Rajasthan at a glance

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Rajasthan-

j at a Glance

State Institute of Health and Family Welfare,


Jaipur
Rajasthan
• Date of formation Nov.01,1956
• 3 42 239 sq.km
3,42,239 k
• 10.41% of Land area.
• Th Desert
Thar D t :70%
70% off ttotal
t l llandmass
d
• 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


j
Rajasthan

• Districts: 33

• Blocks: 295

• Total revenue villages: 44672

– Tribal
T ib l di
district:
ti t 7

– Desert district: 6

– Plain district: 20

SIHFW: an ISO9001: 2015 certified institution 3


/ Districts
Divisions/

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
Pratapgarh,

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
6. Sirohi 6
6. Jodhpur 6 Dausa
6. 16 Pali
16.
7. Udaipur 7. Dholpur 17. Rajsamand
8 Ganganagar 18.
8. 18 Sikar
9. Hanumangarh19. S.madhopur
p
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
Chhattisgarh,
g , 2.55 Cr. ((2%))
Punjab, 2.7&Cr. (2%)
19.96
19 96 Cr.
C (16%)
Assam, 3.12 Cr. (3%)
Jharkhand, 3.30 Cr. (3%)
Kerala
3.34 Cr. (3%)

Orissa
4.19 Cr. (3%)

Gujarat
G j t
6.04Cr. (5%) POPULATION Maharashtra
SHARE OF 11.24 Cr. ( 9%)

STATES
Karnataka (IN CRORE)
6.11 Cr. (5%)

Rajasthan,
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

– Male:
M l 6262,31,21,843
31 21 843 – Male:
M l 3 3,55,50,997
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
14.5 19 3%
19.3%

Sex Ratio 943 928

Child Sex Ratio 914 888


Source: Census: 2011(Rajasthan)/Demographic Indicators September
September‐2014on
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
2584913
2
3671999
9
1798
8194
1223921
1
2604453
2549121
2
2410459
2
23
367745
1113725
15443
392
204
41172
16372
226
1207293
3
196
69520
1779
9650
66639
971
672008
1830
0151
141132
27
213
39658
3685681
1
145845
59

SIHFW: an ISO 9001:2015 certified Institution


1950491
3309234
203
38533
868231
1158283
3
1338114
2677737
1037185
138890
06
District Population – Census 2011

142171
11
12
12

3067549
Sex Ratio: India
Year India Rajasthan

2004 06
2004‐06 908 882

2005‐07 914 876

2006‐08 915 876

2007‐09 914 869

2008‐2010
2008 2010 945 879

2009‐2011 946 880


Sex Ratio (Raj)
( j)

935
926
908
891
883 881
875 877 Total
867 Rural
Urban

At Birth Age (0
(0‐4)
4) All Ages
Source: AHS – 2011-12
SIHFW: an ISO 9001:2015 certified Institution 14
Child Sex Ratio ((0-6 y
yrs.))

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
950 946 945
945
941 940
940 933
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

930 Sex ratio


926
921
921 Child Sex Ratio (0
(0--6
919
920 917 Year)
915
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


Dungarpur 990
Rajsamand 988
Pali 987
Pratapgarh 982
Banswara 979
Chittorgarh 970
Bhilwara 969
Udaipur 958
District

Jalore 951
Ajmer 950
Jhunjhunu 950
st ct Se

Tonk 949
Nagaur 948
Jhalawar 945
Sikar 944
Churu 938
Sirohi 938
Sex Ratio

Baran 926
9
Bundi 92
22
Jodhpur 915
5
Jaipur 909
9
Hanumangarh
H
at o – Ce

906
Kota 906

SIHFW: an ISO 9001:2015 certified Institution


Dausa 904
Bikaner 903
Barmer 900
Census

Alwar 894
Saw
wai Madhopur 894
Ganganagar 887
0

Bharatpur 877
Karauli 858
sus 2011

Jaisalmer 849
Dholpur 845
18
18
Highest Child Lowest Child
Sex Ratios- Sex Ratios-
Districts Districts
990 887
990 890
877
988 880
988 987
870 858
986
860 849
845
984
850
982
982 840

980 830

820
978

Source-www.censusindia.gov.in SIHFW: an ISO9001: 2015 certified institution 19


Jalore 5
55.58
Siro
ohi 56.02
5
Pratapgarh 56.30
5
Banswara 57.20
Barmer 57.49
Jaisalmer 58.04
District

Dungarpur 60.78
Jhalawar 62.13
Bundi 62.31
Ton
nk 62.46
Chittorgarh 62.51
Bhilwara 62.71
Udaipur 62.74
Pa
ali 63.23
st ct Literacy

Rajsaman nd 63.93
Nagaur 64.08
Bikaner 65.92
S
Sawai Madhopur 66.19
Jodhpur 67.09
Karauuli 67.34
te acy Rate–

Baraan 67.38
Churu 67.46
Hanumangarh 68.37
ate Ce

Daussa 69.17

SIHFW: an ISO 9001:2015 certified Institution


Dholpur 70.14
Ganganagar 70.25
Ajmer 70.46
Bharatpur 71.16
Census

Alwar 71.68
Sikar 72.98
Jhunjhun nu 74.72
0

Jaipur 76.44
Ko
ota 77.48
sus 2011

20
20
Organogram – DM&HS (Raj
(Raj.))

SIHFW: an ISO 9001:2015 certified Institution 21


Hon’ble Minister for Medical , Health, FW, Ayurved and ME

Hon
Hon’ble
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)) & Epidemic)
p ) ((RH&PFA)) ((Blindness)) Officer

Dy.
y Dir Dy.
y Dir Dy.
y 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,
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 NHM
MD-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
US
Civilil
Ci JD-Fin
JD Fi Asst.SPM
A t SPM DD-
DD Addl.Sp-
Addl S
Wing DD-Fin SDO PCPNDT PCPNDT
AO PO HM (PNDT)
Consultant AYUSH SFM
s MOs
CRIME PBI Staff
PD-MH
PD MH PD-CH
PD CH PD
PD- DD FW
DD-FW
BRANCH
C C
Constable
Immu. DEO-
SI LDC
Immu FW
HC Info Asst
Cell FW-
Constable
Cell
H l h Infrastructure
Health I f

SIHFW: an ISO 9001:2015 certified Institution 27


Establishment of SC –Five
Five year plans
No
ooof SC estblished
estb s ed
16000 14407
14000 11487
12000 9926 10612
9400
10000 8000
8000
6000 3790
4000
2000
0

SIHFW: an ISO 9001:2015 certified


28
Institution
Establishment of PHC –Five
Five year plans
No
ooof PHC
C Established
stab s ed
2500
2082
2000 1616 1674
1499 1528
1500
1048
1000
448
500
0

2012‐17
h Plan

h Plan
SSixth Plan (1981‐

Eight Plan (1992‐

Ninth Plan (1997‐

Teenth Plan (2002‐

2012)
5‐90)
Seventh

Eleventh
(2007‐2
(1985

2002)

2007)
85)

97)

SIHFW: an ISO 9001:2015 certified


29
Institution
Establishment of CHC –Five
Five year plans
NO
Ooof CHC
C C estblished
estb s ed
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
3 -

Source: Pragati Prativedan 2016-17

SIHFW: an ISO 9001:2015 certified Institution 31


31
Health Facilities (Govt.)
Norms Population
P l ti Population
P l ti
covered per covered per
facility
y facility
y
India Rajasthan

Sub-centres 3000‐5000 5615 4487


PHC 20000‐30000 34641
SIHFW: an ISO 9001:2015 certified Institution 33731
CHC level 80000‐120000 172375 134922
hospitals

32
32
Average no of Villages covered
No of Villages

Sub-centres 4

PHC 27

CHC level hospitals 133

SIHFW: an ISO 9001:2015 certified Institution


33
33
Blood Banks

Total

India 2708
Raj. 111 (52 govt.,59 trust)

Source: Central Drugs Control Organization (CDSCO) , MOHFW


CBHI: NHP 2016,
2016 Prgati prativedan 2016-17

SIHFW: an ISO 9001:2015 certified Institution 34


Eye Banks

India 255

Rajasthan 13 registered ( 7 Govt


Govt,6
6
Pvt)

Source: CBHI: NHP 2016

SIHFW: an ISO 9001:2015 certified Institution 35


Mental Hospitals

Government Private Total


sector sector

I di
India 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
College- 308 14
BDS

Source: NHP2016
SIHFW: an ISO 9001:2015 certified Institution 37
AYUSH Colleges/Institutions
Ayurveda Unani Sidhdha Naturopath Homeopath
y y

INDIA 279 43 8 19 195

Rajasthan 11 2 3 8

Source: CBHI: NHP 2016

SIHFW: an ISO 9001:2015 certified


38
Institution
Nursing
g Schools

1921 1953

India

1283 Rajasthan

443

33 90 83
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 960
960233**
33 35
35168**
68
Total Allopathic Doctors in 106987 ** 8788 **
Govt.
T t l Dentist
Total D ti t 156391** 4243**
Total Dentist in Govt. sector 6051** 395**
Total Ayush Doctors 744563**
744563 17815**
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
ggovernment hospital
p bed
• Rajasthan1521 average population served per
Hospital bed

SIHFW: an ISO 9001:2015 certified


43
Institution
Manpower
a po e Status
Status: Rajasthan
ajast a
Required
Sanctioned
2562
In position
2268 Vacant
2082 2111
Shortfall
1617
1511

860

651
451

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.
S Indicator
I di t P
Present
t Status
St t
No.

Rajasthan India
4 CBR
24 8**
24.8 20 8**
20.8

5 CDR
6 3**
6.3 6 5**
6.5

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.
S Indicator
I di t P
Present
t Status
St t
No.
Rajasthan
j India
1 IMR
41 **** 37***
2 NNMR
30*** 25***
3 U de 5
Under
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
57.9 52 1
52.1 53 5
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


53.8 34 1
34.1 38 5
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
j
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
check-up
c ec up within 24 hours
ou s o
of b
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)
I tit ti
Institutional
l births
bi th (%) 90 3
90.3 82 3
82.3 84 0
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
16.4 65
6.5 86
8.6
Births in a private health facility delivered by caesarean 28.8 20.4 23.2
section (%)
Births in a p
public health facility
y delivered by
y 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 (%)
Children
C d e age 12-23 3 months
o t s whoo have
a e received
ece ed 3 doses 78.4
8 69.8
69 8 71.6
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
30.3
30 28.6 28.3 27.9 26.7
26.8 27.5
26.2 25.9 25.6 25 24.8
25 24.3 23.5 23.1 22.8 22.1 21.8 21 6
21.6 21 4
21.4 21 20 8
20.8
20

15

10

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 7 6 7.6
7.6 76 75
7.5 74
7.4 74
7.4
7 6.9 6.8 6.8 7.2 6.7 7.1 6.7 7 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 58 59
60 57 55 55
53
50 49
50 47 47 46
42 43
40 39
40 37

30

20

10

Source: SRS
SIHFW: an ISO 9001:2015 certified Institution 55
MMR
500
445
450
400 388

350 318
301
300
254 255 244
250 India
212
200 178 167 Rajasthan
150
100
50
0
2001‐2003 2004‐06 2007‐09 2010‐12 2011‐13
Source-SRS SIHFW: an ISO 9001:2015 certified
56
Institution
TFR
4 3.7
3.5 3.4
3.5 3.3 3.3
3.1 3
3 2.9 2.8 2.9 2.8 2.8
2.7 26
2.6 26
2.6 2.7
25
2.5 2.4 2.4
2.5 2.3 2.3 2.3

2 Rajasthan
1.5 India

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
S.
S No.
N Indicator
I di t Present
P t Status
St t (Rajasthan)
(R j th )

1 CBR 23.8
2 CDR 6.4
3 NGR 17.7
4 IMR 55
5 NNMR 37
6 PNMR 18
7 U-5 MR 74

Source: AHS-12-13

SIHFW: an ISO 9001:2015 certified Institution 59


Rajastha
an 24.4
Sri Ganganag
gar 22..2
Hanumanga
arh 23.2
Bikan
ner 24.6
Chu
uru 23.1
Jhunjhun
nu 23.2
Alw
war 22
2.6
Bharatp
pur 23.4
2

Source: AHS – 2011-12


Dholp
pur 28.9
Karau
uli 27.2
Sawai Madhop
S pur 27.1
Daus
sa 22.1
Jaip
pur 2.9
22
Sik
kar 23.5
2
Naga
aur 23.4
2
Jodhp
pur 23.9
Jaisalm
mer 23.9
Barm
mer 31
1.8
Jalo
ore 27.4
Siro
ohi 24
Pali 22
2.8
Ajm
mer 23.6
2
Ton
nk 23
3
Crude Birth Rate

Bun
ndi 23.3
2
SIHFW: an ISO 9001:2015 certified Institution
Bhilwa
ara 22..2
Rajsaman
nd 27.5
Udaip
pur 29.3
Dungarp
pur 27.6
Banswa
ara 30.3
Chittorga
arh 21
Ko
ota 6
21.6
Bara
an 24.9
Jhalaw
war 24.8
60
0
5
10
15
20
25
30
35
Rajasthan n 24.1
Sri Ganganagar
S 22.1
Hanumangarh h 22.9
Bikaner 24.1
Churuu 23
Jhunjhunu u 22.8
Alwar 22.3
Bharatpur 23
Dholpur 28.6

Source: AHS – 2012-13


Karaulli 26.8
Sa
awai Madhopur 26.8
Dausaa 21.8
Jaipur 22.5
Sikar 23.1
Nagaur 23
Jodhpur 23.5
Jaisalmer 23.9

Institution
Barmer 31.8
Jalore
e 27.1
2
Sirohi 23.8

SIHFW: an ISO 9001:2015 certified


Pali 22.7
Ajmer 23.3
Tonkk 22.7
Bundi 22.9
Bhilwaraa 22
Crude Birth Rate

Rajsamand d 27.1
2
Udaipur 28.8
Dungarpur 27.4
2
Banswara a 30
Chittorgarhh 20.8
Kota
a 21.6
Barann 24.9
Jhalawar 24.6
61
Rajasthan 6.4
Sri… 6.3
Ha
anumangarh 6.3
Bikaner 6.3
Churu 6.2
Jhunjhunu 5.8
Alwar 5.9
Bharatpur 5.9

Source: AHS – 2011-12


Dholpur 5.9
Karauli 6.2
Sawai… 7.2
7
Dausa 6.5
Jaipur 5.8
Sikar 5.9
Nagaur 6.5
Jodhpur 6.2
Jaisalmer 6.6
Barmer 6
Jalore 7.2
7
Sirohi 7
Pali 6.6
Ajmer 6.4
Tonk 7.5
Crude Death Rate

SIHFW: an ISO 9001:2015 certified Institution


Bundi 7.6
Bhilwara 7.4
7
Rajsamand 8.3
Udaipur 8
Dungarpur 6.3
Banswara 7.3
7
Chittorgarh 5.6
Kota 5.6
62

Baran 6.5
Jhalawar 7.6
Rajasthan 6.4
Sri… 6.2
Ha
anumangarh 6.1
Bikaner 6.1
Churu 6
Jhunjhunu 5.7
Alwar 5.8
Bharatpur 5.7
Dholpur

Source: AHS – 2012-13


5.9
Karauli 6.3
Sawai… 7..1
Dausa 6.7
Jaipur 5.7
Sikar 5.8
Nagaur 6.3
Jodhpur 6
Jaisalmer 6.6
Barmer 6.2
Jalore 7.3
7
Sirohi 7
Pali 6.8
Ajmer 6.3
Tonk 7.5
Crude Death Rate

SIHFW: an ISO 9001:2015 certified Institution


Bundi 7.6
Bhilwara 7
7.2
Rajsamand 8.2
Udaipur 8.3
Dungarpur 6.6
Banswara 7.2
7
Chittorgarh 5.7
Kota 5.6
63

Baran 6.4
Jhalawar 7.6
y Rate ((Raj.)
Neo-natal Mortality j)
41
38 40
37

28
26

Total Rural Urban


Source: AHS – 2011-12 , 2012-13
SIHFW: an ISO 9001:2015 certified Institution 64
y Rate ((Raj.)
Post-natal Mortality j)

20
19
19
18

12
12

Total Rural Urban


Source: AHS – 2011-12 ,2012-13
SIHFW: an ISO 9001:2015 certified Institution 65
y Rate ((Raj)
Under 5 Mortality j)

83
76 81
74

54
52

Total Rural Urban


Source: AHS – 2011-12 ,2012-13
SIHFW: an ISO 9001:2015 certified Institution 66
y Rate(Raj)
Under 5 Mortality ( j)

87 Male
M l
81 75
Female
68
59

45

Total Rural Urban


Source: AHS – 2012-13
SIHFW: an ISO 9001:2015 certified Institution 67
Rajastthan
Sri Gangana
S agar 55
Hanumang garh 52
Bikaaner 4
45
Chhuru 47
4
Jhunjhunu 48
Allwar 48
Bharattpur 52

Source: AHS – 2012-13


Dhollpur 49
Karrauli 58
Sawai Madho
S opur 69
Daausa 67
Jaiipur 53
Sikar 50
Naggaur 50
Jodhhpur 52
Jaisalmer 4
46
Barmer 50
Jalore 70
Sirrohi 72
2
Infant Mortality

Pali 65
Ajmer 54
Tonk
T 50
Buundi 57
SIHFW: an ISO 9001:2015 certified Institution
y Rate

Bhilwwara 65
Rajsamand 64
Udaiipur 59
Dungarrpur 63
Bansw wara 63
Chittorg
garh 57
Kota
K 63
Baaran 36
Jhalaawar
68

55 63
Neo-natal & Post-natal Mortality
y Rate

PNMR NNMR

20 37
17 25
17 1816 23 17 19
18 192120 12 21 131521 1821
19 15 1822 15
16 22 1217 19 18
53 46 4747 5246 11
3731333636 37 32 3841 35 45 39393848 44 3941
3031 29 27 3529 25 31 34
Rajasthan

Baran

Chittorgarh
Banswara

Jaisalmer

Rajsamand

Sikar
Kota
Nagaur
Bharatpur

Jalore
Bundi
Alwar

Bhilwara

Karauli
Bikaner

Churu

Hanumangarh

Jhalawar

Pali

Sri Gaanganagar
Sawai Madhopur
Barmer

Dholpur
Dungarpur

Jaipur

Sirohi

Tonk
Udaipur
Ajmer

Dausa

Jhunjhunu
Jodhpur

M
D

R
C

Source: AHS – 2012-13


SIHFW: an ISO 9001:2015 certified Institution 69
Rajasthan 74
Ajmer 70
Alwar 74
Banswara 95
Baran 71
Barmer 85
Bharatpur 70
Bhilwara 80
Bikaner 67

Source: AHS – 2012-13


Bundi 85
Chittaurgarh 77
Churu 62
Dausa 82
Dholpur 73
Dungarpur 81
Hanumangarh 63
Jaipur 65
Jaisalmer 71
Jalore 94
Jhalawar 78
Jhunjhunu 69
Jodhpur 63
Under 5 Mortality

Karauli 81
Kota 47

SIHFW: an ISO 9001:2015 certified Institution


Nagaur 68
Pali 71
y Rate

Rajsamand 80
Saawai Madhopur 80
Sikar 74
Sirohi 85
Sri Ganganagar 71
Tonk 79
Udaipur 91
9
70
Maternal Mortality Ratio
( tZ
(at Zonall llevel)
l)
285 293
261 262 263 264
251
238

Source: AHS – 2011-12


SIHFW: an ISO 9001:2015 certified Institution 71
CHC- XI FYP vs. PG seats

4809
CHC XI
XI-FYP
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
India Rajasthan 0.94
1.2
1 0.63
0.8 0.46
0.6 0.41 0.43
0.4
0.2
0
Doctor
D t Doctor
D t Nurse
N Nurse
N Population
P l ti
Population Ratio Ratio Ratio [per 1000]
[per 1000]

Source: DLHS 3 SIHFW: an ISO 9001:2015 certified Institution 73


Health Sector Schemes and
I iti ti
Initiatives
• One year P.G.
P 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. I 97 more
doctors were selected for phase II which has
started from 13
13‐07‐2015.
07 2015

SIHFW: an ISO 9001:2015 certified


74
Institution
Health Sector Schemes and
I iti ti
Initiatives contd
td …..
• ADARSH PHC Yojana
Yojana‐ August 15,2016
15 2016
– Ist Phase 295 Adarsh PHCs
– II nd Phase

• Bhamashah
Bh h h Swasthya
S th Bima
Bi Y j
Yojana

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
g Women
& Newborns
• HBPNC/ HBNC+ /Yashoda
• Mukhya Mantri Rajshri Yojana

SIHFW: an ISO 9001:2015 certified Institution 76


Health Sector Schemes and
IInitiatives
ii i d …..
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
01.03.2009
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
facilities-2006”
• Sanjivani scheme -specialist services in tribal
and desert areas through
g health camps p
• 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
se ect o
selection
– Preference in higher education

SIHFW: an ISO 9001:2015 certified Institution 80


• Balika Sambal Yojna
j

– 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,
scheme the health department
would identify high‐risk pregnancies.

• Surakshit Matratva Divas

• Prasuti
P i Niyojan
Ni j Diwas
Di

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

• Information
I f ti regarding
di t t
treatment
t off malnutrition
l t iti
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
2015 16 announcements Hon'ble Chief
minister for girls health and hygiene a special scheme
Nishulk Sanitary napkins vitran yojna was introduced.
• All the
h 33 districts
di i off theh state in i in
i rurall areas
from class 6 to 12, approximately 15.50 lacs
school ggoingg adolescent ggirls and approximately
pp 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
e‐Initiatives

Of GoR

SIHFW: an ISO 9001:2015 certified


87
Institution
ASHA Soft (The Online Payment
and
a d Monitoring
o to g Syste
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, ggenerate various reports
p to
monitor the progress of the programme and to
ensure their timely and seamless online payment

SIHFW: an ISO 9001: 2015 certified Institution 88


• Th
The system
t is
i designed
d i d and d developed
d l d by
b th
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
S t
System i an online
is li software
ft used
d as an effective
ff ti planning
l i &
management tool by Medical, Health & Family Welfare
department, Govt. of Rajasthan. The system maintains online
data of more than 13000 ggovernment 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‐Upkaran
EU k
• 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

sihfwraj@ymail.com

SIHFW: an ISO 9001:2015 certified Institution 92

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