Okf"Kzd Izfrosnu

okf"kZd izfrosnu

(ANNUAL REPORT)

NAAC Accredited ‘A’ Grade State University tula[;k vuqla/kku dsUnz eksguyky lq[kkfM+;k fo”ofo|ky;] mn;iqj & 313001 Population Research Centre Mohanlal Sukhadia University, Udaipur – 313001

2018-19

okf"kZd izfrosnu

(ANNUAL REPORT)

izks- ih- ,e- ;kno] ekun~ funs'kd

(Prof. P.M. Yadav, Hony. Director)

vuqla/kku dkfeZd (Research Staff) Mk¡- pUnznso vksyk] vuqla/kku vUos’kd (Dr. Chandra Deo Ola, Research Investigator)

NAAC Accredited ‘A’ Grade State Universit tula[;k vuqla/kku dsUnz eksguyky lq[kkfM+;k fo”ofo|ky;] mn;iqj & 313001 Population Research Centre Mohanlal Sukhadia University, Udaipur – 313001

2018-19

vuqØef.kdk (CONTENTS)

- Ø-la- fooj.k i`’B la (PAGE (S.No.) (DETAIL) NO.) A. okf’kZd izfrosnu I. vkeq[k II. tula[;k vuqla/kku dsUnz dh i`’BHkwfe III. fu’ikfnr v/;;u 2018&19 1- jktLFkku ds ckM+esj ftys dh dk;ZØe fØ;kUo;u ;kstuk dk

ifjoh{k.kA 2- jktLFkku ds tSlyesj ftys dh dk;ZØe fØ;kUo;u ;kstuk dk

ifjoh{k.kA 3- jktLFkku ds djksyh+ ftys dh dk;ZØe fØ;kUo;u ;kstuk dk

ifjoh{k.kA 4- jktLFkku ds Jhxaxkuxj ftys dh dk;ZØe fØ;kUo;u ;kstuk

dk ifjoh{k.kA 5- nf{k.kh jktLFkku dh vkfnoklh efgykvksa ds chp çtuu lacaèkh

LokLF; leL;k,a

B. ANNUAL REPORT I. Preface II. Background of Population Research Centre III. Studies Completed during 2018-19 1. Monitoring of Programme Implementation Plan of

Barmer District of Rajasthan 2. Monitoring of Programme Implementation Plan of

Jaisalmer District of Rajasthan 3. Monitoring of Programme Implementation Plan of

Karauli District of Rajasthan 4. Monitoring of Programme Implementation Plan of Sri

Ganganger District of Rajasthan 5. Reproductive Health Problems among Tribal Women of Southern Rajasthan vads{k.k izfrosnu 2018&19

c. (Audited Statement of Accounts for the year 2018-19

okf"kZd izfrosnu

NAAC Accredited ‘A’ Grade State Universit

tula[;k vuqla/kku dsUnz eksguyky lq[kkfM+;k fo”ofo|ky;] mn;iqj & 313001

2018-19

I. vkeq[k tula[;k vuqla/kku dsUnz ¼ih-vkj-lh-½ eksguyky lq[kkfM+;k fo'ofo|ky;] mn;iqj us o’kZ 2018&19 ds nkSjku 5 vuqla/kku v/;;u fu"ikfnr fd;s gSaA

1- jktLFkku ds ckM+esj ftys dh dk;ZØe fØ;kUo;u ;kstuk dk ifjoh{k.kA 2- jktLFkku ds tSlyesj ftys dh dk;ZØe fØ;kUo;u ;kstuk dk ifjoh{k.kA 3- jktLFkku ds djksyh+ ftys dh dk;ZØe fØ;kUo;u ;kstuk dk ifjoh{k.kA 4- jktLFkku ds Jhxaxkuxj ftys dh dk;ZØe fØ;kUo;u ;kstuk dk ifjoh{k.kA 5- nf{k.kh jktLFkku dh vkfnoklh efgykvksa ds chp çtuu lacaèkh LokLF; leL;k,a tula[;k vuqla/kku dsUnz ekuuh; dqyifr izks- ts- ih- 'kekZ ds izfr viuh d`rKrk O;Dr djrk gSa] tks fd lnSo izksRlkgu ds L=ksr jgs gSaA Åij of.kZr lHkh v/;;uksa dks nh xbZ le; lhek esa n{krkiwoZd iw.kZ djus gsrq] vuqla/kku ny dks /kU;okn Kkfir djrk gw¡A eq>s vk'kk gS fd ;g okf’kZd izfrosnu 'kks/kdrkZvksa] iz'kkldksa] ;kstukdkjksa vkSj uhfr fuekZrkvksa ds fy, mi;ksxh gksxkA

izks- ih- ,e- ;kno ¼ekun~ funs'kd½

II. Tkula[;k vuqla/kku dsUnz ¼ih-vkj-lh½ dh i`"BHkwfe

tula[;k vuqla/kku dsUnz ¼ih-vkj-lh½ dh LFkkiuk 1981 esa eksguyky lq[kkfM+;k fo'ofo|ky; ifjlj esa gqbZ FkhA ih-vkj-lh dh orZeku fLFkfr v)Z fodflr dsUnz ds #i esa gSaA dsUnz dk eq[; mís'; le;≤ ij LokLF; ,oa ifjokj dY;k.k eU=ky;] Hkkjr ljdkj }kjk çLrkfor tula[;k eqíksa ij vuqla/kku v/;;u djuk gSA dsUnz LokLF; ,oa ifjokj dY;k.k ekr` ,oa f'k'kq LokLF;] iztuu ,oa f'k'kq LokLF;] jk"Vªh; LokLF; fe'ku ,u-,p-,e-] tukafddh izfrekuksa vkSj uhfr fØ;kfUofr;ksa ls lEcfU/kr fofHkUu vuqla/kkuksa vkSj fØ;k vuqla/kkuksa dks djrk jgk gaSA vc rd dsUnz us 187 vuqla/kku v/;;uksa dks fu"ikfnr fd;s gaSA dsUnz us jk"Vªh; ifjokj LokLF; losZ{k.k ¼1992&93½ dks fu"ikfnr fd;k vkSj jk"Vªh; ifjokj LokLF; losZ{k.k ¼1998&99½ esa lgHkkfxrk dhA dsUnz us jktLFkku ds ikap ftyksa esa Vhdkdj.k ds QSyko ¼Hkkjr ljdkj½] jktLFkku dk cgq lwpdakd losZ{k.k ¼;wfulsQ½] efgyk LokLF; laÄ dk ewY;kadu ¼jktLFkku ljdkj½] jktLFkku esa Vksad ftys ,oa t;iqj 'kgj ds çtuu ,oa f'k'kq LokLF; mi ifj;kstuk dk vk/kkjHkwr js[kk ,oa vfUre js[kk losZ{k.k ¼jktLFkku ljdkj½] Hkkjrh; fpfdRlk i)fr ds fpfdRldksa dh ifjokj dY;k.k esa Hkkxhnkjh vkSj izknsf'kd izf'k{k.k vkSj lalk/ku fodkl dsUnz ds }kjk jktLFkku ds xSj ljdkjh laxBuksa dk lkeF;Z fuekZ.k ¼ikWiwys'ku Qkm.Ms'ku vkWQ bafM;k½ ifj;kstuk,¡ fu"ikfnr dhssA dsUnz] LokLF; ,oa ifjokj dY;k.k eU=ky;] Hkkjr ljdkj ls vuqnku izkIr djrk gSa vkSj lHkh vk/kkjHkwr lqfo/kk,¡ eksguyky lq[kkfM+;k fo'ofo|ky;] mn;iqj }kjk iznku dh tkrh gaSA tula[;k vuqla/kku dsUnz lekt 'kkL= foHkkx ls tqM+k gqvk gSA dsUnz lkekftd foKku foHkkxksa ds }kjk vUr% 'kkL=h; vuqla/kkuksa dh fØ;kfUofr esa lgHkkfxrk fuHkkrk gSa vkSj ladk; lnL;ksa dks dsUnz ds vuqla/kkuksa] laxksf"B;kas vkSj dk;Z'kkykvksa esa lfEefyr djrk gSaA ih-vkj-lh us ;w-,u-,Q-ih-,- ds lkStU; ls tula[;k ,oa LokLF; losZ{k.k dh i)fr;ksa ij jk"Vªh; laxks"Bh vkSj jktLFkku ds tutkrh; {ks=ksa ds iapk;r jkt lnL;ksa] xzkeh.k fpfdRldksa vkSj xq.khtuksa ds fy, izf'k{k.k dk;Z'kkykvksa dk vk;kstu fd;kA jkT; vuqla/kku leUo; desVh lfpo] LokLF; ,oa ifjokj dY;k.k] jktLFkku ljdkj dh v/;{krk esa jkT; vuqla/kku leUo; desVh dk xBu fd;k x;k gSA LokLF; ,oa ifjokj dY;k.k eU=ky;] Hkkjr ljdkj ds izknsf'kd funs'kd bl desVh ds lnL; lfpo gSzA ihvkjlh ds ekun funs'kd vkSj vuqla/kku LVkQ jkT; leUo; desVh dh cSBdksa esa fu;fer #i ls Hkkx ysrss gSaA rduhdh lykgdkj desVh ih-vkj-lh- dh lqLFkkfir LFkkuh; lykgdkj desVh gS vkSj eksguyky lq[kkfM+;k fo'ofo|ky; ds dqyifr dh v/;{krk esa dk;Zjr gSA lkekftd foKkuksa ds foHkkxk/;{k] ,oa

6 mn;iqj ds izfrf"Br vuqla/kku laLFkkuksa ds ladk; lnL; blds lnL; gSA vuqla/kkuksa ds lHkh eqíksa ij lykgdkj desVh esa ppkZ dh tkrh gSA iqLrdky; ih-vkj-lh- dk Lo;a dk iqLrdky; gSA dsUnz iqLrdksa] i=&if=dkvksa] ikf{kdksa vkSj tux.kuk çfrosnuksa dk miHkksDrk gSA ih-vkj-lh- iqLrdky; esa tula[;k v/;;u ds vUr%'kkL=h; mikxe dh yxHkx 1500 iqLrdsa gSA iqLrdky; dk mi;ksx 'kks/kkFkhZ ,oa foHkkxksa ds lnL;ksa ds }kjk O;kid :i ls fd;k tkrk gS tks vuqla/kku dk;Z ls yxs gq, gSA

Hkou dsUnz Lo;a ds Hkou esa dk;Zjr gSA fo'ofo|ky; ifjlj esa fof/k egkfo|ky; ds lehi fLFkr gSA orZeku esa dsUæ ds Hkou esa nks gkWWy vkSj funs'kd dk psEcj gSA dsUnz dh cgqvk;keh xfrfof/k;ksa tSls v/;kiu] çf'k{k.k] vuqla/kku ,oa çlkj dks ns[krs gq, LFkku vi;kZIr gSA ;|fi Hkkjr ljdkj us N% yk[k #i;k Hkou ds fuekZ.k gsrq vuqnku Lo:i fn;s Fks ysfdu dsUnz dh vko';drkvksa ds vuqlkj Hkou çlkj ds fy, vfrfjDr vuqnku dh vko';drk gSA vuqnku

tula[;k vuqla/kku dsUnz dks LokLF; ,oa ifjokj dY;k.k eU=ky; Hkkjr ljdkj ls vuqnku okf"kZd vk/kkj ij izkIr gksrk gS vkSj blds ctV dh jkf'k dk mi;ksx ,oa vads{k.k fo'ofo|ky; ds foŸk fu;a=d ds }kjk gksrk gSA vuqla/kku LVkQ

orZeku esa dsUnz esa ,d vuqla/kku vUos’kd ¼fo”kq)#i ls lafonkRed vk/kkj ij½ vkSj dk;kZy;h deZpkjh dsUnz esa dk;Zjr gSA ,d ofj"B vuqla/kku vf/kdkjh] ,d vuqla/kku vf/kdkjh] nks vuqla/kku lgk;d ,oa ,d vuqla/kku vUos"kd ds in fjä gSA tula[;k vuqla/kku dsUnz esa Ik;kZIr vuqla/kku deZpkfj;ksa dh deh gSA

III 2018&19 eas fu"ikfnr vuqla/kku v/;;u

vuqla/kku v/;;u&1 jktLFkku ds ckM+esj ftys dh dk;ZØe fØ;kUo;u ;kstuk dk ifjoh{k.k

mÌs'; 1- fofÒUu LokLF; lqfo/kkvksa ds Lrj ij HkkSfrd lajpuk] vko';d nokbZ;k¡ ,oa vkiwfrZ] ekuo lalk/ku ,oa mudh izf'k{k.k fLFkfr dk ifjoh{k.k djukA 2- ftyk gkWLihVy] mi&ftyk gkWLihVy] lh,plh] ih,plh ,oa midsUnz Lrj ij vkWijs'ku fFk;sVj ,oa iz;ksx'kkyk esa fØ;k'khy midj.kksa dh miyC/krk ds mi;¨x dk vkadyu djukA 3- cgqLrjh; LokLF; lqfo/kkvksa ds Lrj ij iz;ksx'kkyk lsokvksa ,oa tkap ds izdkj¨a dh miyC/krk dk ifjoh{k.k djukA 4- xr nks =Sekfld esa nh x;h lsokvksa ,oa fjdkWMZ ds j[k j[kko dh xq.kork dk fo'ys"k.k djukA 5- uokpkj ds vuqlkj LokLF;] LoPNrk] Bksl vif'k"V] tSfod&fpfdRldh; vif'k"V fuLrkj.k ,oa j[k j[kko dk ifjoh{k.k djukA fu"d"kZ

1- lh,e&,pvks ckMesj ds vuqlkj ftys esa ftyk vLirky] mi ftyk vLirky] 24 lh,plh] 103 ih,plh vkSj 723 mi dsaæ gSaA lHkh lh,plh vkSj 53 ih,plh 247 ?k.Vsa gSaA 2- ftyk vLirky vkSj mi ftyk vLirky ftys esa ,Q-vkj-;w- ds :i esa dk;Z dj jgs gSaA Ng lh,plh dh igpku ,Qvkj;w ls gksrh gS] ysfdu fo'ks"kKksa dh deh ls ;g fØ;k'khy ugÈ gksrk gSA 3- 27 ih,plh ij M‚DVj rSukr ugÈ gSa( ;s laLFkku iSjkesfMdy LVkQ dh enn ls dke dj jgs gSaA 87 mi dsaæksa us ,,u,e dks iksLV ugÈ fd;k gS( ;s mi&dsaæ vklUu mi&dsaæksa ds ,,u,e ds vfrfjä çHkkj esa gSa lq>ko

vuqla/kku v/;;u&2 jktLFkku ds tSlyesj ftys esa dk;ZØe fØ;kUo;u ;kstuk dk ifjoh{k.k

mÌs';

1- fofÒUu LokLF; lqfo/kkvksa ds Lrj ij HkkSfrd lajpuk] vko';d nokbZ;k¡ ,oa vkiwfrZ] ekuo lalk/ku ,oa mudh izf'k{k.k fLFkfr dk ifjoh{k.k djukA 2- ftyk gkWLihVy] mi&ftyk gkWLihVy] lh,plh] ih,plh ,oa midsUnz Lrj ij vkWijs'ku fFk;sVj ,oa iz;ksx'kkyk esa fØ;k'khy midj.kksa dh miyC/krk ds mi;¨x dk vkadyu djukA 3- cgqLrjh; LokLF; lqfo/kkvksa ds Lrj ij iz;ksx'kkyk lsokvksa ,oa tkap ds izdkj¨a dh miyC/krk dk ifjoh{k.k djukA 4- xr nks =Sekfld esa nh x;h lsokvksa ,oa fjdkWMZ ds j[k j[kko dh xq.kork dk fo'ys"k.k djukA 5- uokpkj ds vuqlkj LokLF;] LoPNrk] Bksl vif'k"V] tSfod&fpfdRldh; vif'k"V fuLrkj.k ,oa j[k j[kko dk ifjoh{k.k djukA fu"d"kZ

lq>ko

vuqla/kku v/;;u&3 jktLFkku ds djksyh ftys esa dk;ZØe fØ;kUo;u ;kstuk dk ifjoh{k.k

lq>ko

vuqla/kku v/;;u&4

jktLFkku ds Jhxaxkuxj ftys esa dk;ZØe fØ;kUo;u ;kstuk dk ifjoh{k.k mÌs';

lq>ko

vuqla/kku v/;;u&5 nf{k.kh jktLFkku dh vkfnoklh efgykvksa ds chp çtuu lacaèkh LokLF; leL;k,a mÌs'; 1- nf{k.kh jktLFkku dh vkfnoklh efgykvksa ds chp çtuu LokLF; leL;kvksa ds Lrj dk vkdyu djukA 2- LokLF; vkSj ifjokj dY;k.k foHkkx] Hkkjr ljdkj }kjk çnÙk ekr` LokLF; ns[kHkky lsokvksa ds ckjs esa vkfnoklh efgykvksa ds Kku dk vkdyu djukA 3- O;fäxr dkjdksa] ?kjsyw vkSj lkeqnkf;d dkjdksa ds lanHkZ esa vkfnoklh efgyk LokLF; ds lkekftd vkÆFkd fuèkkZjdksa dk vè;;u djukA 4- vkfnoklh efgykvksa ds ekufld LokLF; dh fLFkfr dk vè;;u djukA 5- vkfnoklh efgykvksa ds chp vkSipkfjd LokLF; ns[kHkky vkSj xHkkZoLFkk ds ifj.kkeksa ds mi;ksx ds lglacaèk dk vè;;u djukA 6- tutkrh; {ks= esa ekr` ,oa f'k'kq LokLF; ns[kHkky lsokvksa dks ykxw djus ds fy, mfpr uhfrxr mik; lq>kukA fu"d"kZ

11 lq>ko geus LokLF; ds {ks= esa cgqr lkjh miyfCèk;ka gkfly dh gSa ysfdu vkfnoklh {ks= esa vHkh Hkh cgqr dqN djuk ckdh gSA blds fy,] tutkrh; leqnk; vkSj vkfnoklh efgykvksa dks LokLF; ds çfr tkx:d djuk gksxk vkSj dsaæ vkSj jkT; ljdkj dh fofHkUu LokLF; ;kstukvksa dks fupys ik;nku ij fLFkr oafpr yksxksa dks çnku djokuk gksxkA f'k{kk ç.kkyh dks etcwr djds vkfnoklh lekt dks vkfne vkSj vkfnoklh nsoh&nsorkvksa ij vkèkkfjr gksus dh vko';drk ughs gks] rkfd mfpr le> ds lkFk] vxj fdlh chekjh dk jksxh gS] rks le; ij mls lgh bykt fey lds vkSj xaHkhj :i ls [kqn dks vkSj lekt dks cpk;k tk ldsA lHkh oafprksa rd LokLF; lqfoèkkvksa dks igqapus ds fy,] LokLF; lsok esa 'kkfey yksxksa dh tokcnsgh lqfuf'pr dh tk,A vè;;u ls irk pyk gS fd çlo ds fy, LokLF; dsUnz ij igqapus ds fy, ¼85 çfr'kr½ ykHkkFkÊ us ifjogu ds :i esa ifjokj ds lnL;ksa }kjk miyC/k djok;s x;s futh okgu dk mi;ksx fd;kA blfy, ;g lq>ko fn;k tkrk gS fd LFkkuh; LokLF; lfefr dks mfpr le; ij okgu dh O;oLFkk djuh pkfg,A ;g ns[kk x;k gS fd çlo ds le;] fpfdRld us mlh nok dks esfMdy LVksj ls [kjhnus ds fy, fuèkkZfjr fd;k gS] blfy, ;g lq>ko fn;k tkrk gS fd lHkh nok,¡ LokLF; laLFkkuksa ls tuuh dks eq¶r esa nh tkuh pkfg,A LokLF; dsaæ esa miyCèk lsokvksa ds ckjs esa larqf"V ls irk pyrk gS fd yxHkx 67 çfr'kr ykHkkFkÊ LokLF; dsaæ esa miyCèk lsokvksa ls larq"V Fks] blfy, ;g lq>ko gS fd deZpkfj;ksa ds O;ogkj ds ekè;e ls ykHkkFkÊ dh larqf"V c<+uh pkfg, vkSj mls HkkSfrd lqfoèkk fu%'kwYd çnku dh tkuh pkfg,A

ANNUAL REPORT

NAAC Accredited ‘A’ Grade State Universit

POPULATION RESEARCH CENTRE

MOHANLAL SUKHADIA UNIVERSITY, UDAIPUR – 313001

2018-19

CONTENTS

S. PAGE DETAIL No. NO. B ANNUAL REPORT

I. Preface

II. Background of Population Research Centre

III. Studies Completed during 2018-19 1. Monitoring of Programme Implementation Plan of

Barmer District of Rajasthan 2. Monitoring of Programme Implementation Plan of

Jaisalmer District of Rajasthan 3. Monitoring of Programme Implementation Plan of

Karauli District of Rajasthan 4. Monitoring of Programme Implementation Plan of Sri

Ganganagar District of Rajasthan 5. Reproductive Health Problems among Tribal Women of Southern Rajasthan

Preface

Population Research Centre (PRC), Mohanlal Sukhadia University, Udaipur has completed four research studies during 2018-19: 1. Monitoring of Programme Implementation Plan of Barmer District of Rajasthan. 2. Monitoring of Programme Implementation Plan of Jaisalmer District of Rajasthan. 3. Monitoring of Programme Implementation Plan of Karauli District of Rajasthan. 4. Monitoring of Programme Implementation Plan of Sri Ganganagar District of Rajasthan. 5. Reproductive Health Problems among Tribal Women of Southern Rajasthan.

The centre expresses its gratitude to the honorable Vice-Chancellor Prof. J. P. Sharma, who has always been a source of inspiration. I am thankful to the research team of the centre for efficiently carrying out all the above studies in given frame of time. I hope this annual report will be useful for the researchers, administrators, planners and policy makers.

(Prof. P.M.Yadav) Honorary Director

II.

BACKGROUND OF POPULATION RESEARCH CENTRE (PRC)

The Population Research Centre (PRC) was established in 1981 in the campus of Mohanlal Sukhadia University, Udaipur. The present status of PRC is non-fully developed centre. The main objective of the centre is to conduct studies on population issues as suggested by the Ministry of Health and Family Welfare, Government of India from time to time. The centre has been carrying out various researches and Action Research Projects related to Health and Family Welfare, MCH, RCH, NHM and different studies on demographic dimensions and policy implications. Till now, centre has completed 178 research studies. The centre has carried out the project on National Family Health Survey (Rajasthan), 1992-93, and participated in NFHS-2 (1998-99). Centre has also completed Immunization Coverage of Five Districts of Rajasthan (GOI), Multi Indicator Survey of Rajasthan (UNICEF). Evaluation of Mahila Swasthya Sangh Rajasthan (Government of Rajasthan), Base line and End line surveys of RCH Sub project in Tonk district and Jaipur City (Government of Rajasthan), Involving ISM Practitioners in Family Welfare and Capacity Building for NGOs of Rajasthan through Regional Training and Resource Development centre (Population Foundation of India).The centre receives grants from the Ministry of Health and Family Welfare, Government of India and all the infrastructure facilities provides by the Mohanlal Sukhadia University, Udaipur.

PRC links with the Department of Sociology. It participates in interdisciplinary research carried out by the Social Sciences Departments and involves faculty members in PRC researches, seminars and workshops. PRC organized a National Seminar on Methodology for Population and Health Survey sponsored by the UNFPA and training workshops for Panchayat Raj Members, Rural Medical Practitioners and Traditional Healers in Tribal Areas of Rajasthan.

State Research Coordination Committee There is State Coordination Committee under the Chairmanship of Secretary, Health and Family Welfare, Government of Rajasthan. Regional 16

Director, Ministry of Health and Family Welfare, Government of India acts as Member Secretary of Committee. The Honorary Director PRC and research staff have been regularly attending the meeting of the State Coordination Committee. Technical Advisory Committee A local Advisory Committee of the PRC is well established and functions under the chairmanship of the Vice Chancellor, Mohanlal Sukhadia University. The heads of Social Science Departments and faculty members of Prestigious Research Institutions of Udaipur are its members. All the Research matters are discussed in Advisory Committee.

Library The PRC has its own library. The centre subscribes the books, journals, periodicals and census reports. PRC library has about 1500 books on interdisciplinary approach of population studies. The library has been widely used by the research scholars and staff members who are engaged in research work.

Building The Centre is functioning in its own building, located in the University campus near Law College. At present, the centre has two halls along with a chamber of the Honorary Director. Looking the multi dimensional activities like, teaching, training, research and extension of the centre, the space is insufficient. The GOI has given the grant of Rs. 6 Lac for the building construction but additional grant is required for the further expansion of the building as per requirement.

Grant Grant–in–aid is received by the PRC from the Ministry of Health and Family Welfare, Government of India on year-to-year basis. These are utilized and audited through the Comptroller of the University.

Research Staff At present one Research Investigator (Purely on contractual basis) and official staff employed in the centre. The posts of one Senior Research Officer, One Research Officer, two Research Assistant and one Research Investigators

17 are vacant. The population research centre is suffering from lack of sufficient research staff.

III.

STUDIES COMPLETED DURING 2018-19

Research Study - 1 Monitoring of Programme Implementation Plan of Barmer District of Rajasthan Objectives 1. To monitor the availability of physical Infrastructure, essential drugs and supplies, human resources and its training status at various health facility levels. 2. To assess the availability of functional equipments in OT and laboratory at DH, SDH, CHC, PHC, SC and their utilization. 3. To monitor the availability of laboratory services and type of test conducted at various level of heath facility 4. To analyze the service delivery of last two quarters and quality of record maintenance. 5. To Monitor the maintenance of hygiene, sanitation, solid waste and biomedical waste disposal as per the protocols.

Findings 1. According to CM&HO Badmer district has district hospital, sub district hospital, 24 CHCs, 103 PHCs and 723 sub centres. All the CHCs and 53 PHCs are 24 X 7. 2. The district hospital and sub district hospital are functioning as FRU in the district. Six CHCs are identified FRU but lack of specialists, it is not in functional. 3. The doctors are not posted at 27 PHCs; these institutions are functioning with the help of paramedical staff. 87 sub centres has not posted ANM; these sub centres are under the additional charge of ANM of adjoining sub centres

4. There are 182 delivery points in the districts, but the functional New born care corner available at 161 delivery points. 5. 24 X 7 of electricity and water facility are major problem of the CHC, PHC and sub centre. Even sub centre has not connection of electricity. 6. Nutritional Rehabilitation Centre is located at district hospital. So far 81 children are admitted in this centre 7. District is facing great shortage of man power at all the levels of the health facilities. At the district and sub district hospital 60 and 29 posts sanctioned for specialists and medical officers but 41 and 11 specialists and medical officers are in position respectively. 8. In rural area in the district. There are 21post junior specialists medicine, 22 post of junior specialists surgery, six post of junior specialists gyenec, four post of junior specialist paediatric and 70 post of medical officers are lying vacant . 9. There are 27 AYUSH doctors and 21 AYUSH compounders working in the district. They attended 43555 patients in OPD, 1258 deliveries conducted and 18 cases motivated for sterilization. 10. In the district, 45129 pregnant women given free medicine, 22940 pregnant women whose lab test done , 9119 pregnant women given hot and fresh food at the time of delivery, 15623 pregnant women availed free transport facility. 11. Six maternal deaths reported in the district. MDR conducted of all the maternal deaths. The key cause of maternal deaths was Eclampsia, Severe anaemia, Obstruct labor and other reason etc. There are 1652 high risk pregnant mothers are line listed in the district. 12. There are 1256 and 410 blood bags issued at district hospital and sub district hospital respectively for blood transfusion in last quarter

13. The list of available drugs is displayed at every health facility. The drugs for MCH, safe abortion and RTI/STI are also available at district hospital, sub district hospital and CHCs. 14. Thirty one 108 ambulances and seventeen104 (Janani express) and three base ambulances are available in the district. 15. Segregation of waste facility is available up to PHC level. Outsource agency collect the waste in a week from district hospital, but disposal the waste at sub district hospital, CHC and PHC at their level.

16. All the facility displayed the IEC material related to MCH, FP, immunization, timing of health facility, citizen charter, list of available drugs and tests, phone numbers etc. 17. There are 871 health facilities (1 district hospital 1 Sub district hospital 3 dispensaries 24 CHCs, 100 PHCs 723 sub centres and 60 private hospitals) regularly reporting on PCTS/HMIS. Suggestion box are available at all the heath facilities.

18. Ninety three paramedical personnel are trained in PPIUCD. 998 Sterilization camps organized as in the district. The cases of sterilization and PPIUCD were 1623 and 4127 respectively.

Recommendations

 Most of the public health facilities are facing problems of human resources and their quality in Barmer district. At least minimum essential infrastructure facilities and specialties/ medical/ semi-medical/ paramedical/ manpower should be provided and appointed.

 It was observed that all identified FRUs are not functional therefore efficient, skillful with latest knowledge and right placement of staff can help to convert as functional FRU and better implementation of PIP in the Barmer district.

 The DH, Sub DH, CHC and PHC do not have adequate number of residential quarters for different cadres of service providers. Residential accommodation should be provided that will contribute to batter 24*7 services to the communities.

 It is suggested that for proper functioning, public health facilities in Barmer district should be provided adequate infrastructure and well defined recruitment process in time. Community mobilization and capacity building for staffs need time to time orientation and reorientation and for that fund should be released in time and sufficient supply of consumables.

 General population norm is not appropriate for establishment of public health facilities in desert areas. It should be planed as per settlement and inhabitation pattern in the all desert districts.

 There is a need to give more emphasis on sub-health centers in districts because there has been considerable irregularity here, whether it is a question of free medicines distribution or the amount of co-operation received under Janani Suraksha. To monitor sub-health centers, make a monitoring committee at village level.

 It has been experienced that planning process in desert areas is more complex. Therefore, effective and active participation is needed in regard to capacity building for public health activities to be taken up with local bodies, NGOs and people.

Research Study - 2 Monitoring of Programme Implementation Plan of Jaisalmer District of Rajasthan

Objectives 1. To monitoring the availability of physical Infrastructure, essential drugs and supplies, human resources and its training status at various health facility levels. 2. To assess the availability of functional equipments in OT and laboratory at DH, CHC, PHC, SC and their utilization. 3. To monitoring the availability of laboratory services and type of test conducted at various level of heath facility 4. To analyze the service delivery statistics and quality of record maintenance. 5. To Monitoring and maintenance of hygiene, sanitation, solid waste and biomedical waste disposal as per the protocols.

Findings

1. According to PCTS portal, Jaisalmer district has three blocks; one district hospital, 8 Rural CHCs, one urban PHC, 24 Rural PHCs, 5 city dispensaries and 158 SCs are functioning as government health facilities and as per providing services in Jaisalmer district. 2. Three levels Primary, Secondary and Tertiary public health care delivery services are available in Jaisalmer district. PHC and Sub-center are first

contact point between community members and service providers for primary health. 3. Five FRUs (First Referral Unit) are identified in Jaisalmer district. 4. The district has 40 delivery points, 1 SNCU, 2 NBSU, 21 NBCC, 2 NRC and 24 children benefited. 5. According to Information of CM&HO office about 197 public health facilities are providing different services in the district. All visited facilities are easily accessible from nearest road and functioning in government buildings.

6. Essential equipment and trained manpower are not available and lack of proper placement. The List of available drugs is displayed at all the visited health facility. 7. In the district under RJSSY there are 1880 women and 421 infants (0-32 days) availed free transport facility from home to institution and come back to home during January 2018 to May, 2018. 8. No maternal deaths are reported in the district, during January 2018 to May, 2018.

9. The overall sanitation and cleanliness is not satisfactory, separate attached toilets in male and female wards are not in good condition and need renovation at visited DH, CHCs and PHCs facilities. 10. Number of positions of specialists (senior-junior), medical officers and other categories of staff are vacant at DH, CHC and PHC levels. 11. 12 paramedical personals are trained in PPIUCD at district hospital. 12. Urban health mission has not been timely implemented in district. 13. Some of the PHCs upgraded as Adarash PHCs in the district. Two PHC (Nokh & Devikot) visited by PRC team member, was well managed with adequate staff and building condition is well furnished. 14. There are five types of ambulance facility available in the district. One mobile medical unit (MMU), two mobile medical van, thirteen 108 ambulances and fifteen 104 (Janani express) and one base ambulances. NRHM logos are displayed on Janani express. 15. General cleanliness is good at district hospital and cleanliness is also satisfactory at other visited facilities. The wards are congested but clean. District hospital practices fumigation occasionally, other facilities do not have fumigation facility.

16. For Bio medical waste management CTF connectivity is available at DH, and at 8 out of 8 CHCs, and at 18 out of 29 PHCs have deep burial pits. 17. All the facility displayed the IEC material related to MCH, FP, immunization, timing of health facility, citizen charter, List of available drugs, and tests, phone numbers etc. 18. At all the visited health facilities complaint and suggestion box were available.

19. Job insecurity expressed by most of the NHM contractual staff in rural and urban areas.

Recommendations

 Most of the public health facilities are facing problems of human resources and their quality in Jaisalmer district. At least minimum essential infrastructure facilities and specialties/ medical/ semi-medical/ paramedical/ manpower should be provided and appointed.

 The DH, CHC and PHC do not have adequate number of residential quarters for different cadres of service providers. Residential accommodation should be provided that will contribute to batter 24*7 services to the communities.

 It is suggested that for proper functioning, public health facilities in Jaisalmer district should be provided adequate infrastructure and well defined recruitment process in time. Community mobilization and capacity building for staffs need time to time orientation and reorientation and for that fund should be released in time and sufficient supply of consumables.

 There is a need to give more emphasis on sub-health centers in districts because there has been considerable irregularity here, whether it is a

question of free medicines distribution or the amount of co-operation received under Janani Suraksha. To monitor sub-health centers, make a monitoring committee at village level.

Research Study - 3 Monitoring of Programme Implementation Plan of Karauli District of Rajasthan Objectives 1. To monitor the availability of physical Infrastructure, essential drugs and supplies, human resources and its training status at various health facility levels. 2. To assess the availability of functional equipments in OT and laboratory at DH, SDH, CHC, PHC, SC and their utilization. 3. To monitor the availability of laboratory services and type of test conducted at various level of heath facility 4. To analyze the service delivery of last two quarters and quality of record maintenance. 5. To monitor the maintenance of hygiene, sanitation, solid waste and biomedical waste disposal as per the protocols.

Findings

1. Karauli district is divided into 6 blocks. 2. According to CM&HO Karauli district has district hospital, sub district hospital, 11 CHCs, 38 PHCs, 278 sub centres and 2 city dispensaries. All the CHCs and 19 PHCs are 24*7. In the district 5 FRU but 2 FRU is functional. The district hospital and sub district hospital are functioning as FRU in the district. 3. Five health facilities (CHCs) are identified as FRU but lack of specialised doctors, only two FRUs are functional FRUs.

4. The doctors are not posted at six PHCs; these institutions are functioning with the help of paramedical staff. 5. Forty one sub centres has not posted ANM; these sub centres are under the additional charge of ANM of adjoining sub centres 6. There are 17 delivery points in the districts, but the functional New born care corner available at 6 delivery points.

7. 24 X 7 of electricity and water facility are major problem in some CHC, PHC and sub centre.

8. Nutritional Rehabilitation Centre (NRC) is located at district hospital. So far 87 children are admitted in this centre. 9. District is facing shortage of man power at all the levels of the health facilities. 10. In rural area in the district. There are 10 post junior specialists medicine, 11 post of junior specialists surgery, four post of junior specialists gynoecia, two post of junior specialist paediatric,13 post of medical officers and 7 post of senior medical, BCMHO are lying vacant . 11. There are 18 AYUSH doctors and 13 compounders working in the district. They attended 81,586 patients in OPD. AYUSH doctors are involved in the implementation of National Health Programmes besides their routine work. 12. Twenty one maternal deaths reported in the district. MDR conducted of all the maternal deaths. The key cause of maternal deaths was Eclampsia, Severe anaemia, Obstruct labour and other reason etc. There are 824 high risk pregnant mothers are line listed in the district. 13. Blood bank storage unit is available at the district hospital only. 14. There are 3393 blood bags issued at district hospital respectively for blood transfusion in last three quarter 15. There 25,565 children were fully immunised in the Karauli district. 16. The list of available drugs is displayed at every health facility. The drugs for MCH, safe abortion and RTI/STI are also available at district hospital and CHCs. 17. Fourteen 108 ambulances and Thirteen 104 (Janani express) and three base ambulances are available in the district. 18. Segregation of waste facility is available up to PHC level. Outsource agency collect the waste in a week from district hospital, but disposal the waste at CHC and PHC at their level.

19. There are 336 health facilities (1 district hospital 1 Sub district hospital 3 dispensaries 11 CHCs, 38 PHCs 278 sub centres , two city dispensary and 42 private hospitals) regularly reporting on PCTS/HMIS. 20. It has been observed at all the visited facilities have displayed the IEC material related to MCH, FP, Immunization schedule, timing of health facility, list of available drugs and tests, phone numbers etc. 21. The computerized inventory management set up is not available at any health facility centre. 22. The essential equipments are available according to need of the facility. In the selected facility it was observed that, all equipments of operation theatre and laboratory are available at district hospital. At the selected CHC instrument like multi para monitor, autoclave, photo-therapy unit, ultrasound scanners and CT scanner etc. are not available. At selected PHC all essential equipments are available. 23. Complaint/Suggestion box are available at DH, CHCs, PHCs. 24. Forty nine doctors and paramedical personnel are trained in PPIUCD. 25. 120 Sterilization camps organized as in the district. The cases of sterilization and PPIUCD were 409 and 4157 respectively. 26. Monthly review meeting take place at State, Divisional, District, Block and sector level.

Recommendations

 Most of the public health facilities are facing problems of human resources and their quality in Karauli district. At least minimum essential infrastructure facilities and specialties/ medical/ semi-medical/ paramedical/ manpower should be provided and appointed.

 At the PHC level most of doctors are MBBS and newly appointed so they should be given training of BeMOC to fill up the gap of handling the complication of deliveries.

 It is suggested that for proper functioning, public health facilities in Karauli district should be provided adequate infrastructure and well defined recruitment process in time. Community mobilization and capacity building for staffs need time to time orientation and reorientation and for that fund should be released in time and sufficient supply of consumables.

 It has been experienced that planning process in dang (Boarder area of MP state) area is more complex. Therefore, effective and active participation is needed in regard to capacity building for public health activities to be taken up with local bodies, NGOs and people.

Research Study - 4 Monitoring of Programme Implementation Plan of Sri Ganganagar District of Rajasthan

Objectives 1. To monitor the availability of physical Infrastructure, essential drugs and supplies, human resources and its training status at various health facility levels. 2. To assess the availability of functional equipments in OT and laboratory at DH, CHC, PHC, SC and their utilization. 3. To monitor the availability of laboratory services and type of test conducted at various level of heath facility 4. To analyze the service delivery of last two quarters and quality of record maintenance.

5. To monitor the maintenance of hygiene, sanitation, solid waste and biomedical waste disposal as per the protocols.

Findings

1. Sri Ganganagar district is divided into 8 blocks. 2. According to CM&HO Sri Ganganagar district has district hospital, 3 FRUs, 17 CHCs, 54 PHCs, 416 sub centres and 2 city dispensaries. All the CHCs and 21 PHCs are 24*7. 3. In the district 3 FRU and all FRU is functional. The district hospital are functioning as FRU in the district. 4. The doctors are not posted at five PHCs; these institutions are functioning with the help of paramedical staff. 5. thirteen sub centres has not posted ANM; these sub centres are under the additional charge of ANM of adjoining sub centres 6. There are 101 delivery points in the districts, but the functional New born care corner available at 46 delivery points.

7. All the visited facilities are easily accessible from nearest road head and functioning in government buildings. 8. The overall sanitation and cleanliness of selected health facilities was good except at DH Sri Ganganagar because of shortage of class IV staff. The separate male and female wards attached with clean toilets are in existing at CHC and PHCs.

9. 24 X 7 of electricity and water facility are available in all CHC, PHC and sub centre.

10. Functional Newborn care corner (functional radiant warmer with neo-natal ambubag) available all the visited facilities. 11. Nutritional Rehabilitation Centre (NRC) is located at district hospital. Ten beds available in the centre. 12. District is facing shortage of man power at all the levels of the health facilities. 13. In rural area in the district. There are 21 post junior specialists medicine, 9 post of senior MO, Two post of junior specialists gynoecia, five post of radiographer, 2 post of medical officers and 2 post of senior medical, 2 BCMHO are lying vacant .

14. There are 37 AYUSH doctors and 3 compounders working as contractual bases in the district. They attended 147387 patients in OPD. The AYUSH medicines are available at all health centres. AYUSH doctors are involved in the implementation of National Health Programmes besides their routine work. 15. Thirteen maternal deaths reported in the district. MDR conducted of all the maternal deaths. The key cause of maternal deaths was bleeding, Obstruct labour and other reason etc. There are 577 high risk pregnant mothers are line listed in the district. 16. Blood bank storage unit is available at the district hospital and FRU only. 17. There are 4295 blood bags issued at district hospital respectively for blood transfusion in last two quarter and in this 800 blood units issued on replacement by family donors. 18. ICTC/PPTCT centre is functional at district hospital and FRU only. 19. Knowledge of various components of the JSSK is concerned; more than half of mothers were on breast feeding initiation within an hour of birth and 88 percent of mothers adherence to initiating breast feeding within an hour of birth. 20. There 25,279 children were fully immunised in the Sri Ganganagar district. 21. The list of available drugs is displayed at every health facility. The drugs for MCH, safe abortion and RTI/STI are also available at district hospital and CHCs. 22. Eighteen 108 ambulances and eighteen 104 (Janani express) and five base ambulances are available in the district. Four km. per day average distance covered by these referral transport. 23. Segregation of waste facility is available up to PHC level. Outsource agency collect the waste in a alternate day from district hospital, but disposal the waste at CHC and PHC at their level. 24. There are 490 health facilities (1 district hospital 3 FRUs, 17 CHCs, 54 PHCs 416 sub centres , two city dispensary and 97 private hospitals) regularly reporting on PCTS/HMIS. 25. It has been observed at all the visited facilities have displayed the IEC material related to MCH, FP, Immunization schedule, timing of health facility, list of available drugs and tests, phone numbers etc.

26. The computerized inventory management set up is available at DH, FRU, CHC and PHCs. 27. The essential equipments are available according to need of the facility. In the selected facility it was observed that, all equipments of operation theatre and laboratory are available at district hospital. At the selected CHC instrument like multipara monitor, ultrasound scanners and CT scanner etc. are not available. At selected PHC all essential equipments are available. 28. Complaint/Suggestion box are available at DH, CHCs, PHCs. 29. In selected health facilities centres twenty nine doctors and paramedical personnel are trained in PPIUCD. 30. 445 Sterilization camps organized as in the district. The total number of sterilization (camps & other than camp) is 7439 and PPIUCD is 3751 in the district. 31. Monthly review meeting take place at State, Divisional, District, Block and sector level.

Recommendations

 Some of the public health facilities are facing problems of human resources and their quality in Sri Ganganagar district. At least minimum essential infrastructure facilities and specialties/ medical/ semi-medical/ paramedical/ manpower should be provided and appointed.

 The DH, CHC and PHC have adequate number of residential quarters for different cadres of service providers. Residential accommodation should be provided that will contribute to batter 24*7 services to the communities.

 It is suggested that for proper functioning, public health facilities in Sri Ganganagar district should be provided adequate infrastructure and well defined recruitment process in time.

 All the CHCs and PHCs should be delivery points for 24*7. All the CHCs should be upgraded as FRU with adequate staff and equipments. The separate ARSH clinic should be opened in the District.

 All medical line equipments as per requirement should be supplied for proper health services.

 To monitor sub-health centers, make a monitoring committee at village level.

 Effective and active participation is needed in regard to capacity building for public health activities to be taken up with local bodies and people.

Research Study – 5

Reproductive Health Problems among Tribal Women of Southern Rajasthan

Objectives:

1. To assess the level of Reproductive Health Problems among the tribal women of southern Rajasthan

2. To assess the knowledge of tribal women about Maternal Health care services provided by Department of Health & Family Welfare, GOI

3. To study the socio economic determinants of tribal women health in terms of individual factors, household and community factors.

4. To study the status of mental health of tribal women.

5. To study the correlation of utilization of formal healthcare and pregnancy outcomes among tribal women

6. To suggest appropriate policy measures to implement the maternal and child health care services in tribal area.

Findings  Fifty four percent respondents were lived in nuclear family and remaining 46.15 percent lived in joint family structure.

 More than half (60 %) of the respondents were less than 25 years of age and 36 percent in age group 25-35 years.

 The 28 % of the spouses were less than 25 years of age and more than half (51.23 %) of the age group 25-35 years.

 About 50 % of the respondents were illiterate. 41.03 % up to primary school educated and 6.41 percent educated middle school. 54 çfr'kr mÙkjnkrk ,dy ifjokj esa jgrs Fks vkSj 'ks"k 46-15 çfr'kr la;qä ifjokj lajpuk esa jgrs FksA mÙkjnkrkvksa esa ls vkèks ¼60 izfr'kr½ dh vk;q 25 o"kZ ls de vkSj 25&35 o"kZ dh vk;q esa 36 çfr'kr mÙkjnkrk FksA 28 izfr'kr ifr&iRuh 25 o"kZ ls de vk;q ds Fks vkSj 25&35 o"kZ dh vk;qoxZ ds vkèks ls vfèkd ¼51-23 izfr'kr½ mÙkjnkrk FksA yxHkx 50 izfr'kr mÙkjnkrk fuj{kj FksA çkFkfed fo|ky; rd 41-03 izfr'kr f'kf{kr vkSj 6- 41 çfr'kr f'kf{kr mPp izkFkfed fo|ky; rd f'k{kk izkIr FksA

 The average monthly income of all the respondents is Rs. 4000/-. The 21.15 percent respondents monthly income is less then Rs. 3000/-.

 The mean number of persons living in family was 6 and living children born was 3. The importance of girls and boys is seen equally in the tribal areas socially. No such case was found in the whole study in which any kind of investigation or treatment was taken against the girl or boy.

 Nearly one third (35.26 %) of respondents were living Kaccha houses and 54.49 % in semi kaccha/Pucca houses. lHkh mÙkjnkrkvksa dh vkSlr ekfld vk; 4000 #A 21-15 çfr'kr mÙkjnkrkvksa dh ekfld vk; rks 3000 #] ls de gSA ifjokj esa jgus okys O;fä;ksa dh vkSlr la[;k 6 Fkh vkSj tUe ysus okys cPpksa dh la[;k 3 FkhA lkekftd :i ls vkfnoklh {ks=ksa esa yM+fd;ksa vkSj yM+dksa dk egRo leku :i ls ns[kk tkrk gSA iwjs vè;;u esa ,slk dksÃ ekeyk ugÈ ik;k x;k ftlesa yM+dh ;k yM+ds dh izkfIr gsrq fdlh rjg dh xHkZ tkap ;k mipkj fd;k x;k gksA mÙkjnkrkvksa esa ls yxHkx ,d frgkÃ ¼35-26 izfr'kr½ dPps ?kjksa vkSj 54-49 izfr'kr vèkZ dPPks@iôs ?kjksa esa jg jgs FksA

 About forty percent of houses of respondents sill using crude lamp as source of lighting and 43.59 % houses had electricity but due to long time power cut up in tribal areas these household also had crude lamp as a second source of lighting.

 Seventy nine percent of the respondents used ground water (Borewell and Open well) and 20.51 % surface water for drinking purpose respectively.

 Majority of respondents (99 %) used fuel as wood and dung cakes for cooking their meal and 5.13 percent used gas only on occasional cooking. mÙkjnkrkvksa ds yxHkx pkyhl çfr'kr ?kjksa esa çdk'k ds lzksr ds :i esa dPps nhid dk mi;ksx fd;k tkrk gS vkSj 43-59 çfr'kr ?kjksa esa fctyh Fkh] ysfdu yacs le; rd vkfnoklh {ks=ksa esa fctyh dVkSrh ds dkj.k bu ?kjksa esa Hkh çdk'k ds nwljs lzksr ds :i esa dPps nhid FksA lÙkj çfr'kr mÙkjnkrkvksa us Øe'k% ihus ds fy, Hkwty ¼cksjosy vkSj vksiu osy½ vkSj 20-51 çfr'kr lrgh ty dk mi;ksx fd;kA mÙkjnkrkvksa ds vfèkdka'k ¼99 çfr'kr½ us vius Hkkstu idkus ds fy, ydM+h vkSj xkscj ds dsd ds :i esa b±èku dk bLrseky fd;k vkSj 5-13 çfr'kr us dHkh&dHkh [kkuk idkus ij xSl dk mi;ksx fd;kA

 About 76 percent of respondents have their own agricultural land. But one of its major parts is Unupajau agricultural land and the size of the holding is very small.

 The 66.67 % of respondents cannot produce grains for the livelihood of their year in that land.

 About 68 percent of respondents have completed their pre-natal screening (ANC) and 32 percent did not complete this investigation. yxHkx 76 çfr'kr mÙkjnkrkvksa ds ikl viuh —f"k Hkwfe gSA ysfdu blds çeq[k fgLlksa esa ls ,d Unupajau —f"k Hkwfe gS vkSj tksr dk vkdkj cgqr NksVk gSA 66-67 çfr'kr mÙkjnkrk ml Hkwfe esa vius o"kZ dh vkthfodk ds fy, vukt dk mRiknu ugÈ dj ldrs gSaA

yxHkx 68 çfr'kr mÙkjnkrkvksa us viuh çlo iwoZ tkap ¼,,ulh½ iwjh dj yh gS vkSj 32 çfr'kr us bl tkap dks iwjk ugÈ fd;k gSA

 Sixty six percent of respondents used 100 IFA pills and 32.62 % reported that they did not use these pills.

 Approximately 71 per cent of women have been told to get pregnancy registration at Anganwadi centres in their village.

 The 74.36 % respondents said that they have provided their institutional delivery and 25.64 % would be childbearing at home.

 Sixty five percent of respondents should take their childbirth at community health centres, mainly due to the availability of gynecologist at these centres and 5.13 percent at primary health centres.

 ASHA health worker motivated most 64 percent of respondents for institutional delivery and 6.41% of the respondents were given the GNM of the sub-health centre.

 To reach health institution for delivery, 55.13 percent of the respondents used the private vehicle and approximately 18 percent have reached through government ambulances (104 & 108) only.

 The last delivery of 95.51 % of respondents was in the form of normal delivery, and 4.48 percent were C-section delivery.

 Approximately 4 days post-delivery occurs in terms of health facilities. This pause is also 4 to 6 days due to the malaise and weakness of the mother and child.

 During the delivery, government health institutions have to spend an average of Rs. 275.

 Ninety four percent of respondents admitted that no physical and mental harassment of any kind was done by them.

 The 3 % of the respondents were physically abused, expelled from the house, got more work and not providing enough food during the pregnancy.

 Ninety one percent of respondents did not face any kind of violence after delivery.

 The 12.32 percent of respondents were sexually abused after the delivery. While approximately 4-4 % were subjected to physical assault and emotional assault.

 Seven percent of respondents were tortured by the husband and 6 % by the health worker, 3 % by the family relatives and 2 % by mother-in-law and other family members.

 Ninety four percent of respondents never gave an abortion and 6 percent of respondents told themselves to have miscarriage and self-abortion.

 Out of 72 respondents the 93.59 % of respondents admitted that they were suffering from menstrual disorder (menstrual cycle irregularity) and 26.92 % accepted to be victims of white discharge.

 Eighty nine percent of the study area respondents reported that they have information about family planning.

 Out of 82 respondents, 42.31 % respondents in the adopted sterilization for family planning and 26 % of the contraceptive pills.

 Nine percent of respondents did not get enough food during the time of Pregnancy and after delivery.

 About 49 % tribal women still give the first priority to Bhopa or the ancestors' goddess.

 About 56 % of respondents believe that they have never heard ANM.

 Eighty six percent of respondents believe that when there is a need for health workers in the family or in the village, they are not readily available.

 In order to take the patient from home to the health center, 44 respondents use any private vehicle for transporting of serious patient.

 The 4 % respondents in the area are aware of National Rural Health Mission (NRHM).

 About 77.56 percent of the respondents have heard about the ASHA and know about his work.

 About 63 percent of the respondents said that on our last delivery, ASHA helped our specific kind and took full responsibility to reach us close to the health center and 36.54 per cent respondents said ASHA not available.

 About 85 percent of the JSY beneficiaries heard about JSY scheme before being pregnant.

 Sixty three percent of respondents said that they benefited from JSY scheme. All of the beneficiaries were received JSY card.

 The 50 percent of respondents told to take advantage of the Janani Suraksha Yojna (JSY) only on first delivery, and about 22 percent of respondents also took advantage of the second delivery.

 Sixty nine percent respondents asked to avail this benefit cash whereas 9 percent get ghee coupon and 5 percent benefited from other mediums.

 Benefit of JSY was transferred to 67 percent of the respondents' bank account and nearly 3 percent were given by bank cheques.

 The perception given under the JSY was found to be 38 per cent of respondents, one week after delivery.

 Six percent of the respondents have not yet received the benefit of JSY scheme

Tribal life-conditions of Udaipur District

 Salumber, Sarada and Lasadiaya blocks which is part of Udaipur district of southern Rajasthan is a tribal dominated area. This is the community which is traditionally living in dense hilly-forest region, far away from the mainstream society. It is in a backward position in every aspect of life. For the last 20 years; I have been living in close connection with the tribal people of this area. During this period I observed multi-dimensional and multilayered transformation in every walk of their life. Broadly, these changes can be divided into two forms- physical and mental.

 I observed that due to government development schemes and policies, expansion of information technology and scientific advancement, there can be seen remarkable transformation in their life.  Due to the above causes, the tribal community not only connects more with the main stream society but it has also triggered changes in all shades of life-livelihood, social fabric, cultural norms, educational attitude, religious consciousness, political segregation and all the aspects of vision and mission. In the economic sphere their traditional occupation like forest products, cattle rearing, hunting, poultry, fishing, rain harvesting, etc., is passing through aphase of rapid change. Gradually, the significance of these economic sources is diminishing. Now the youth of the tribe is seeking job opportunity in government sector as well as private sector in their own state and neighbouring states particularly Gujarat and Madhya Pradesh. But situation is not very enthusiastic. Here it is interesting that the development schemes of government do not provide many much opportunities for the betterment of their economic condition or social emancipation. Virtually, contrary to this, in the name of development, the Government is plundering the natural resources- land, forest etc. of the tribal’s. In the age of neo–liberalism tribals are facing an existential crisis and real challenges. The traditional sources of tribal livelihood such as land and forestare being snatched brutally by the multinational corporate houses with the support and protection of government. Unemployment, money lender’s usury, political mala fide intentions and exploitation by representatives of local governance are the ground realities of tribal life.  The condition of health: This change has led to significant impact on their social life particularly on their primary family relationships like those of husband-wife and among individuals. Traditionally; tribal woman is a separate economic unit as a worker. Due to her economic independence, contrary to main stream society, she enjoys autonomy and freedom of will to a large extent, especially in the choice of life partner and other related issues. Regarding this the tribal community has a rich tradition of norms and customs. The custom of ‘Nata’ and ‘Dapa’ shows healthy heritage. But, now things are changing very fastand becoming worse.

Increasing series of gender atrocities on tribal women (Incident of village ‘Pachlasa and Sati ki chori’) are the proofs of this phenomenon.  Educationally, tribal community is in a very backward position. Ratio of education between male and female is very low. Of course, many efforts are being made by the government but despite this concern the ground realities are adverse. The condition of the government schools in tribal area is dismal regarding their teaching staff, financial resources and infrastructure. The presence of teaching staff is very poor. The web of private schools in tribal areas is not only rapidly increasing the gap between the rich and the poor children but also depriving the girls from their right to education. Due to high fees of private schools tribal parents are unable to bear educational expenses.  In the health sector, tribal community is facing a deep crisis. Malnutrition and diseases caused by unhealthy atmosphere is a permanent condition of tribal community. In every family starvation and unemployment can be seen. Due to anti-people policies of the government, the sources of livelihood have become scarcer. Hike in the prices of most of the essential food items, privatization of health and education sector has resulted in tribal people facing the existential challenges. The condition is very depressing and the crisis is very real.

Recommendations  We have achieved a lot of achievements in the field of health but there is still a lot to do in the tribal area. For this, the tribal community and tribal women have to be conscious about health and various health plans of the central and state government should be provided to the deprived people located on the lower rungs.

 By strengthening the education system, the tribal society needs to be eradicated from the tribal society, based on primitive gods and goddesses so that with proper understanding, if taken from any disease, can get proper treatment on time and to save themselves and society from serious diseases.  To get access to all the deprived health facilities, the accountability of the people involved in this service will be ensured. It has been shows from the

finding of the study that majority (85 percent) of beneficiary used private vehicle arranged by family members as mode of transport to reach the ultimate place of delivery. Therefore it is suggested that local health committee should be arrange vehicle at the crucial time.  It has observed that at the time of delivery, doctor prescribed same medicine to purchase from medical store, Therefore it is suggest that all the medicine should be given to delivered mother free of cost from the health institutions.  Satisfaction regarding the services available in the health centre shows that about 67 percent of the beneficiaries were satisfied with the services available in the health centre, Therefore it is suggest that satisfaction of beneficiary should be increase through behaviour of staff and provide the physical facility free of cost.

vads{k.k izfrosnu 2018&19

(Audited Statement of Accounts for the year 2018-19)