SC Population 16.6 17.8 ST Population 8.6 13.5 Literacy 73% 66.1%
Male 80.9% 79.2%
Female 64.6% 52.1%
SIHFW: an ISO 9001:2015 certified 9 Institution Demographic indicators PARTICULAR INDIA RAJASTHAN
CBR 21.4 25.6
CDR 7.0 6.5
TFR 2.3 2.4
Natural Growth 14.5 19. 3%
Sex Ratio 943 928
Child Sex Ratio 914 888
Source: Census: 2011(Rajasthan)/ Demographic Indicators September‐2014on https://nrhm-mis.nic.in/SitePages/HMIS-PeriodicReport.aspx
SIHFW: an ISO 9001:2015 certified Institution 10 Slum Population
Towns Reporting Total No. of % of total slum slums Households population to urban population
India 2,613 13,920,191 17.4
Rajasthan 107 394,391 12.1
SIHFW: an ISO 9001:2015 certified 11 Institution District Population – Census 2011 71 99 6663 11 99 368568 367199 3309234 3067549 584913 67745 9658 9 549121 26 1 151 7 6 1172 8533 2677737 194 650 92 410459 4 9520 2604453 0491 22 33 33 55 22 11 33 11 22 00 22 00 44 33 88 33 99 33 22 66 2 21 20 20 19 195 183 179 177 1637 1544 14584 14217 14113 13889 133811 122392 120729 115828 1113725 1037185 868231 672008
SIHFW: an ISO 9001:2015 certified Institution 1212 Sex Ratio: India Year India Rajasthan
2004‐06 908 882
2005‐07 914 876
2006‐08 915 876
2007‐09 914 869
2008‐2010 945 879
2009‐2011 946 880 Sex Ratio ((j)Raj)
935 926 908 891 883 881 875 877 Total 867 Rural Urban
At Birth Age (0‐4) All Ages Source: AHS – 2011-12
SIHFW: an ISO 9001:2015 certified Institution 14 Child Sex Ratio (0-6 yy)rs.)
960 945 India Rajasthan 940 927 916 914 920 909 888 900 880 860 840 1991 2001 2011 Source: Census of India SIHFW: an ISO 9001:2015 certified Institution 15 Female & Child Sex Ratio-INDIA
Females per 1000 Males 980 976 972 Child sex ratio 0-6 age group 970 964 964 962 960 955 950 945 950 945 946 941 940 933 940 934 930 927 930 927
920 914 910
900
890
880 1901 1911 1921 1931 1941 1951 1961 1971 1981 1991 2001 2011
Source-www.censusindia.gov.in- SIHFW: an ISO9001: 2015 certified institution 16 Female & Child Sex Ratio-Rajasthan
Sex ratio 930 926 921 921 919 Child Sex Ratio (0(0--66 920 917 915 Year) 911 910 910 908 908 905 905 910
900
890 885 888
880
870
860 1901 1911 1921 1931 1941 1951 1961 1971 1981 1991 2001 2011
Source-www.censusindia.gov.in SIHFW: an ISO9001: 2015 certified institution 17 Distri ct Sex Rat io – Census 20 11 990 988 987 982 979 970 969 958 951 950 950 949 948 945 944 2 938 938 26 55 22 99 99 9 91 90 906 906 904 903 900 894 894 887 877 858 849 845 Pali Kota Tonk Sikar Alwar Sirohi Bundi Baran Ajmer Churu Jalore Dausa Jaipur Karauli Nagaur Barmer Bikaner Udaipur Dholpur Jodhpur Bhilwara Jhalawar Jaisalmer Banswara Bharatpur Dungarpur Jhunjhunu Pratapgarh Rajsamand Chittorgarh Ganganagar ai Madhopur anumangarh HH ww Sa
SIHFW: an ISO 9001:2015 certified Institution 1818 Highest Child Lowest Child Sex Ratios- Sex Ratios- Districts Districts
990 887 990 890 877 988 880 988 987 870 858 986 849 860 845 984 850 982 982 840
980 830 820 978
Source-www.censusindia.gov.in SIHFW: an ISO9001: 2015 certified institution 19 Distri ct Li ter acy R ate– Census 20 11 77.48 76.44 74.72 72.98 71.68 71.16 70.46 70.25 70.14 69.17 68.37 67.46 67.38 67.34 67.09 66.19 65.92 64.08 63.93 63.23 62.74 62.71 62.51 62.46 62.31 62.13 60.78 6.30 6.02 5.58 58.04 57.49 57.20 55 55 55 a k li li u n d hi ta di ar ra er ar ra er ar re er ar er ur rh rh ur ur ur ur ru rh ur ur ur s s a a a n a n u u n n n n o o o o P K To Sik Alw Bar Ajm Bun Sir Chu Jalo Dau Jaip Kara Naga Barm Bikan Udaip Dholp Jodhp Bhilwa Jhalaw Jaisalm Banswa Bharatp Jhunjhu Dungarp Pratapga Rajsama Chittorga Ganganag Hanumanga awai Madhop SS
SIHFW: an ISO 9001:2015 certified Institution 2020 Organogram – DM&HS (Raj. )
SIHFW: an ISO 9001:2015 certified Institution 21 Hon’ble Minister for Medical , Health, FW, Ayurved and ME
Hon’ ble State Minister for Medical and Health
PHS, Medical, Health & Family Welfare
Director (PH)
Addl Joint Addl State Joint Joint State Dy Directorat F Dir- Dir- Dir- DDO TB Dir- Dir- Leprosy Legal e General A RH TA Gaz officer Plan RPG Officer Advisor Admin
Chief Store ALR AO Dy. Dir. Dy. Dir Officer Plan Assembly Senior AO Dy. CM&HO Plan
SIHFW: an ISO 9001:2015 certified Institution 22 Addl. Director (Rural Health)
Joint Director Joint Director (Famine Joint Director SPO Statistical (()Malaria) & Epp)idemic) (()RH&PFA) (()Blindness) Officer
Dy. Dir Dy. Dir Dy. Dir Chief Public Malaria Entomology PFA Analyst
Asst. Dir. Entomology Dy. CM&HO IDSP (Health)
SIHFW: an ISO 9001:2015 certified Institution 23 PHS, Health & Family Welfare Deptt
MD, NRHM
Director (RCH)
Addl Director(RCH) Joint Director(RCH) FA (FW)
Dy. Director (2) Cold Chain Officer SMO (2)
AO AAO (2)
Demographer & Evaluation Officer Divisional Level Joint Director (IDSP)
Joint Director(Zone) Social Scientist Stat. Officer(2) District Level
CM&HO 24 SIHFW: an ISO 9001:2015 certified Institution CM&HO
Dy CM&HO (Health) RCHO Addl/Dy CM&HO (FW)
Urban FW BCMO CHC MCH Center Center
PHC
SC
SIHFW: an ISO 9001:2015 certified Institution 25 Organizational Structure of NHM
Hon’ble Minister, Medical & Health
Principal Secretary, Medical & Health
Spl. Secretary, Medical, Health & MD- Director – IEC, AMD- FW RMSCL Director – Director – NHM MD-NHMMD NHM PH AIDS
Ad. Dir. Chief PD-NRHM Director – Dir-Finance SPM-NRHM PD-MMJRK PD- IEC Eng, M&H RCH PCPNDT DD-IEC AD-AYUSH Civil JD-Fin Ass t.SPM DD- Addl. Sp- Wing DD-Fin SDO PCPNDT PCPNDT AO PO HM (PNDT) Consultant AYUSH SFM s MOs CRIME PBI Staff PD-MH PD-CH PD- DD-FW BRANCH Constable Immu. DEO- SI LDC Immu FW HC Info Asst Cell FW- Constable Cell HlhIfHealth Infrastructure
SIHFW: an ISO 9001:2015 certified Institution 27 Establishment of SC –Five year plans
No of SC estblis hed 16000 14407 14000 10612 11487 12000 9400 9926 10000 8000 8000 6000 3790 4000 2000 0
SIHFW: an ISO 9001:2015 certified 28 Institution Establishment of PHC –Five year plans
No of PHC Establis hed 2500 2082 2000 1674 1616 1499 1528 1500 1048 1000 448 500 0
‐ ‐ ‐ ‐ 17 ‐ Plan Plan 90)
012) ‐ 12 1981 1992 1997 2002
hh hh ( ( ( ( 22 55
‐
20 85) 97) (198 Plan Plan Plan 2002) 2007)
Plan
Sevent (2007 Elevent nth ixth inth ight ee SS NN E T
SIHFW: an ISO 9001:2015 certified 29 Institution Establishment of CHC –Five year plans
NO of CCCHC estblis hed 600 567 500 382 400 337 300 261 263 185 200 100 76 0
SIHFW: an ISO 9001:2015 certified 30 Institution Health Facilities (Govt.) Health Facilities Rajasthan India
Sub-centres 14407 153655 PHC 2079 25308 CHC level hospitals 579 5396
SDH 19 - Satellite 8 - DH 34-
Source: Pragati Prativedan 2016-17
SIHFW: an ISO 9001:2015 certified Institution 3131 Health Facilities (Govt.) Norms PPltiopulation PPltiopulation covered per covered per facility facility India Rajasthan
Sub-centres 3000‐5000 5615 4487
PHC SIHFW:20000 an ISO 9001:2015‐30000 certified Institution 34641 33731 CHC level 80000‐120000 172375 134922 hospitals
3232 Average no of Villages covered
No of Villages
Sub-centres 4
PHC 27
CHC level hospitals 133
SIHFW: an ISO 9001:2015 certified Institution 3333 Blood Banks
Total
India 2708 Raj. 111 (52 govt.,59 trust)
Source: Central Drugs Control Organization (CDSCO) , MOHFW CBHI: NHP 2016 , Prgati prativedan 2016-17
SIHFW: an ISO 9001:2015 certified Institution 34 Eye Banks
India 255
Rajasthan 13 registered ( 7 Govt, 6 Pvt)
Source: CBHI: NHP 2016
SIHFW: an ISO 9001:2015 certified Institution 35 Mental Hospitals
Government Private Total sector sector
IdiIndia 20893 5096 25989 Rajasthan 627 110 737
CBHI: NHP 2011, data till July 2002
SIHFW: an ISO 9001:2015 certified Institution 36 Medical Education India Rajasthan Medical College/ 412(48855) 13 Intake (2100) Dental College- 308 14 BDS
Source: NHP2016 SIHFW: an ISO 9001:2015 certified Institution 37 AYUSH Colleges/Institutions
Ayurveda Unani Sidhdha Naturopath Homeopath yy
INDIA 279 43 8 19 195
Rajasthan 11 2 3 8
Source: CBHI: NHP 2016
SIHFW: an ISO 9001:2015 certified 38 Institution Nursing Schools
1921 1953 India
1283 Rajasthan
443
90 83 33 17
ANM GNM B.Sc. M.Sc.
Source: www.indiannursingcouncil.org (2016 ) SIHFW: an ISO9001: 2008 certified institution 39 Human Resource in Health
SIHFW: an ISO 9001:2015 certified Institution 40 Manpower Status India Rajasthan Total Allopathic Doctors 9602 33** 351 68** Total Allopathic Doctors in 106987 ** 8788 ** Govt. TtlDTotal Den tittist 156391** 4243** Total Dentist in Govt. sector 6051** 395** Total Ayush Doctors 744563** 17815** Total Registered ANMs 786061 * 103994 * Total ANMs in Govt. 217780 * 16258 * Total Registered GNMs 1780006 * 175542 * Total Registered LHVs 55914 * 2550 * Total Specialist at CHCs 4091* 651 * MBBS Doctors at PHCs 27355 * 2111 *
* NHP 15 ** NHP16
SIHFW: an ISO 9001:2015 certified Institution 41 WHO norm
• WHO norm 1 doctor per 1000 population( we are having 1 doctor per 1700 people) India need 4 lakh more doctors by 2020 to achieve WHO norm WHO norm 25 nurses/ midwives per 10,000 population India has 19 health workers ( doctors 6 ,nurses 13) per 10,000 population
SIHFW: an ISO 9001:2015 certified 42 Institution • WHO –5 beds per 1000 people • In India 1678 average population per government hospital bed • Rajasthan1521 average population served per Hospital bed
SIHFW: an ISO 9001:2015 certified 43 Institution Man pow er Status: Rajast h an Required Sanctioned 2562 In position 2268 Vacant 2082 2111 Shortfall 1617 1511
860
651 451
0
Doctors at PHC Specialist at CHC
Source: RHS 2014 SIHFW: an ISO9001: 2015 certified institution 44 Health Indicators
SIHFW: an ISO 9001:2015 certified Institution 45 Health indicators S. IIditndicator PtSttPresent Status No.
Rajasthan India 4CBR 24. 8** 20. 8**
5 CDR 636.3** 656.5**
6 TFR 2.4 **** 2.3 **
Source:* SRS –Bulletin Sep 2014** Demographic Indicators on HMIS portal on MOHFW *** SRS –Bulletin Dec2016,****NFHS-4 46 SIHFW: an ISO 9001:2015 certified Institution Health indicators S. IIditndicator PtSttPresent Status No. Rajasthan India 1IMR 41 **** 37*** 2 NNMR 30*** 25***
3 UUde5nder 5 Mortality 50*** 43*** Rate 4 MMR 244* 167 *
Source:* SRS –Bulletin Sep 2014** Demographic Indicators on HMIS portal on MOHFW *** SRS –Bulletin Dec2016,****NFHS-4 47 SIHFW: an ISO 9001:2015 certified Institution Performance indicators
Urban Rural Total NFHS-4 Current Use of Family Planning Methods (currently married women age 15–49 years) Any method4 (%) 64.1 58.3 59.7 Any modern method4 (%) 57. 9 52. 1 53. 5 Female sterilization (%) 35.3 42.5 40.7 Male sterilization (%) 0.2 0.2 0.2 IUD/PPIUD (%) 2.1 1.0 1.2 Pill (%) 3.5 2.1 2.4 Condom (%) 16.5 6.1 8.7 Unmet Need for Family Planning (currently married women age 15–49 years)5 Total unmet need (%) 12.4 12.3 12.3 Unmet need for spacing (%) 5.2 5.8 5.7 NFHS_4 Urban Rural Total
Maternity Care (for last birth in the 5 years before the survey)
Mothers who had antenatal check-up in the first trimester (%) 74.9 59.6 63.0
Mothers who had at least 4 antenatal care visits (%) 53. 8 34. 1 38. 5
Mothers whose last birth was protected against neonatal tetanus7 93.5 88.6 89.7 (%)
Mothers who consumed iron folic acid for 100 days or more when 25.6 14.8 17.3 they were pregnant (%)
Mothers who had full antenatal care8 (%) 17.5 7.4 9.7 Urban Rural Total
Maternity Care (for last birth in the 5 years before the survey)
Registered pregnancies for which the mother received 91.3 92.6 92.3 Mother and Child Protection (MCP) card (%)
Mothers who received postnatal care from a 71.3 61.5 63.7 doctor/nurse/LHV/ANM/midwife/other health personnel within 2 days of delivery (%)
Mothers who received financial assistance under Janani 46.6 59.1 56.1 Suraksha Yojana (()JSY) for births delivered in an institution (%)
Average out of pocket expenditure per delivery in public 3,387 2,969 3,052 health facility (Rs.)
Children born at home who were taken to a health facility for 4.1 0.8 1.2 ccecheck-up within 24 h our s of birth (%) Urban Rural Total Children who received a health check after birth from a 24.5 22.0 22.6 doctor/nurse/LHV/ANM/ midwife/other health personnel within 2 days of birth (%) Delivery Care (for births in the 5 years before the survey) ItittilInstitutional birth s (%) 90. 3 82. 3 84. 0 Institutional births in public facility (%) 57.6 65.1 63.5 Home delivery conducted by skilled health personnel 2.9 3.3 3.2 (out of total deliveries) (%) Births assisted by a doctor/nurse/LHV/ANM/other 92.8 84.9 86.6 health personnel (%) Births delivered by caesarean section (%) 16. 4 656.5 868.6 Births in a private health facility delivered by caesarean 28.8 20.4 23.2 section (%) Births in a ppyyublic health facility delivered by caesarean 12.2 4.6 6.1 section (%) Child Immunizations and Vitamin A Supplementation Children age 12-23 months fully immunized (BCG, 60.9 53.1 54.8 measles, and 3 doses each of polio and DPT) (%) Urban Rural Total Children age 12-23 months who have received BCG 95.3 87.0 88.8 (%) Children age 12-23 months who have received 3 doses 68.5 64.5 65.4 of polio vaccine (%) CCdehildren age 12-23 m on th s wh o h av e r eceiv ed 3 doses 78.4 69. 8 71.6 of DPT vaccine (%) Children age 12-23 months who have received measles 86.5 75.8 78.1 vaccine (()%) Children age 12-23 months who have received 3 doses 58.0 51.7 53.1 of Hepatitis B vaccine (%) Children age 9-59 months who received a vitamin A 47.3 37.5 39.6 dose in last 6 months (%) Children age 12-23 months who received most of the 88.8 96.0 94.4 vaccinations in public health facility (%) Children age 12-23 months who received most of the 11.1 2.4 4.4 vaccinations in private health facility (%) CBR Source: Health and Family Welfare Statistics-2013
35 India Rajasthan 30. 3 28.6 30 28.3 27.9 27.5 26.7 26.8 26.2 25.9 25.6 25 24.8 25 24.3 23.5 23.1 22.8 22.1 21.8 21. 6 21. 4 21 20. 8 20
15
10
5
0 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
SIHFW: an ISO 9001:2015 certified Institution 53 CDR Source: SRS – Dec 2011
9 8 India Rajasthan 8 767.6 767.6 757.5 747.4 747.4 7 7.2 7.1 77 6.9 6.8 6.8 6.7 6.7 6.7 7 6.6 6.5 6.4 6.56.3 6 5 4 3 2 1 0 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
SIHFW: an ISO 9001:2015 certified Institution 54 IMR 90 83 81 79 79 India Rajasthan 80 75 72 70 70 68 66 68 67 65 63 60 59 60 58 57 55 53 55 50 49 50 47 47 46 42 43 40 39 40 37
30
20
10
0
Source: SRS SIHFW: an ISO 9001:2015 certified Institution 55 MMR
500 445 450 400 388
350 318 301 300 254 255 244 250 212 India 200 178 167 Rajasthan 150 100 50 0 2001‐2003 2004‐06 2007‐09 2010‐12 2011‐13
SIHFW: an ISO 9001:2015 certified Source-SRS 56 Institution TFR
4 3.7 3.5 3.5 3.4 3.3 3.3 3.1 2.9 3 2.9 3 2.8 2.7 2.8 2.8 2.7 262.6 262.6 252.5 2.5 2.4 2.4 2.3 2.3 2.3
2 Rajasthan 1.5 India
1
0.5
0 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Source: Sample Registration System, Statistical Report (Registrar General, India) SIHFW: an ISO 9001:2015 certified 57 Institution Annual Health Survey
2012-13
SIHFW: an ISO 9001:2015 certified 58 Institution Health indicators SSN. No. IIditndicator PPtStt(Rjth)resent Status (Rajasthan)
1 CBR 23.8 2 CDR 6.4 3 NGR 17.7 4IMR 55 5 NNMR 37 6 PNMR 18 7 U-5 MR 74
Source: AHS-12-13
SIHFW: an ISO 9001:2015 certified Institution 59 Crude Birth Rate .8 1 1 3 30.3 29.3 28.9 27.6 27.5 27.4 27.2 27.1 24.9 24.8 24.6 24.4 .9 3.6 .8 3.5 3.4 3.4 .6 3.3 2 2 24 3.2 1 3.2 23.9 23.9 3.1 3 3 .. .. 22 22 22 22 66 22 22 22 22 2 2 2 2 2 2 2 22 22 22. 21. 21 k li li a n d n u di ta hi ra ra ar ar er er er er ar re ar rh ru ur ur ur ur ur ur rh ur ur s a s n n a a a u a u n n n n a a aa o n n o k o o k a a n a a o g a a n o g p p p uu p p p p p p p p p p p w w w w P m m m m m m K To Si Al Bu Bar Aj Sir Ch Jal Dau Jai Kara Nag Bar Bika Udai Dhol Jodh Bhilw Jhala Jaisal Bansw Rajasth Bharat Dungar Jhunjhu Rajsama Chittorg Hanumang awai Madho Sri Gangana SS Source: AHS – 2011-12
SIHFW: an ISO 9001:2015 certified Institution 60 Crude Birth Rate 35 31.8 30 28.8 28.6
30 7.4 7.1 7.1 6.8 6.8 22 22 22 2 2 24.9 24.6 24.1 24.1 23.9 23.8 23.5 23.3 23.1 23 25 23 23 22.9 22.9 22.8 22.7 22.7 22.5 22.3 22.1 22 21.8 21.6 20.8 20
15
10
5
0 i i i i r r r r r r r r r r r r r r r r ll kk dd hh aa nn nn uu aa ee hh aa aa uu Pal Kot Ton Sika Alwa Bund Siroh Ajme Bara Chur Jaipu Jalor Daus Karau Nagau Barme Bikane Udaipu Dholpu Jodhpu Bhilwar Jhalawa Jaisalme Bharatpu Banswar Rajastha Jhunjhun Dungarpu Chittorgar Rajsaman wai Madhopu Hanumangar ri Ganganaga aa SS S Source: AHS – 2012-13 SIHFW: an ISO 9001:2015 certified 61 Institution Crude Death Rate 8.3 8 .4 7.6 7.6 .3 7.5 .2 .2 77 77 77 77 7 6.6 6.6 6.5 6.5 6.5 6.4 6.4 6.3 6.3 6.3 6.3 6.2 6.2 6.2 6 5.9 5.9 5.9 5.9 5.8 5.8 5.6 5.6 … … Sri Pali Kota Tonk Sikar Alwar Sawai Ajmer Bundi Baran Sirohi Jalore Churu Dausa Jaipur Karauli Nagaur Barmer Bikaner Udaipur Dholpur Jodhpur Bhilwara Jhalawar Jaisalmer Banswara Bharatpur Rajasthan Dungarpur Jhunjhunu Rajsamand Chittorgarh numangarh aa H Source: AHS – 2011-12
SIHFW: an ISO 9001:2015 certified Institution 62 Crude Death Rate 8.3 8.2 7.6 7.6 .3 7.5 1 .2 .2 .. 77 77 77 7 7 6.8 6.7 6.6 6.6 6.4 6.4 6.3 6.3 6.3 6.2 6.2 6.1 6.1 6 6 5.9 5.8 5.8 5.7 5.7 5.7 5.7 5.6 … … Sri Pali Kota Tonk Sikar Alwar Sawai Ajmer Bundi Baran Sirohi Jalore Churu Dausa Jaipur Karauli Nagaur Barmer Bikaner Udaipur Dholpur Jodhpur Bhilwara Jhalawar Jaisalmer Banswara Bharatpur Rajasthan Dungarpur Jhunjhunu Rajsamand Chittorgarh numangarh aa H Source: AHS – 2012-13
SIHFW: an ISO 9001:2015 certified Institution 63 Neo-natal Mortality(j)y Rate (Raj.)
41 38 40 37
28 26
Total Rural Urban
Source: AHS – 2011-12 , 2012-13
SIHFW: an ISO 9001:2015 certified Institution 64 Post-natal Mortality(j)y Rate (Raj.)
20 19 19 18
12 12
Total Rural Urban Source: AHS – 2011-12 ,2012-13
SIHFW: an ISO 9001:2015 certified Institution 65 Under 5 Mortality(j)y Rate (Raj)
83 76 81 74
54 52
Total Rural Urban Source: AHS – 2011-12 ,2012-13
SIHFW: an ISO 9001:2015 certified Institution 66 Under 5 Mortality(j)y Rate(Raj)
87 MlMale 81 75 Female 68 59
45
Total Rural Urban Source: AHS – 2012-13 SIHFW: an ISO 9001:2015 certified Institution 67 Infant Mortality Rate 22 7 70 69 67 65 65 64 63 63 63 63 59 58 57 57 55 55 54 53 52 52 52 7 50 50 50 50 6 49 5 48 48 44 44 44 36 ohi ndi ota ara ara ner arh ran aur gar arh pur pur pur pur pur uru pur pur war war auli usa onk han and Pali ikar unu mer lore mer mer ii ii rr ll tt rr ll uu tt aa aa rr aa gg gg gg oo KK hh hh ww ww aa aa TT S A Si B Aj B C Ja D Ja Ka Na Bar Bik Uda Dho Jod Bhil Jhal Jaisal Bans Bhara Rajas Jhunjh Dunga Rajsam Chittor Hanuman ri Gangan awai Madh SS SS Source: AHS – 2012-13
SIHFW: an ISO 9001:2015 certified Institution 68 Neo-natal & Post-natal Mortality Rate
PNMR NNMR
37 17 20 17 1816 17 25 19 2123 21 1821 18 192120 12 22 15 1315 18 19 15 18 16 22 1217 19 11 53 46 4747 5246 45 48 37 3636 37 3841 35 35 393938 44 3941 3133 32 3031 29 27 29 25 31 34 Pali Kota Tonk Sikar Sirohi Bundi Baran Alwar Jalore Churu Jaipur Ajmer Dausa Karauli Nagaur Barmer Bikaner Udaipur Jodhpur Dholpur adhopur Bhilwara Jhalawar ungarpur nganagar Jaisalmer hunjhunu ajsamand Banswara Rajasthan hittorgarh Bharatpur umangarh a a J J M M D D R R
C C n G
Ha Sri Sawai
Source: AHS – 2012-13
SIHFW: an ISO 9001:2015 certified Institution 69 Under 5 Mortality Rate 95 1 94 99 85 85 85 82 81 81 80 80 80 79 78 77 74 74 74 73 71 71 71 71 70 70 69 68 67 65 63 63 62 47 Pali Kota Tonk Sikar Sirohi Bundi Baran Alwar Jalore Churu Jaipur Ajmer Dausa Karauli Nagaur Barmer Bikaner Udaipur Jodhpur Dholpur Bhilwara Jhalawar Jaisalmer Banswara Rajasthan Bharatpur Jhunjhunu Madhopur Dungarpur Rajsamand
Ganganagar
Chittaurgarh Hanumangarh wai Sri aa S Source: AHS – 2012-13
SIHFW: an ISO 9001:2015 certified Institution 70 Maternal Mortality Ratio (tZ(at Zona lll leve l)
285 293 263 264 251 261 262 238
Source: AHS – 2011-12
SIHFW: an ISO 9001:2015 certified Institution 71 CHC- XI FYP vs. PG seats
4809 CHC XI-FYP India Rajasthan
2180 2180 1981 1259 1386 682 624 619 86 71 58 73 17 17 21
94
Source: RHS 2011/ MCI, 2012 (www.mciindia.org) SIHFW: an ISO9001: 2008 certified institution 72 Service Provider Status
1.37 1.4 0.94 1.2 India Rajasthan 1 0.63 0.8 0.46 0.6 0.41 0.43 0.4 0.2 0 DDtoctor DDtNoctor Nurse NNPltiurse Population Population Ratio Ratio Ratio [per 1000] [per 1000]
Source: DLHS 3 SIHFW: an ISO 9001:2015 certified Institution 73 Health Sector Schemes and In itia tives • One year PPG.G. Certificate for Doctors :‐ One Year training Certificate Course for in service doctors in 10 specialities has been started from 9 March 2015. • 267 Doctors were selected in phase I. 97 more doctors were selected for phase II which has started from 13‐07‐2015.
SIHFW: an ISO 9001:2015 certified 74 Institution Health Sector Schemes and In itia tives contd ….. • ADARSH PHC Yojana‐ August 15,2016 – Ist Phase 295 Adarsh PHCs – II nd Phase
• Bhamas ha h SthSwasthya Bima YjYojana
SIHFW: an ISO 9001:2015 certified 75 Institution Health Sector Schemes and Initiatives contd …..
• Mukhya Mantri Jeevan Raksha Kosh • Janani Suraksha Yaojana • Rajasthan Janani-Shishu Suraksha Yojana (RJSSY) assures NIL out of pocket expenses in all Government Health Institutions for Pregnant Women & Newborns • HBPNC/ HBNC+ /Yashoda • Mukhya Mantri Rajshri Yojana •
SIHFW: an ISO 9001:2015 certified Institution 76 Health Sector Schemes and IiiiInitiatives contd ….. • Routine Immunization Program • Hepatitis B vaccine in Routine Immunization program – Dec11 Pentavalent Vaccine (launched from 1st Nov, 2014) Mission Indra Dhanush Navjaat Shishu Suraksha Karyakram (NSSK) POSHAN
SIHFW: an ISO 9001:2015 certified 77 Institution • Deshi Ghee Scheme on First Delivery to BPL women • 100% State Govt. sponsored scheme • Implemented in all the districts from 01. 03. 2009 • Provision of 5 litre Saras Deshi ghee as a token of gift • For the BPL, on first delivery, at Govt. Institution. • Provided through medical officer in urban areas and ANMs in the rural area • A Deshi ghee coupon is provided at the time of discharge from hospital indicating Dairy booth number . • 5 liters Deshi ghee is delivered at the concerned booth within 15 days of issued coupon.
SIHFW: an ISO 9001:2015 certified Institution 78 • “Policy to promote private sector in Health care facilities-2006” • Sanjivani scheme -specialist services in tribal and desert areas througgph health camps • Swasthya Chetna Yatra
SIHFW: an ISO 9001:2015 certified Institution 79 • Jyoti Yojana- Any woman who has undergone sterilization after one or two girl child only would be empowered – Set as Role model for village – Preference for ASHA selection, AWW, ANM sel ectio n – Preference in higher education
SIHFW: an ISO 9001:2015 certified Institution 80 • Balika Sambal Yojna
– Bond of Rs. 10,000/- to maximum two girl child, if parents undergo sterilization
• Rajiv Gandhi Mobile Medical Unit
• 108 Emergency Referral Service
SIHFW: an ISO 9001:2015 certified Institution 81 • Promotion of generic medicines
• Mukhya Mantri Nishulk Dawa Yojana
• Establishment of RMSCL in 2011 for free delivery of quality medicines.
• Mukhya Mantri Nishulk Jaanch Yojana
SIHFW: an ISO 9001:2015 certified 82 Institution • Toll Free ‘104’ Medical Advice Service
• Swasthya Sandesh Yojana( SMS Alerts to Citizen and Health Workers )
83 SIHFW: an ISO 9001:2015 certified Institution KMK (Kushal Mangal Karyakram )
• Kushal Mangal Karyakram (KMK) with an aim to bring down maternal mortality ratio (MMR) in the state. Under the new scheme, the health department would identify high‐risk pregnancies.
• Surakshit Matratva Divas
• PiPrasuti Niyo jan Diwas
SIHFW: an ISO 9001: 2015 certified Institution 84 Activities/ initiatives under NHM
• Social Review of Maternal Death (Oct, 2014)
• Expansion of services in ‘104’ Toll Free Medical Advice Service
• Complaint of illegal sex determination
• IfInformati on regarding tttreatment of maltitilnutrition among children
• Badhai Sandesh (launched from 11th Oct, 2014)
• ASHA Sanchar
• ANM SAMVAD Continue… Nishulk Sanitary napkins vitran yojna • Sanitary Napkin – – As per Budget 2015‐16 announcements Hon'ble Chief minister for girls health and hygiene a special scheme Nishulk Sanitary napkins vitran yojna was introduced. • All the 33 distr icts of the state in in rural areas from class 6 to 12, approximately 15.50 lacs school gggoing adolescent girls and approximatel y 4.50 lacs 10 to 19 years old non school going adolescent girls of BPL families, will be benefited Under this scheme there is a provision of distributing 12 free sanitary napkins per month to each girl.
SIHFW: an ISO 9001:2015 certified 86 Institution e‐Initiatives
Of GoR
SIHFW: an ISO 9001:2015 certified 87 Institution ASHA Soft (The Online Payment aadnd M oni torin gSyste)g System)
• ASHA Soft (The Online Payment and Monitoring System):‐ It is an online system launched on 26th December, 2014. • ASHA Soft facilitates the user to capture beneficiary wise details of services given by ASHA to the community, online payment of ASHA to their bank accounts, generate various reports to monitor the progress of the programme and to ensure their timely and seamless online payment
SIHFW: an ISO 9001: 2015 certified Institution 88 • The system is ddiesigne d and ddldeveloped by the National Informatics Centre – Rajasthan
• Rajasthan is the first state to start online payments to ASHAs in its all districts. This online payment and performance monitoring system rolled out in all districts of Rajasthan for 47000 ASHAs
SIHFW: an ISO 9001: 2008 certified Institution 89 Pregnancy, Child Tracking and Health Services Management System Plus (PCTS +) • Pregnancy, Child Tracking & Health Services Management StSystem isanonline software used as an effecti ve plilanning & management tool by Medical, Health & Family Welfare department, Govt. of Rajasthan. The system maintains online data of more than 13000 government health institutions in the state. • The System facilitates :Integrated system for HMIS and Pregnant woman & child tracking – Online tracking of pregnant women – Online tracking of infants & children – Better health surveillance – Better monitoring of immunization programme – Monitoring of institutional delivery – Identification of cases for sterilization – Better management of health institutions – Online directory of health institutions SIHFW: an ISO 9001:2015 certified 90 Institution • IMPACT‐Integrated system for monitoring of PCPNDT act • E‐Sadhan • E‐UkUpkaran • OJAS • SNA
SIHFW: an ISO 9001:2015 certified 91 Institution Thank You
For more details log on to www.sihfwrajasthan.com or contact : Director-SIHFW on
SIHFW: an ISO 9001:2015 certified Institution 92