P a g e | 1 NOTE I am happy to note that the District Health Action Plan (DHAP) for the financial year 2010-11 of Karbi Anglong District has been prepare and placed to the State Health Society, Assam. As per my approval, the District Health Action Plan (DHAP) planning team headed by the Joint Director with the cooperation of other members took the effort to prepare the comprehensive and precise District Health Action Plan (DHAP). The District Health Action Plan has addressed many core issues relating to Health Status of this Hilly Terrain, out reach areas, inhibited of mainly Tribal Community and Malaria being a major issue. The Plan also incorporated the intersectional convergence partner Departments, NGOs etc. with an aimed to achieve the desired Goals. I am submitting the DHAP and its budget requirement to the State Health Society, Assam for onward approval from the Ministry of Health & FW, Govt. of India. (M.C.Sahu, IAS) Principal Secretary, KAAC cum Chairman, Dist. Health Society Karbi Anglong. P a g e | 2 NOTE I am glad to forward the District Health Action Plan (DHAP) for 2010-11, which have been prepared by the District Planning Team (approved by the Chairman cum Principal Secretary, KAAC, Diphu). As per approval, the team headed by the undersigned and others members prepared/ Examined/ Scrutinized/research and submitted District Health Action Plan (DHAP), Karbi Anglong for further approval. (Dr. U. C. Narzary) Jt. Director of Health Services Cum Member Secretary, District Health Society, Karbi Anglong. P a g e | 3 Contents Sl. No Contents Page no Background of the District 1 (District at a Glance) Situational Analysis a) Health Indicator 2 b) Infrastructure c) Manpower Component Wise (5 Component) • Goal • Objective • Strategy I. RCH-II 3 II. Strengthening of Immunisation III. NRHM Additionalities IV. Intersectoral Convergence. 4 Monitoring and Evaluation 5 IEC/BCC 6 Budget (Component Wise) P a g e | 4 a. BACKGROUND : The Government of India has recently launched National Rural Health Mission , which aims to integrate all the rural health services and to develop a sector based approach with effective intersectoral and intrasectoral coordinnation.To translate into reality, concrete district level planning in term of improving the service situation is envisages, as well as developing adequate capacities to provide those services.This include health infrastructure, facilities, equipment and adequately skill and placed manpower as well as planning for each programme. District has been identified as the basic co-ordination unit for planning and administration. This Integrated Health Plan document of Karbi Anglong district has been prepared in this context. 1.1. DISTRICT AT A GLANCE : The Karbi Anglong district is one of the two hills district of Assam with its Head Quarter at Diphu was created on 17 th November 1951 together with North Cachar Hills district. The Karbi Anglong Autonomous Council (KAAC) was created in the year1952 had celebrated its 50 years of glorious existence on 23 June, 2003. At present it has 26 elected and 4 nominated member headed by Chief Executive Member. The KAAC has 30 different government departments under its administrative control including Health and Family Welfare. The districts with dense tropical forest covered hills and flat plains is situated in the central part of Assam between latitudes 25 033 and 26 035 North and longitudes 92 010 and 93 050 East and share its border with Golaghat district in the East, Meghalaya and Morigaon district in the West, Nagaon and Golaghat district in the North and N.C. Hills and Nagaland in the South. Karbi Anglong means the Hills of the Karbies or the home land of the Karbi. The Karbies also call themselves as “ARLENG” which literally means a man. Racially Karbies belongs to the Mongoloid groups. The same Karbi inhabited Pockets are found in North Cachar Hills, Kamrup, Marigaon, Nagaon and Sonitpur district also. Besides the original Karbi tribes there are also a large number of other tribal communities residing in the district. The prominent among them are. Dimasa in Dhansiri/Mohendijua Bodos in Langhin Area Kuki/Thadou/Hmar tribes in Singhason and Kailamayi areas Tiwas in the area bordering Nagaon and Morigaon district P a g e | 5 Garo in Hamren Sub Division. Man-tai speaking community inhabiting in Bokajan Sub-Division Some Kahsi tribes inhabiting in areas adjoining Meghalaya mostly in Hamren sub- division Scattered population of Chakmas mostly in Borlangphar area Rengma Nagas in Nilip Block area. Total Area : 10,434 Sq. Km (As per 2001) Rural Area : 10,397 Urban Area : 37 Sq. Km. Total Population : 8,12,320 (As per 2001) Urban Population : 92751 Rural Population : 719569 Male : 4, 22,599 Female : 3, 89,721 Density of Population : 78 per Sq. Km. Sex Ration : 922 females/1000males (As per 2001 census) Total No. of Villages : 2563 (As per 1991 census) Literacy rate : 58.83 % Map of Karbi Anglong District (Assam) P a g e | 6 HEALTH INSTITUTION IN THE 1) Civil Hospital : 1 2) Sub Divisional Hospital : 1 3) Community Health Centre : 5 4) Primary Health Centre : 23 5) State Dispensary : 8 6) Subsidiary Health Centre : 7 7) Medical Sub-Centre : 9 8) FW Sub- Centre : 136 ACHIEVEMENT (2009 -10) (09-10 Upto Nov 09) (Assume Upto Mar.10) a) No of ASHA Trained : 813 813 b) No of Mother benefited by J.S.Y. : 6912 10368 c) No of Children fully immunized : 46% 72% d) No of Pregnant Mother immunized : 45% 72% e) No of Health Day organized : 4798 7200 f) I. U. D. inserted : 1083 1625 g) Condom Users : 1578 2367 h) Sterilization Method adopted : 42 63 i) Oral Pill users : 1147 1721 j) MMU Camp : 65 98 k) No of Construction for 24x7 : l) No. of Institutional Delivery : 8678 13017 Sub-Division :- The District has three Sub-Division. Namely 1. Diphu (Sadar Sub-Division, H.Q. Diphu) 2. Bokajan (Civil Sub-Division, H.Q. Bokajan) 3. Hamren (Civil Sub-Division, H.Q. Hamren) Rivers: P a g e | 7 Kopili, Amreng, Borpani, Kolioni, Dhansiri, Dikharu, Nambor, Deopani, Jamuna, Patradisha, Longnit and Doigrung rivers are the important rivers in the district. Forests: About 4922.019 Sq. Km. area of the district is covered by forest with 14 Nos. of State Reserve Forest and 17 Nos. of District Council Reserve Forest . Highest Mountain Peak: Singhason Peak is the highest point in the district at about 1360 meters above the sea level. Natural Resources: Natural resources available in the district are Lime stone, China-clay, Feldspar and Coal. Agriculture: The district is basically depends on paddy cultivation and a considerable number of people follow Jhum Cultivation. Road & Communication: The district is well connected with other district through various routes. The National Highway-36, 37 and 39 is connected the district with the other parts. Railways: The N.F. Railways passes through the district touching Hawaipur, Lammsakhang, Borlangfer, Langsoliet, Nilalung, Diphu, Dhansiri, Rongaphar, Khotkhoti & Bokajan. Topography: The altitude of Karbi Anglong district varies from 600 meters in the North range to 900 meters in South range, while that of the valley area range from 75 meters to 150 meters . Administrative Set-up : The Principal Secretary; KAAC is the administrative head of the district. The Deputy Commissioner looks after Law and order of the district. He also acts as a District Magistrate in the Dist. Climate and Rainfall:- The average maximum and minimum temperature of the Karbi Anglong district are 30 0C and 18 0C respectively. The winter days are foggy, cold and dry. During summer the areas that fall within the rain shadow area of Meghalaya, receive moderate rainfall due to the influence of the monsoon. The average rainfall is 1,200mm approximately. Industries:- P a g e | 8 i) Bokajan Cement Plant ii) Karbi Chemical Mini Cement (under construction) iii) Rubber Plantation Industry iv) Citronella Plantation Industry v) Tea Garden : There are total of 12 numbers of tea Garden in the district Total Nos. of College :- 14 including one Government College Total Nos. of Schools: Higher Secondary :- 11 Nos. Govt. Higher Schools :- 167 Nos. M.E. Schools :- 339 Nos. L. P. School :- 1417 Nos. PLANNING PROCESS : THE APPROACH : The Plan has been prepared under the leadership of the Jt. Director, Health Services with the joint effort of the DPMU Staff, Addl. C.M & H.O (F.W), Different District Programme officer like Malaria, Leprosy, Blindness Control, T.B, Block Medical Officers as well as the other concerns department under a participatory process. INTRODUCTORY WORKSHOP : The team led by Dr. N. Shyam (DIO i/c) along with DPM, DME and DEMO attended the 3rd Capacity Building workshop at SIHFW on the 10 th to 13 th Nov ‘09 . The District also organise a workshoop on BHAP on the 19 th Nov’09 at IDSP Conference Hall. FORMATION OF DPMU : i) Chairman – Mr. M.C. Sahu, Principal Secretary, KAAC ii) Member Secretary – Dr. U.C. Narzary, Jt. Director of Health Services iii) Joint Secretary – Dr. U.C. Narzary, i/c Addl.C.M & H.O (FW) iv) Dist. Programme Manager – Mr. S. Hanse. v) Dist. Media Expert – Mr. M. Singh. vi) Dist Accounts Manager – Mr. B.C.Saikia vii) District Data Manager – Mr. K. K. Das. vi) Computer Assistant – Mr. S. S. Paul. P a g e | 9 2. SITUATIONAL ANALYSIS Manpower indicator at the District Head Quarter Designation In position ( Yes/NO) Joint Director Yes Addl. CM & HO (FW) Yes Chief Medical Communicable Diseases No DTO Yes DLO No DMO Yes DPM (Blindness Control Society) Yes District Immunization Officer No SDM&HO (HQ) No Superintendent, Civil Hospital Yes DPM, NRHM Yes