Executive Summary 2011 -12 Chandel District having an area of 3313 sq. km, population of about 144028 ( 2011 census)with an international border of about half of the district boundary has a distinction of multi ethnic tribal inhabitants with a few pockets of Meiteis, Muslims, Nepalese, Biharies and other Indian nationals specially at Moreh areas. It is one of the backward hill districts of Manipur with inaccessible problem in many of the villages even on foot and its prevailing Law and Order situation at the border villages to Myanmar. The Integrated Health Action Plan (2013-14) provides information on the various importance subjects like RCH-II, New additionalities under NRHM, Routine Immunization Strengthening, Vertical Programmes through elaborate annexures. The Integrated District Health Action Plan (DHAP) of National Rural Health Mission was prepared with a vision to address local needs and specificities, enable decentralization and public participation, facilitate interdepartmental convergence and improve accountability of Health system. DISTRICT PROFILE The Chandel district is one of the important districts of the state given the multi-lingual, multi- ethnicity culture and tradition it possesses. The District lies in the south-eastern part of Manipur. It is the border district of the state. Its neighbors are Myanmar (erstwhile Burma) on the south, Ukhrul district on the east, Churachandpur district on the south and west, and Thoubal district on north. It is about 64 km. away from Imphal. Several communities inhabit the district and they are scattered all over the district. Prominent tribes in the district are Anal, Lamkang, Kukis, Moyon, Monsang, Chothe, Thadou, Paite, and Maring etc. There are also other communities like Meiteis and Muslims in small numbers as compared to the tribes. Non-Manipuris like the Tamils, Bengalis, Punjabis, and Biharis are also settled in this district. The people in the district mainly communicate through common dialect (meeteilon) among the various communities apart from their respective dialects. The communication infrastructure such as telephone, postal, etc, however remains poor except in main town areas. The road connectivity between various villages remains weak though the villages located along the NH-39 is good. The condition of the road to the Head Quarter truly reflects that the road in the district has to be improved. The Moreh town, the international trade center of the state lies on the southernmost part of the District. When the Trans-Asian Super Highway comes into existence, Chandel district will be one of the gateways to the Asian countries. Dis trict Health Action Plan 2013 -14 Table No.1 showing socio-demographic scenario of Chandel District: INDICATOR 2011 Census 2001 CENSUS HILL HOUSE COUNTING 2008 1 2 3 4 Area 3313 (sq Km) 3313 (Sq Km) 3313 (Sq Km) Household - 20908 21018 Population 144028 118327 163495 Hamlets: - - 80 Villages: - 350 557 Size of Villages - 1-500 - 300 488 501 -2000 - 50 69 2001 -5000 - 0 0 5000+ - 0 0 Rural Population 127119 103365 144475 Urban Population 16909 14962 19020 Population Density 45 per Sq Km 36 Per Sq Km 44 Per Sq Km Literacy 56.88 56.20% Female Literacy: 43.12 48% Sex Ratio 932 981 1008 Decadal Growth Rate 217/1000 30.02% Scheduled Tribes - 87% 90% % Household electrified 84.3%( DLHS -3) 76 (HHS 07) %Household having regular drinking water 4.6% ( DLHS -3) 30 (HHS 07) supply %Household having proper toilet facility 96.8(DLHS -3) 9 (HHS 07) %Household not having proper toilet facility - 91 (HHS 07) % Household accessing other toilet facility - 68.3 (DLHS 2002 -04) Source:Source:Cencsus 2011,DLFS-3, Census 2001 & Hill House Counting 2008 Table No: 2 Block wise Population: HILL HOUSE 2011 census BLOCK 2001 CENSUS COUNTING 2008 Population Urban Rural Population Urban Rural Popula Urban rural tion Chandel 26276 0 26276 35894 0 35894 28974 0 28974 Machi 17087 0 17087 27678 0 27678 20798 0 20798 Tengnoupal 31762 14962 16800 17545 0 17545 17810 0 17545 Chakpikarong 43202 0 43202 47017 0 47017 46586 0 46596 Moreh 16341 19020 35361 29860 19822 10038 (((Including( Khengjoy)))) Source:Source:Census 2011, Census 2001 & Hill House Counting 2008 Dis trict Health Action Plan 2013 -14 Table No: 33Administrative Divisions INDICATOR 2001 CENSUS HILL HOUSE COUNTING 2007 4 Blocks 4 Blocks Administrative Division • Chandel • Chandel • Machi • Machi • Tengnoupal/Moreh • Tengnoupal/Moreh • Chakpikarong • Chakpikarong 4 Blocks 5 Blocks • Chandel • Chandel • Machi • Machi Development Blocks • Tengnoupal/Moreh • Tengnoupal/Moreh • Chakpikarong • Chakpikarong • Khengjoy (Manipur Gazette, 13 th July, 2006) Source: Census 2001 & Hill House Counting 2008 Table No: 4 Sub-centre wise population: Sl.no. Name of PHC Name of PHSC 2006 2007 2008 2009 2010 2011 1. Chandel Chandel HQ 12414 12919 13421 13622 13896 13058 Anal Khullen 1401 1494 1575 1529 1560 722 Khudei Khunou 1599 1705 1872 2545 2596 1758 Komlathabi 6453 6539 6787 6616 6748 5910 Larong Khullen 2367 2547 2608 2346 2393 1556 Leingangching 2937 3006 3171 3592 3664 2409 Paraolon 1011 1073 1134 1145 1168 749 Purum Tampak 2681 2732 2877 2201 2245 1199 TaraoLaimanai 312 329 348 819 835 418 Unopat 1878 1994 2101 2201 2245 1199 TOTAL 33053 34338 35894 36616 37348 28974 2. Chakpikarong Chakpikarong HQ 18670 20004 20566 19362 19749 20494 Khubung Khullen 4023 4264 4391 4456 4545 4319 Saibol Joupi 4057 4303 4431 8588 8763 4359 Sajik Tampak 10985 11349 11968 12281 12527 11897 Sehlon 2359 2498 2529 1944 1983 2457 Songyang 2897 2970 3132 3178 3242 3060 TOTAL 42991 45388 47017 49809 50805 46586 3. Machi Machi HQ 9890 10501 11074 11511 11741 11910 Khulsaibung 3726 3957 4172 4234 4319 3669 Khunbi 11103 11790 12432 12618 12870 5219 TOTAL 24719 26248 27678 28363 28930 20798 4. Moreh HQ 18090 18635 19020 19305 19691 19822 Khengjoi 1749 1751 1847 2175 2219 3408 Kwatha 3131 3213 3281 3330 3397 1667 New samtal 3745 3866 3971 4010 4090 1491 T.Bongmol 3510 3615 3705 1854 1891 1004 Yangoulen 3259 3454 3537 3742 3817 2282 Lokchao 458 467 186 TOTAL 33484 34534 35361 34874 35571 29860 5. Tengnoupal Tengnoupal HQ 3780 3967 4234 4192 4294 4294 Aimol Tampak 5320 5637 5726 5811 5805 5805 Leibi 1296 1377 1450 1471 1474 1474 Ril Ram centre 2753 2868 2968 2676 3013 3013 Saivom 1492 1529 1558 498 1584 1584 Sita 1544 1578 1609 1701 1640 1640 TOTAL 16185 16656 17545 16349 17801 17810 TOTAL 150432 157164 163495 166011 170471 * 144028 *2% increase in population from previous year Dis trict Health Action Plan 2013 -14 Dis trict Health Action Plan 2013 -14 2. MAP: Chandel District Dis trict Health Action Plan 2013 -14 Planning Process The District Planning process initiated with the concerted effort of Different Department in the District. It adopted a bottom up approach base on the assessment need of the people. The preparation of the DHAP kept note of the element specified in the Govt. Of India guidelines for NRHM PIP preparation 2013-14.After the forwarding of the modified guidelines for the preparation of DHAP 2013- 14 by the State Health society on 10 th October 2012, the District Health Mission Society formulated a planning team at the District level. The members comprising Planning team are namely, the Deputy Commissioner as chairman,the Mission Director/CMO, District Immunization Officer and the DMO, DTO, DLO,NGO,BPMUs and ZEO,ICDS,PHED and PWD. A number of consultative meetings were organized with the blocks and the State. The Block Programme management unit formulated a planning Team headed by the SDO of the concern Blocks. In order to reflect the aspiration of the people scattered across the District, the Block Teams started the planning of BHAP 2013-14 with a random selection of 30 (Thirty) villages each in their Block. As many as 120 VHPs were conducted involving PRIs, ASHA, AWW, Women leaders, Youth leaders, Pastors etc. at the village. The HMIS Report and DLHS-3 has been one of the main source of information in identifying the Health indicators of the District. Facility Survey helped in identifying gaps in manpower and infrastructure in the health facilities. The District Health Action Plan was thus compiled incorporating the BHAPs submitted by the blocks. Dis trict Health Action Plan 2013 -14 .