NHSRC
Monitoring Report of Tamil Nadu
Jan-Mar 2013
V Roddawar
05/13/13
The report is based on HMIS data analysis, health provider and beneficiary interviews and monitoring visit to Vellore district of Tamil Nadu. The monitoring visit includes all levels of health facilities in the district. One needs to be cautious in interpretation of HMIS data, the state and districts may have good performance of health indicators but there might be problem in reporting data. Details of visit provided in the annexure-A
pg. 1 NHSRC
Contents Executive Summary .................................................................................................................... 3
1. Facility Mapping ..................................................................................................................... 8
2. Maternal Health ...................................................................................................................... 9
2.1. Maternal Death ............................................................................................................... 10
3. Human Resources for Health.............................................................................................. 11
4. Janani-Shishu Suraksha Karyakram (JSSK) .................................................................... 13
4.1 User fee in Out Patient Department (OPD) and In Patient Department (IPD) ... 13
4.2 Drugs and Consumables ................................................................................................ 13
4.3 Diagnostics ....................................................................................................................... 14
4.4 Diet ..................................................................................................................................... 14
4.5 Referral Transport ........................................................................................................... 15
4.6 Display of entitlements .................................................................................................. 16
4.7 Awareness of community .............................................................................................. 17
4.8 Grievance Redressal Cell ............................................................................................... 17
4.9 Out of pocket expenditure / informal charges ........................................................... 17
5. Outreach activities ................................................................................................................ 18
5.1 Immunization ................................................................................................................... 18
6. Child Health ........................................................................................................................... 19
7. Family Planning .................................................................................................................... 20
8. WIFS and Sanitary Napkins ............................................................................................... 21
9. School Health Programme................................................................................................... 22
10. Health Management Information Systems (HMIS) ..................................................... 22
11. Mobile Medical Units ........................................................................................................ 23
12. Integrated Disease Surveillance Project (IDSP) ........................................................... 23
13. Quality of Services .............................................................................................................. 24
13.1 Infrastructure .................................................................................................................. 24
13.2 Information Display ..................................................................................................... 24
13.3 Infection Prevention ..................................................................................................... 25
13.4 Emergency preparedness ............................................................................................. 25
14 Disease Control Programme .............................................................................................. 25
pg. 2 NHSRC
14.1 Revised National Tuberculosis Control Programme (RNTCP) ........................... 25
14.2 National Leprosy Eradication Programme (NLEP) ................................................. 26
Tables
Table 1 District Profile – Vellore, TN ..................................................................................... 7
Table 2 District Health Facilities ............................................................................................. 7
Table 3 Functional delivery points in public health facilities of Vellore district, TN
2013................................................................................................................................................. 8
Table 4 Key health indicators of Tamil Nadu Vs Vellore ................................................... 9
Table 5 Comparison of selected maternal indicators of Vellore, TN – 4th quarter of
2011-12 to 2012-13 ........................................................................................................................ 9
Table 6 Human Resource for Health – Vellore, TN 2013 .................................................. 12
Table 7 Available Specialists in health facilities, Vellore, TN ........................................ 12
Table 8 Status of different types of new born care facilities in Vellore, TN ................ 19
Table 9 Family Planning indicators of Vellore, TN for 4th quarter (2011-12 and 2012-
13) ................................................................................................................................................. 21
Table 10 IDSP laboratory surveillance form ....................................................................... 24
Graphs
Graph 1 Facility wise contribution of institutional deliveries for the 4th quarter 2011-
12 – Vellore, TN ......................................................................................................................... 10
Graph 2 Analysis of Maternal Deaths in Vellore district, TN ......................................... 11
Graph 3 Para-medical staff – sanctioned Vs Positioned, Vellore, TN 2013 ................... 12
Graph 4 Duration of stay after delivery in Vellore, TN from Jan to March 2013 ......... 15
Graph 5 Month wise ambulance service against reported deliveries from Jan to
March 2013– Vellore, TN ......................................................................................................... 16
Graph 6 Immunisation Coverage of various antigensagainst estimated live births for
fourth quarter of 2011-12 to 2012-13 ....................................................................................... 18
Graph 7 reported Infant death (up to Sept’ 2012), Vellore, TN ........................................ 20
Graph 8 Distribution of sanitary napkins through VHN and schools from Jan to Mar
2013............................................................................................................................................... 21
Graph 9 Week wise disease trend analysis for first 9 weeks of 2013 ............................. 23
Graph 10 TU wise performance of RNTCP from Jan to March 2013, Vellore, TN ....... 26
pg. 3 NHSRC
Executive Summary
The Monitoring report for Tamil Nadu is based on the HMIS data analysis and field
visit to Vellore district of Tamil Nadu from 7th to 9th May 2013. The monitoring visit
includes all levels of health facilities in the district. Details of visit provided in the
annexure-A
1. Facility Mapping
Out of 68 round the clock PHCs, 81% are conducting more than 10 deliveries per
month.
Except few, none of the sub-centers are operational as delivery points even though
they have adequate infrastructure with attached staff quarter.
There are total 7 blood bank and 18 blood storage units are licensed and functional
in the district.
2. Maternal Health
The ANC registration against expected pregnancies jumped 28%; from 56 % in 2011-
12 to 84% in 2012-13,
Around 3.1 % drop in hypertension in pregnancy cases against ANC reported. This
year % of severe anemia (HB <7) treated cases dropped by 1.4 % in comparison with
previous year.
Secondary and tertiary contribute 37% and PHCs & CHCs contribute 34 and 29 % of
the total deliveries in the 4th quarter of 2012-13.
Number of C-section deliveries against institutional deliveries increased by 5.4 % in
comparison with previous year’s fourth quarter.
2.1 Maternal Death
Around 48 maternal deaths were reported during 2011-12 and 25 deaths up to Sep
2012. MDRs show that, 40 % maternal deaths belong to Schedule Caste (SC) and 28
% from BCs, 16 % MBCs and 8 % each from ST and other communities. 64% of the
deaths, occurred in medical colleges and 16% during transit.
pg. 4 NHSRC
Major causes of maternal deaths are PPH (20%), PIH (16%), Sepsis (16%) and other
reasons are 20 %. Around 38 % of deaths occurred less than 24 hours and 29 %
within one to two weeks.
3. Human Resource for Health
400 village health nurses are positioned at health sub centers against 454, which is 12
% shortfall against sanctioned.
More than 50 % of Health Inspectors (HI), Block Extension Educator (BEE) and Non-
Medical Supervisor (NMS) positions are vacant in the district.
Around 50 % of x-ray and lab technician positions are vacant in the district.
Around 11 MOs were trained in Life Saving Anesthetic Skills (LSAS) and 3 MOs in
Emergency Obstetric Care (EmOC) during the financial year 2012-13.
4. Janani-Shishu Suraksha Karyakram (JSSK)
OPD and IPD services are free in all the facilities and no shortage of drugs
Provision of free diet available in all health facilities and the cost per head is Rs.80
per day.
More than 90 % of the beneficiaries discharge after three days, which indicates good
intake of diet provision in health facilities.
Only 16% (n=24) of the beneficiaries availed the ambulance service to reach the
health facility and for drop-back 29 % beneficiaries would be utilizing the service.
There are no signages for JSSK, and grievance redressal mechanism is unavailable in
the visited facilities.
5. Outreach activity
Cumulative figures of Vellore in last quarter of 2012-13 shows overall increase in
immunization as compared to the last year.
6. Child health
Still birth constitute one % of total live births recorded and male infant deaths are
slightly higher (1.25%) than female infant deaths (1%) (Up to September 2012).
pg. 5 NHSRC
98 % of total infant deaths occur in rural areas and out of total infant deaths, 56 %
deaths occur within one week time.
7. Family planning
As per the DLHS III, the district reported 18.2 total unmet needs and only 6% of the
total unmet needs were catered in the district, which slightly improved between two
different quarters.
8. WIFS and Sanitary Napkins
WIFS progamme covers around 2.56 lakhs girls and line listing of total 100,158
adolescent girls available across 40 PHCs. However, there is no coverage of boys
under WIFS
Total 1.18 lakhs napkins were distributed, which include 52,638 through VHN and
66,115 through schools in the fourth quarter of 2012-13.
9. School health programme
The district covers around 1070 government and 168 aided schools covering 2.64
lakhs students from 1st grade to 12th grade in the district.
10. Health Management Information System
There are more than 20 different formats for information systems are being used by
different programs.
11. Mobile Medical Units
The district has 20 MMU in 20 blocks and on an average each MMU covers 1200
OPD load per month. The lowest OP being 500 and the highest OP 3000 per month.
Every block has a micro plan with fixed dates at block level.
12. Integrated Disease Surveillance Project (IDSP)
Total 112 cases of dengue reported, 78 in Vellore and 34 in Tirupathur division from
Jan to Feb 2013. Around 70% of the reported total cases fall above 14 years of age.
13. Quality of services
None of the PHC have proper protocols for disposal of bio-medical waste. These
PHCs are still dependent on deep burial pits, where they dump bio-medical waste
including placenta.
Secondary care facilities have tied up with third party agency to dispose bio-waste.
These have proper color coded buckets in OT, labor and lab rooms
pg. 6 NHSRC
14 Disease control programme
Out of seven TUs, one TU is managed by Community Health and Development
(CHAD), CMC Vellore under PPP model and 5 DMCs under NGO partnership.
There are around 50 MDR cases detected, 10 released from treatment and 40 cases
on medication in regional center for drug-resistant TB center.
During fourth (2012-13) quarter 27 new cases were detected, which include 21 MB
and 6 PB.
During the year 2012-13, total 139 new cases detected, which include 76 MB and 63
PB cases.
pg. 7 NHSRC
District Background
Table 1 District Profile – Vellore, TN
Table 2 District Health Facilities
Source: District PIP 2013-14
Vellore District Profile, TN
State Tamil Nadu
District HQ Vellore
District revenue divisions
3
Taluks 9
Blocks 20
Corporation & Municipalities
12
Town Panchayats 16
Revenue villages 843
Panchayats villages 743
Population 3,928,106
Literacy 79.65%
Bensity 650/KM2
District Boarders
North Andhra Pradesh
East Thiruvallur
West Krishnagiri
South Thiruvannamalai & Kancheepuram
Health facilities - Vellore Dist. Number
District Hospital 1
Sub Divisional Hospital 10
Community Health Centers 20
Primary Health Centers 66
Urban PHC 14
Upgraded PHC 14
Health Sub-Centers 454
Anganwadi centers 2422
VHWSC 851
pg. 8 NHSRC
1. Facility Mapping
Vellore district has three revenue divisions, nine taluks, 20 blocks, 12 municipalities
with 16 town panchayats and 843 revenue villages. The district has 3.9 million
population with 79.6% literacy rate as per 2011 census. For every 50,000 population
one PHC is available in the district, there are total 78 PHCs in 20 blocks, on an average
each block has 1.95 lakhs population and per block 4 PHCs available in the district. For
every 6 to 7 thousand population one Health Sub-Centre (HSC) is available in the
district. On an average, every block has 22 -23 HSC available, which totals to 454 sub-
centers in the district. Every village has one Village Health Water and Sanitation
Committee (VHWSC) totaling 851 and 2422 Anganwadi Centers (AWC) with 2302
Anganwadi Worker (AWW); a shortage of 5% AWW.
Table 3 Functional delivery points in public health facilities of Vellore district, TN 2013
Sl .No Health facilities - Vellore District Number
1 Total No. of SCs/conducting >3 deliveries per month 454/0
2 Total No. of 24X7 PHCs/conducting >10 deliveries per month 68/55
3 Total No. of CHCs ( Non- FRU) conducting > 10 deliveries /month 18
4 Total No. of CHCs ( FRU) conducting > 20 deliveries /month with C-section
2
5 Total No. of any other FRUs (excluding CHC-FRUs)/conducting > 20 deliveries per month with C-section
8/7
6 Total No. of DH conducting > 50 deliveries /month with C-section 1
7 Total No. of Medical colleges conducting > 50 deliveries/month with C-section
1
8 No. of Blood bank licensed and functional 7
9 No. of Blood Storage Units licensed and functional 18
Source: District PIP 2013-14 None of the sub-center are operational as delivery point. Out of 68 round the clock PHCs, 81% conduct more than 10 deliveries per month. All non-FRU CHCs are conducting more than 10 deliveries and 2 FRU CHCs are conducting more than 20 deliveries including C-sections. District hospital and government medical college are conducting more than 50 deliveries per month. There are total 7 blood banks and 18 blood storage units licensed and functional in the district.
pg. 9 NHSRC
Table 4 Key health indicators of Tamil Nadu Vs Vellore
Sl. No. Health indicators Tamil Nadu Vellore
1 MMR (per 100,000 live births) 2007-09 SRS 97 97
2 CBR ( per 1000 population) 2001 15.9 16
3 CDR ( per 1000 population) 2011 7.4 6.5
4 IMR (2011) 22 22
2. Maternal Health
Comparison of selected maternal health indicators of Vellore for the fourth quarter of 2011-12 to 2012-13 shows improvement across all key indicators. The ANC registration against expected pregnancies increased by 28 %; from 56 % in 2011-12 to 84 % in 2012-13%. Nevertheless, % of ANC registration in first trimester against reported registration remain the same. As shown in table 5 below, around 3.1 % drop in hypertension in pregnancy cases as against previous year (4.3%) was reported. This year % of severe anemia (HB <7) treated cases dropped by 1.4 % in comparison with previous year. Table 5 Comparison of selected maternal indicators of Vellore, TN – 4th quarter of 2011-12 to 2012-13
Sl. No.
Key Indicators – Vellore, TN
Jan to Mar Jan to Mar
2012 2013
1 % ANC Registration against Expected Pregnancies
56 84
2 % ANC Registration in first trimester against Reported ANC registration
81 82
3 % Severe anemia (Hb<7) treated against reported ANC registration
2.7 1.3
4 % Hypertension in pregnancy- detected against ANC reported
4.3 1.2
4 % Institutional Deliveries against Estimated Deliveries
36.5 60
5 % Home deliveries( SBA& Non SBA) against estimated deliveries
0.5 0.3
6 C Section deliveries against institutional deliveries
9.4 14.8
Source: HMIS
Home deliveries, SBA and non SBA dropped marginally (by 0.2 %) and number of C-
section deliveries against institutional deliveries increased by 5.4 % in comparison with
pg. 10 NHSRC
SEC Hospitals 37%
PHC 33%
UG-CHC 17%
UG-CHC (MCH) 7%
CHC 5%
UG-PHC 1%
SEC Hospitals PHC UG-CHC UG-CHC (MCH) CHC UG-PHC
previous year. District hospital, government medical college and other FRUs
(excluding CHC) conduct 37 % of total institutional deliveries in the district. PHCs and
CHCs conducted 34 and 29 % of the total deliveries (Q4 2012-13 data). PHCs and CHC
generally perform normal deliveries and CHC MCH centers, GH and government
medical colleges caters to complicated and C-section deliveries.
VHNs are the basic pillar of public health at community level for prevention and
promotion of health care in Tamil Nadu. VHNs are qualified para-medics who possess
great experience working at community level. However, despite most HSC having
good infrastructure with attached VHN quarters, none of the sub-center conduct
deliveries except few.
Graph 1 Facility wise contribution of institutional deliveries for the 4th quarter 2011-12 – Vellore, TN
2.1. Maternal Death The MMR of Tamil Nadu is 97 per 100,000, which is one of the lowest MMR in India .The state and district has robust mechanism of maternal and infant death audits. District constituted MDR task force and district magistrate regularly reviews maternal deaths every month and follow-up action to reduce the MMR at district level. Last year, the district has trained 20 district medical officers, 20 block medical officers, 15 private hospitals and 52 MOIC on maternal death review. Facility based MDR committees have been constituted at all levels of delivery points in the district. Around 48 maternal deaths reported during 2011-12 and 25 deaths up to September 2012. Community based
pg. 11 NHSRC
MDR was also constituted at the district level and 5 MDR have been audited by community. Out of 25 maternal deaths reviewed, 40 % belongs to Schedule Caste (SC) and 28 %, 16
% from BCs and MBCs and 8 % each from ST and other community. Most of the deaths,
64 %, occurred in medical colleges and 16 % during transit. Major causes of maternal
deaths are PPH (20%), PIH (16%), Sepsis (16%) and other reasons are 20 %. Around 38
% of deaths occurred less than 24 hours and 29 % within one to two weeks. Below
graphs provides analysis of maternal deaths up to September 2012 for Vellore district.
Graph 2 Analysis of Maternal Deaths in Vellore district, TN
3. Human Resources for Health
pg. 12 NHSRC
There are around 400 village health nurses positioned at health sub centers against 454, which is 12 % shortfall against sanctioned. However, 80 % and above of all positions include MOs, AYUSH MOs, SN, ANM, and VHNs are positioned in the district. Around 50 % of x-ray and lab technician positions are vacant in the district. Table 6 Human Resource for Health – Vellore, TN 2013
Sl. No. Human Resources - Vellore Sanctioned Positioned Shortage
1 Medical Officers 224 184 18%
2 Staff Nurse (Regular) 18 14 22%
3 Staff Nurse (Contractual) 248 218 12%
4 Village Health Nurse (VHN) 454 400 12%
5 ANM 102 86 16%
6 Lab Technician 59 31 47%
7 X-Ray technician 6 3 50%
8 AYUSH Doctor (Regular) 33 29 12%
9 AYUSH Doctor (Contractual) 24 24 0%
Source: district PIP 2013-14
There are 29 specialist, which include 7 pediatrician, 6 Anesthetics and 16 gynecologist
available in the district. Around 11 MOs were trained in Life Saving Anesthetic Skills
(LSAS) and 3 MOs in Emergency Obstetric Care (EmOC) during the financial year 2012-
13.
Table 7 Available Specialists in health facilities, Vellore, TN
Sl. No. Specialist - Vellore, TN Regular
1 Pediatricians 7
2 Anesthetics 6
3 Gynecologists 16
4 MOs trained in LSAS 11
5 MOs trained in EmOC 3
Graph 3 Para-medical staff – sanctioned Vs Positioned, Vellore, TN 2013
pg. 13 NHSRC
6
9 8
13
19 20
18 18
20 20 20 20
0
5
10
15
20
25
Block ExtensionEducator
Block HealthSupervisor Tech
Non-MedicalSupervisor
Block HealthSupervisor
CommunityHealth Nurse
Para-MedicalOphthalmicAssistants
P A R A - M E D I C A L S T A F F - S A N C T I O N E D V S P O S I T I O N E D V E L L O R E , T N 2 0 1 3
Position Sanctioned
There are around 184 various para-medical personnel available across different health
facilities out of 333 sanctioned, which is about 45% shortfall against approved.
Nonetheless, Community Health Nurse (CHN) and Para-Medical Ophthalmic
Assistants (PMOA) positions are almost filled across 20 different blocks of the district.
More than 50 % of Health Inspectors (HI), Block Extension Educator (BEE) and Non-
Medical Supervisor (NMS) positions are vacant. The NMS are public health point
persons responsible for prevention and promotion of health care at community level.
4. Janani-Shishu Suraksha Karyakram (JSSK)
4.1 User fee in Out Patient Department (OPD) and In Patient Department (IPD)
OPD and IPD services are free in all the facilities. Out of 24 beneficiaries interviewed
across different health facilities, no one reported paying user charges for OPD and IPD
services.
4.2 Drugs and Consumables
It is observed that there is no shortage of drugs in all health facilities in the district. No
beneficiary reported buying medicine from private medical store.
pg. 14 NHSRC
4.3 Diagnostics
Diagnostic services are free at all levels
of facilities, which include routine blood
and urine examination. Pregnant
women are exempted from paying
money for laboratory tests. At primary
level all facilities are organizing ANC
meeting with all listed pregnant women
in that catchment area. The meeting is a
platform to educate ANC mothers about
ANC care and inform about state and
central government schemes. During
these meetings ANC mothers undergo
regular check-up and ultrasound scanning for genetic anomalies and other routine
examinations. The health facility provides lunch for all ANC mothers who attend the
clinic.
4.4 Diet
Provision of free diet is available in
all health facilities. PHCs tie-up with
local hotels to provide three meals
for PNC mothers and the cost per
head is Rs.80 per day. CHCs and DH
have separate kitchens to cook food
for the inmates of the hospital. Staff
nurse generally takes additional
charge of these kitchens. Almost all
interviewed beneficiaries were
satisfied with the food provided by
the health facilities.
As shown in graph 4, more than 90 % of all beneficiaries are discharged after three days
of delivery, which indicates good intake of diet provision in health facilities. Almost all
mothers are aware that they will be discharged after three days.
Community Kitchen, Natrampalli CHC
Pallikonda PHC-ANC weekly meeting
pg. 15 NHSRC
Graph 4 Duration of stay after delivery in Vellore, TN from Jan to March 2013
Source: HMIS
4.5 Referral Transport
Only 16% (n=24) of the beneficiaries availed the ambulance service to reach the health
facility and remaining 20 beneficiaries either used their own vehicle (Auto) or used local
bus. For drop-back 29 % beneficiaries would be utilizing the service and remaining 17
beneficiaries would be using their own vehicle (Auto). During exit interviews, all
beneficiaries informed that they are aware of ambulance services but due to various
reasons could not avail the facility. Around 50 % respondents said that they visited
health facility during full-term for usual check-up but admitted to the hospital for
delivery.
2452
2056
2591
134 85 249
0
500
1000
1500
2000
2500
3000
January February March
D U R A T I O N O F S T A Y - V E L L O R E , T N
Deliveries conducted at Public Institutions
Of which Number discharged under 48 hours of delivery
pg. 16 NHSRC
Graph 5 Month wise ambulance service against reported deliveries from Jan to March 2013– Vellore, TN
There is no exclusive ambulance for referral
transport but they depend on 108 ambulance
service, which is already overburdened with
high number of causalities. Beneficiaries
also reported that the response time for 108
ambulance is 15-35 mins longe than
expected (30 mins). Administration and
finance department informed that the fund
has been released to all level health facilities
to implement JSSK but secondary and
tertiary level hospitals have returned the
funds related to transportation.
It is evident from the reported data that only 7 to 10 % of the beneficiaries are availing
the ambulance facility and remaining
depend on private vehicles which is one of
the major reason for out of pocket
expenditure among the PWs.
4.6 Display of entitlements
The signage of JSSK not displayed in health
facilities visited, when discussed with the
district officials, they informed that JSSK
24
52
20
56
25
91
18
1
15
5
27
0
J A N U A R Y F E B R U A R Y M A R C H
A M B U L A N C E S E R V I C E A G A I N S T D E L I V E R I E S - V E L L O R E , T N
Deliveries conducted at Public Institutions
Total Number of times the Ambulance was used for transporting patients during the month
Pallikonda PHC 108
PHC Vinnampalli
pg. 17 NHSRC
progamme started in January 2013 in the district. However, display of JSY is visible in
all health facilities visited and display of state health schemes such as Dr. Muthu
Lakshmi Reddy Maternity Benefit Scheme and CM comprehensive health insurance
schemes were also well displayed
4.7 Awareness of community
When enquired about JSSK entitlements with beneficiaries, they were aware about
entitlements under different schemes including JSSK. Weekly ANC meeting at PHC
level is a good platform to create awareness about different schemes and also for ANC
checkup. Village Health Nurse (VHN) also acts as catalyst to create awareness among
communities. Socially and politically, communities are empowered to demand health
services. State has also maternity benefit schemes, which provides Rs.12,000 for BPL
families. The scheme provides amount in three instalments, 1st installment after
completion of full ANC check-up, 2nd after delivery and 3rd instalment after completion
of full immunization of child.
4.8 Grievance Redressal Cell
There is no grievance redressal mechanism available in the visited facilities, when
enquired with the beneficiaries (n=24), 46 % said MO, 42 % VHN and 13 % said they
will approach nurse. No one has said that they don’t know but there is no formal
system to address beneficiary’s grievance in health facilities.
4.9 Out of pocket expenditure /
informal charges
Interaction with beneficiaries
revealed that out of pocket
expenditure arise mostly on
transportation. Around 45 %
interviewed beneficiary have used
their own vehicle (auto) for
convenience even though they know
the availability of ambulance
services. State level programme
officer informed that they are in the
process of pooling ambulance to
place at health facility with centralized call center for assured referral services for
eligible mothers.
Pallikonda PHC
pg. 18 NHSRC
5. Outreach activities
5.1 Immunization
Cumulative figures for district Vellore shows overall increase in immunization as
compared to the last year. The full immunization was 46% in the last quarter of 2012
while it is 73% in the fourth quarter of 2012-13. BCG-measles drop out %age was
reported zero in 2012 to -6% in 2013. At the same time dropout from BCG to DPT3 has
increased from 31% in 2012 to 100% in 20131. Facilities visited had functional ILR and
deep freezer with temperature card duly filled and adequate temperature maintained.
In Vellore, due to shortage of power supply, most of the ILR/deep freezers are
dependent on power generator or UPS.
Graph 6 Immunisation Coverage of various antigensagainst estimated live births for fourth quarter of 2011-12 to 2012-13
Source: HMIS
The district has good performance of planned versus held immunization sessions which
correlates with immunization achievement in the district. However, HIMS show that
very low number of ASHAs attended immunization session because ASHAs were new
to the district and all sessions were attended by village health nurse who does
community mobilization.
1 One needs to be cautious in interpretation of HMIS data, the district may have good performance of immunization activities but
there might be problem in reporting data.
51 49 51 46
73 76 77 73
0
10
20
30
40
50
60
70
80
90
BCG% OPV3% Measles% Fully Immunised%
V E L L O R E , T N - I M M U N I S A T I O N ( 0 T O 1 1 M N T H S ) A G A I N S T E S T I M A T E D L I V E B I R T H S - J A N T O M A R
2011-12 2012-13
pg. 19 NHSRC
5.2 ASHA
ASHAs are known as Village Health
Volunteers (VHV) in Tamil Nadu and
these VHVs are one year old in the district.
Vellore district has about 82 ASHAs,
representing 34 34 in tribal area and 48 in
plain areas. It is reported that the plain
area ASHA were less than a year old
whereas in tribal areas they are one year
old. Most of the tribal area ASHA were
dropped out due to various reasons. However, the district has planned to select 124
more ASHA in the coming year. All ASHA were trained up to module 5 and none of
the ASHAs were trained in module 6 and 7. District has distributed drug kits to all
ASHAs and 32 HBNC kits to tribal area ASHAs.
The support structures at district level include community health Nurse and village
health nurse. It is observed that ASHAs act as complement and supplement to village
health nurse, wherein ASHAs are more active in outreach services.
6. Child Health
The IMR of the state was 22 and administratively the
district has two health units (HUDs). The district has
all functional new born care centers as against
sanctioned. There are total 10 NBCCs, 2 NBSUs and 2
SNCUs available in the district. Out of 2 SNCUs, one
located in government medical college of Vellore and
another in district head quarter hospital in Walaja.
Apart from new born care, there are two nutritional
rehabilitation centers available in Vellore HUD.
Table 8 Status of different types of new born care facilities in Vellore, TN
Status NBCC NBSU SNCU NRC
Sanctioned
Functional
Sanctioned
Functional
Sanctioned
Functional
Sanctioned
Functional
Vellore HUD
6 6 1 1 2 2 2 2
Tirupathur HUD
4 4 1 1 2 2 0 0
ASHA, Vinampalli. AWC
Natrampalli CHC
pg. 20 NHSRC
District total 10 10 2 2 4 4 2 2 Source: district PIP 2013-14
The district constituted maternal and child death task force headed by district
magistrate, which reviews maternal-child deaths every month at the district
headquarters. The infant death reviews suggest that still birth constitute one % of total
live births recorded and male infant deaths are slightly higher (1.25%) than female
infant deaths (1%) (Up to September 2012) in the district. 98 % of total infant deaths
occur in rural areas and out of total infant deaths, 56 % deaths occur within one week
time. However, during 8 to 28 days period, 14 % of infant deaths were reported. As
against total live birth records, 1.5 % deaths in male children and 1.4 %in female infant
deaths were recorded in the district.
Graph 7 reported Infant death (up to Sept’ 2012), Vellore, TN
7. Family Planning
Performance of family planning programmes reflects poor outcome in the district. As
per the DLHS III, the district had 18.2% unmet need. Only 6% of the total unmet needs
were catered to in the district, which slightly improved; from 2 % in 2011-12 to 6 % in
2012-13. However, there is huge gap between demand and supply. There is an urgent
need to appraise family planning activities in the district, which should accommodate
the needs of the district. One needs to be cautious in interpretation of HMIS data, the
district may have good performance of family planning activities but there might be
problem in reporting data.
34
83
22
68
24
78
33
49
0 - 2 4 H O U R S 1 - 7 D A Y S 8 - 2 8 D A Y S 2 9 - 3 6 5 D A Y S
I N F A N T D E A T H S
Male Female
pg. 21 NHSRC
Table 9 Family Planning indicators of Vellore, TN for 4th quarter (2011-12 and 2012-13)
FP Key Indicators 2012 2013
Jan to Mar Jan to Mar
Estimated eligible couples for unmet need - Calculated using DLHSIII for the quarter - Vellore, TN
1,21,536 1,23,966
% Total reported FP Users against estimated eligible couples
2% [2847]
6% [6913]
% Total IUDs reported against total reported FP users
24% [690]
38% [2618]
% Total OCP users against total reported FP users
2% [47]
4% [267]
% of Total sterilization (against Estimated Level of Achievement)
1.53% [1866]
2.19% [2722]
% Postpartum sterilization out of total female sterilizations
92% [1711]
96% [2718]
% Male sterilizations out of total sterilizations 0.05% [1]
0.14% [4]
% Female sterilizations out of total sterilizations
99.94% [1865]
99.85% [2718]
8. WIFS and Sanitary Napkins
Health sub-center level, VHN maintains line listing of all adolescent population, which
include school going and out of school girls. WIFS progamme covers around 2.56 lakhs
girls and line listing of total 100158 adolescent girls available across 40 PHCs. WIFS
programme include distribution of IFA and albendazole tablets. Total 1.18 lakhs
sanitary napkins were distributed in the fourth quarter of 2012-13; 52,638 through VHN
and 66,115 through schools.
Graph 8 Distribution of sanitary napkins through VHN and schools from Jan to Mar 2013
9893 19415 23330
13911
21625
30579
0
10000
20000
30000
40000
50000
60000
Jan' 2013 Feb' 2013 Mar' 2013
Distribution of Sanitary Napkins, Vellore
VHN School
pg. 22 NHSRC
9. School Health Programme
The district covers around 1070 government and 168
aided schools covering 2.64 lakhs students from 1st grade
to 12th grade in the district. The approach of SHP in
Vellore is PHC based doctor supported by staff nurse
across 20 blocks in the district. Every block has four
dedicated SHP teams to screen the children. In Tirpathur
health unit district, there are total 42 SHP teams available
in 10 blocks. Total 15 AYUSH doctors, 4 dentist and 202 dedicated ANMs are available.
Most school children were screened two times a year.
10. Health Management Information Systems (HMIS)
District is uploading facility wise (PHC
level) data in national web portal. There
is a dedicated State Health Data Resource
Centre (SHDRC) under TNSHP,
whichanalyzes district wise data. Most of
the facilities are included in the hierarchy
of web portal. Besides, there are more
than 20 different information systems
being used by different programs.
Multiple information systems functioning
parallel to each other leads to duplication
of work and require additional efforts of
health staff e.g. PICME (local version of
MCTS) and HMIS. Gaps still exist in
computerization of data form important
programs such as Blood Banks, Trainings
etc.
HMIS system is area-wise reporting
based on the family health register. The system was designed for HSC level reporting;
later option of consolidated as well as granular data entry was given from PHC level.
Area wise reporting helps in taking care of the entire population in the area however
leads to duplication in the HMIS, therefore performance monitoring of each facility
becomes difficult. State in the process of reporting facility based HMIS, which is
recommended by GoI. There are no evidence of private sector data reporting. Similarly
reporting from urban areas in the information systems is limited.
Kandaneri HSC
PHC Vinnampalli
pg. 23 NHSRC
11. Mobile Medical Units
The district has 20 MMU in 20 blocks and on an average each MMU covers 1200 OPD
load per month. The lowest OP coverage is 500 and the highest OP 3000 per month.
Every block has a micro plan with fixed dates at block level. VHN also plays an
important role in social mobilization for MMUs. However, no diagnostic services are
available in the MMUs and they only prescribe for general aliments.
12. Integrated Disease Surveillance Project (IDSP)
District has robust IDSP programme, which is reviewed every month by district
magistrate. There are total 117 institutions reporting L-form and 114 P-form, which
include private and other hospitals (ESI) in the district. Total 454 S-forms are reporting
to the district surveillance officer (DSO). Total 112 cases of dengue reported, 78 in
Vellore and 34 in Tirupathur division from Jan to Feb 2013. Around 70% of the
reported total cases fall above 14 years of age. However, there is no mortality reported
among dengue cases.
Graph 9 Week wise disease trend analysis for first 9 weeks of 2013
pg. 24 NHSRC
Table 10 IDSP laboratory surveillance form
Sl. No Diseases January
2013 February
2013
1 Dengue 82 30
2 Hep-A 7 3
3 Hep-E 5 3
4 Malaria 16 8
5 Scrub Typhus 55 18
6 TB 167 174
7 Typhoid 269 143
8 Leprosy 9 3
9 Chloera 0 0
10 chikungunya 0 0
13. Quality of Services
13.1 Infrastructure
Adequate infrastructure is available in
all health facilities. The initiative by
state to improve infrastructure under
TNHSP was visible in secondary and
tertiary hospitals. It has been observed
that due to NRHM, primary care
infrastructure has been improved over
a period of time. All construction
under health department is
undertaken by health division of PWD
department. Almost all PHC have same design with a big campus. It seems there are
two facilities, which have been accredited by NABH. One visited facility, Natrampalli,
has been audited and is going to ISO certification. On an average, 370 OP and 6 IP per
1,000 population were reported under HMIS for the 4th quarter of 2012-13 in the district.
This suggests an OPD utilization rate of nearly 1.5/capita/annum which is reasonable,
although IPD utilization needs improvement
13.2 Information Display
Information related to health programs are well displayed except JSSK entitlements,
which started in January 2013 in the district. Visited facilities have displayed citizen
charter, facility catchment area with number of HSCs, RKS and month wise facility
performance of institutional deliveries. However, state schemes like Dr. Muthu
Unaivaniyambad HSC
pg. 25 NHSRC
Lakshmi Reddy Maternity Benefit and CMs
comprehensive health insurance scheme
were well displayed outside of all visited
facilities. Health sub-centers are also well
display information on health related
activities. It seems most of the film fraternity
are actively engaged in RNTCP and
HIV/AIDS awareness. CHC Natrampalli
has a display of Expected Date of Deliveries
(EDD) and also a chart depicting type of
deliveries – normal and LSCS, which is
commendable.
13.3 Infection Prevention
None of the PHC have proper protocols for
disposal of bio-medical waste. These PHCs are still dependent on deep burial pits,
where they dump bio-medical waste including placenta. Usually, health workers take
the responsibility for the disposal of hospital waste.
However, secondary care facilities have tied up with third party agency to dispose bio-
waste and CHC meet the expenditure from RKS or AMC grant. Secondary care
facilities have proper color coded buckets in OT, labor and lab rooms and in some
facilities they are in partial use. Needles and syringes are properly mutilated and
disinfected before putting in waste bin. However, the district needs additional trainings
and robust monitoring as far as infection prevention practices are concerned.
13.4 Emergency preparedness
District headquarter hospital has dedicated casualty division to attend the emergency
cases. There is an increasing trend in number of emergency case in urban areas of the
district. Some of the primary and secondary care facilities have emergency
preparedness but there is still scope to improve the emergency preparedness as per
standard protocol.
14 Disease Control Programme
14.1 Revised National Tuberculosis Control Programme (RNTCP)
Vellore district has seven Treatment Units (TUs) and 36 Designated Microscopic
Centers (DMC). Out of seven TUs, one TU is managed by Community Health and
Development (CHAD), CMC Vellore under PPP model and 5 DMCs under NGO
partnership. However, out of 36 DMCs only 5 RNTCP LT are posted and rest of them
are vacant. Interaction with DTCO revealed that there are some legality issues
regarding recruitment of LTs in the district, which is pending in the court. Most of the
pg. 26 NHSRC
DMC are dependent on other lab technicians in the health facility for sputum
examination. It is also observed that, almost all TU are above population norms, which
should be 5 lakhs per TU. As per the revised RNTCP population norms, the district
needs 14 to 15 TUs.
Graph 10 TU wise performance of RNTCP from Jan to March 2013, Vellore, TN
Drug-Resistant TB center and Intermediate Reference Laboratory (IRL) for culture of
drug susceptibility located in CMC, Vellore for five district of Tamil Nadu. There are
around 50 MDR cases detected, 10 released from treatment and 40 cases on medication
in regional center for drug-resistant TB center.
14.2 National Leprosy Eradication Programme (NLEP)
Tamil Nadu achieved the status of elimination of leprosy and the current prevalence
rate is 0.42 per 10,000 population. District Leprosy Officer (DLO) supervises the leprosy
activities in the district. Out of 20, only 8 non-medical supervisors available in the
district and there is inadequate staff for leprosy detection at PHC level. There is no skin
smear test available in any health facility and almost all cases were detected based on
nerve and skin patches. During fourth (2012-13) quarter 27 new cases detected, which
include 21 MB and 6 PB.
At district headquarters, total 101 cases are under treatment by the end of March 2013,
which include 75 MB and 26 PB. Total 5 leprosy cases were detected in March 2013, out
of them 1 MB and 4 PB. During the year 2012-13, total 139 new cased detected, which
include 76 MB and 63 PB cases. 7 deformity cases were detected and 11 cases were
referred to Reconstructive Surgery (RCS). However, these health facilities do not have
capacity to treat disabilities and they refer to nearby leprosy referral center.
135 137 146 146 145 145 151
73 82 81 86 90
77 69 89 90 89 91 90 91 91 85 85 86 86 86 87 86
020406080
100120140160
TU wise performance of RNTCP Jan to Mar 2013
ANCDR New Smear+ treated Sputum conversion rate Cure rate
pg. 27 NHSRC
Annexure – A
Facilities visited – Vellore, Tamil Nadu
Sl. No. Date Facility visited Block Persons interacted
1 07.05.2013 PHC, Pallikonda Anaicut MOs, Dental MO, SN, LT
2 07.05.2013 Health Sub Centre, Kandaneri
Anaicut VHN, CHN, AWW and ASHA
3 07.05.2013
Health Sub Centre, Unaivaniyambad
Anaicut VHN
4 07.05.2013
PHC, Vinnampalli
Sholingur MO, Dental MO, SN, LT and NCD SN
07.05.2013
Anganwadi Centre, Vinnampalli
Sholingur AWW, VHN, CHN, ANC and PNC
5 07.05.2013
PHC, Melpadi Sholingur MO, Dental MO, SN, LT and NCD SN
6 08.05.2013 PHC, Madanur Madhanur MO, Dental MO, SN, LT and NCD SN
7 08.05.2013 CHC, Natrampalli
Natrampalli MO, Dental MO, SN, LT TB-TU, and NCD SN
9 09.05.2013 District Headquarter hospital, Walajah
Walajah MO, SN, LTs, BBS, Emergency ward,
10 09.05.2013 DTCO, Vellore Vellore AD, DTCO
11 09.05.2013 NLEP, Vellore Vellore NMS, DDHS
12 09.05.2013 DMC, Vellore Vellore HV
pg. 28 NHSRC
Tamil Nadu April 12 - Jan 13
Comparison with Last Year Performance using HMIS data from National Web portal
National Health Systems Resource Centre
pg. 29 NHSRC
Tamilnadu - Apr'12 - Jan'13
DLHSIII
Population (Census-2011) 7,21,38,958
Estimated Pregnancies
12,76,851
ANC
CBR (SRS-2011) 15.9 Estimated Deliveries 11,60,774
ANC Check-up in first trimester
76.8
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 27528
Estimated Live Births
11,47,009
3 or more ANC Check-up 95.6
Estimated Eligible couples ( 17% of population)
1,22,63,623
Estimated Maternal Complications( 15%
of Estimated pregnancies)
1,91,528
Atleast 1 TT received 97.
2
Indicator Apr'12 - Jan'13 Projected for 2012
- 13 Last Year 2011
- 12 100 IFA Tablets 54.
7
3ANC Check up against estimated pregnancies
52% 63% 70%
Deliveries
Institutional Deliveries (Public+Private) against estimated deliveries
59% 71% 80%
Institutional Delivery
94
Met need for EmOC * 27.80% 33% 116.73%
Home Delivery 5.7
Reported Live Births against estimated Live Births
64% 77% 85%
Home Delivery by SBA
1.5
BCG to Measles dropout rate
-1% -1% 0%
New born & post natal care
pg. 30 NHSRC
Fully Immunised against estimated Live Births
54% 65% 80%
Abortion (Induced + Spontaneous)
Immunisation session held as % of required VHNDs
580% 580% 738%
Still Birth 88.6
Childhood Disease Diphtheria
0 0 0
Live Birth 1.2
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth
76.1
Childhood Disease Measles 28 33.6 938
PNC within 48 hrs of delivery
Childhood Disease Malaria 138 165.6 1102 Immunisation
Sterilization - Female per 1000 eligible couple
16.82
20.18
23.79
BCG 99.5
Sterilization - Male per 1000 eligible couple
0.07
0.08
0.14
DPT3 89.5
Reported Abortion Rate per 1000 Estimated live births
61.9
74.3 93.9
Measeles 95.
5
OPD All (per 1000 population)
1036.2
1,243.4 1864.2
Full immunisation
81.6
IPD (per 1000 population) 18.5
22.2 51.0
Unmet need for Family
Planning Operation Major (per Lakh population)
45.3
54.4 240.260 Spacing 5.4
Reported Infant and Child Deaths
1387
1,664.4 11505
Limiting 12.7
Reported Maternal Deaths 71
85.2 534
Total 18.1
* Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Chennai - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
46,81,087
Estimated Pregnancies
82,855
ANC
CBR (SRS-2011) 15.9 Estimated Deliveries 75,322
ANC Check-up in first trimester 89.8
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 1786 Estimated Live Births 74,429
3 or more ANC Check-up
99.5
Estimated Eligible couples ( 17% of population)
7,95,785
Estimated Maternal Complications( 15% of
Estimated pregnancies)
12,428
Atleast 1 TT received
100
pg. 31 NHSRC
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
67.6
3ANC Check up against estimated pregnancies
72% 87% 90%
Deliveries
Institutional Deliveries (Public+Private) against estimated deliveries
93% 111% 111%
Institutional Delivery
100
Met need for EmOC * 186.07% 223% 204.32%
Home Delivery 0
Reported Live Births against estimated Live Births
77% 93% 88%
Home Delivery by SBA
0
BCG to Measles dropout rate
0% 0% -14%
New born & post natal care
Fully Immunised against estimated Live Births
81% 97% 96%
Abortion (Induced + Spontaneous)
Immunisation session held as % of required VHNDs
23% 23% 15%
Still Birth 1.8
Childhood Disease Diphtheria
0 0 0
Live Birth 93.1
Childhood Disease Pertussis
0 0 0 Breastfed within 1 hour of birth 46.5
Childhood Disease Measles
20 24 72 PNC within 48 hrs of delivery
Childhood Disease Malaria 2 2.4 835 Immunisation
Sterilization - Female per 1000 eligible couple
28.90
34.68
36.34
BCG 96.8
Sterilization - Male per 1000 eligible couple
0.33
0.40
0.45
DPT3 84.8
Reported Abortion Rate per 1000 Estimated live births
186.9
224.3 240.8
Measeles
85.1
OPD All (per 1000 population)
554.2
665.0 643.5
Full immunisation
76.7
IPD (per 1000 population) 18.0
21.6 10.3 Unmet need for FP
Operation Major (per Lakh population)
50.1
60.1 43.879 Spacing 7.9
Reported Infant and Child Deaths
499
598.8 653 Limiting 6.9
Reported Maternal Deaths 23
27.6 47 Total 14.8
* Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Coimbatore - Apr'12 - Jan'13
DLHSIII
pg. 32 NHSRC
Population (Census-2011)
34,72,578
Estimated Pregnancies
61,464
ANC
CBR (SRS-2011) 15.9 Estimated Deliveries 55,877
ANC Check-up in first trimester 84.9
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 1325 Estimated Live Births 55,214
3 or more ANC Check-up 96.4
Estimated Eligible couples ( 17% of population)
5,90,338
Estimated Maternal Complications( 15% of
Estimated pregnancies)
9,220
Atleast 1 TT received
99.2
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
59.5
3ANC Check up against estimated pregnancies
45% 53% 74%
Deliveries
Institutional Deliveries (Public+Private) against estimated deliveries
80% 96% 95%
Institutional Delivery
96.8
Met need for EmOC * 144.22% 173% 173.25%
Home Delivery 3.2
Reported Live Births against estimated Live Births
55% 66% 96%
Home Delivery by SBA
0
BCG to Measles dropout rate
0% 0% 1%
New born & post natal care
Fully Immunised against estimated Live Births
49% 58% 92%
Abortion (Induced + Spontaneous)
Immunisation session held as % of required VHNDs
36% 36% 41%
Still Birth 90
Childhood Disease Diphtheria
0 0 0
Live Birth 1.6
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 64.8
Childhood Disease Measles
0 0 0
PNC within 48 hrs of delivery 94.5
Childhood Disease Malaria 0 0 0 Immunisation
Sterilization - Female per 1000 eligible couple
17.25
20.70
23.42
BCG 100
Sterilization - Male per 1000 eligible couple
0.04
0.05
0.15
DPT3 81.5
Reported Abortion Rate per 1000 Estimated live births
54.7
65.6 79.2
Measeles
95.3
OPD All (per 1000 population)
984.3
1,181.2 1879.7
Full immunisation
75.8
IPD (per 1000 population) 28.4
34.1 52.4
Unmet need for Family
Planning
pg. 33 NHSRC
Operation Major (per Lakh population)
165.2
198.3 331.800 Spacing 4.7
Reported Infant and Child Deaths
402
482.4 813 Limiting 9.2
Reported Maternal Deaths 15
18.0 27 Total 13.9
* Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Cuddalore - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
26,00,880
Estimated Pregnancies
46,035
ANC
CBR (SRS-2011) 15.9 Estimated Deliveries 41,850
ANC Check-up in first trimester 74.4
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 992 Estimated Live Births 41,354
3 or more ANC Check-up 97.1
Estimated Eligible couples ( 17% of population)
4,42,150
Estimated Maternal Complications( 15% of
Estimated pregnancies)
6,905
Atleast 1 TT received
95.6
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
34.7
3ANC Check up against estimated pregnancies
53% 64% 65%
Deliveries
Institutional Deliveries (Public+Private) against estimated deliveries
50% 60% 81%
Institutional Delivery
92.3
Met need for EmOC * 1.85% 2% 40.93%
Home Delivery 7.7
Reported Live Births against estimated Live Births
61% 74% 86%
Home Delivery by SBA
1.9
BCG to Measles dropout rate
-4% -4% 7%
New born & post natal care
Fully Immunised against estimated Live Births
50% 61% 74%
Abortion (Induced + Spontaneous)
Immunisation session held as % of required VHNDs
21% 21% 21%
Still Birth 86.8
Childhood Disease Diphtheria
0 0 0
Live Birth 3
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 74.7
Childhood Disease Measles
0 0 0
PNC within 48 hrs of delivery 88.5
Childhood Disease Malaria 20 24 0 Immunisation
pg. 34 NHSRC
Sterilization - Female per 1000 eligible couple
13.81
16.57
19.55
BCG 100
Sterilization - Male per 1000 eligible couple
0.09
0.11
0.13
DPT3 90.6
Reported Abortion Rate per 1000 Estimated live births
40.6
48.8 53.9
Measeles
95.8
OPD All (per 1000 population)
2180.5
2,616.7 5033.9
Full immunisation
86.9
IPD (per 1000 population) 35.0
42.0 26.8
Unmet need for Family
Planning Operation Major (per Lakh population)
29.3
35.1 139.914 Spacing 4.1
Reported Infant and Child Deaths
0 -
368 Limiting 18
Reported Maternal Deaths 0 -
19 Total 22.1 * Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Dharmapuri - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
15,02,900
Estimated Pregnancies
26,601
ANC
CBR (SRS-2011) 15.9 Estimated Deliveries 24,183
ANC Check-up in first trimester 75.2
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 574 Estimated Live Births 23,896
3 or more ANC Check-up 95.4
Estimated Eligible couples ( 17% of population)
2,55,493
Estimated Maternal Complications( 15% of
Estimated pregnancies)
3,990
Atleast 1 TT received
98.2
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
60.7
3ANC Check up against estimated pregnancies
61% 73% 89%
Deliveries
Institutional Deliveries (Public+Private) against estimated deliveries
73% 87% 103%
Institutional Delivery
92
Met need for EmOC * 5.11% 6% 103.00%
Home Delivery 7.3
Reported Live Births against estimated Live Births
82% 98% 114%
Home Delivery by SBA
1.4
BCG to Measles dropout rate
0% 0% 1%
New born & post natal care
Fully Immunised against estimated Live Births
62% 75% 101%
Abortion (Induced + Spontaneous)
pg. 35 NHSRC
Immunisation session held as % of required VHNDs
36% 36% 30%
Still Birth 90.3
Childhood Disease Diphtheria
0 0 0
Live Birth 0.8
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 86.4
Childhood Disease Measles
0 0 0
PNC within 48 hrs of delivery 72.3
Childhood Disease Malaria 14 16.8 0 Immunisation
Sterilization - Female per 1000 eligible couple
23.55
28.27
34.58
BCG 100
Sterilization - Male per 1000 eligible couple
0.03
0.04
0.07
DPT3 91.5
Reported Abortion Rate per 1000 Estimated live births
87.0
104.5 115.6
Measeles
98.3
OPD All (per 1000 population)
1032.4
1,238.8 4997.2
Full immunisation
83.3
IPD (per 1000 population) 24.4
29.2 94.3
Unmet need for Family
Planning Operation Major (per Lakh population)
72.1
86.6 246.457 Spacing 5.7
Reported Infant and Child Deaths
0 -
495 Limiting 10.9
Reported Maternal Deaths 0 -
14 Total 16.6 * Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Dindigul - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
21,61,367
Estimated Pregnancies
38,256
ANC
CBR (SRS-2011) 15.9 Estimated Deliveries 34,778
ANC Check-up in first trimester 83.3
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 825 Estimated Live Births 34,366
3 or more ANC Check-up 97.1
Estimated Eligible couples ( 17% of population)
3,67,432
Estimated Maternal Complications( 15% of
Estimated pregnancies)
5,738
Atleast 1 TT received
97.3
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
53.7
3ANC Check up against estimated pregnancies
64% 77% 77%
Deliveries
Institutional Deliveries (Public+Private) against estimated deliveries
62% 75% 77%
Institutional Delivery
92.5
pg. 36 NHSRC
Met need for EmOC * 2.51% 3% 98.65%
Home Delivery 7.5
Reported Live Births against estimated Live Births
71% 86% 87%
Home Delivery by SBA
2.3
BCG to Measles dropout rate
3% 3% 3%
New born & post natal care
Fully Immunised against estimated Live Births
62% 74% 81%
Abortion (Induced + Spontaneous)
Immunisation session held as % of required VHNDs
42% 42% 34%
Still Birth 83.2
Childhood Disease Diphtheria
0 0 0
Live Birth 2.3
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 78.5
Childhood Disease Measles
0 0 0
PNC within 48 hrs of delivery 80.4
Childhood Disease Malaria 0 0 1 Immunisation
Sterilization - Female per 1000 eligible couple
17.46
20.96
30.84
BCG 100
Sterilization - Male per 1000 eligible couple
0.05
0.06
0.12
DPT3 88.8
Reported Abortion Rate per 1000 Estimated live births
73.4
88.0 131.7
Measeles
98.9
OPD All (per 1000 population)
1451.7
1,742.1 878.8
Full immunisation
87.5
IPD (per 1000 population) 19.7
23.7 12.4
Unmet need for Family
Planning Operation Major (per Lakh population)
4.5
5.4 2.730 Spacing 5.8
Reported Infant and Child Deaths
2
2.4 300 Limiting 12
Reported Maternal Deaths 0 -
4 Total 17.8 * Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Erode - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
22,59,608
Estimated Pregnancies
39,995
ANC
pg. 37 NHSRC
CBR (SRS-2011) 15.9 Estimated Deliveries 36,359
ANC Check-up in first trimester 82.7
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 862 Estimated Live Births 35,928
3 or more ANC Check-up 99.6
Estimated Eligible couples ( 17% of population)
3,84,133
Estimated Maternal Complications( 15% of
Estimated pregnancies)
5,999
Atleast 1 TT received
99.7
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
54.5
3ANC Check up against estimated pregnancies
43% 52% 56%
Deliveries
Institutional Deliveries (Public+Private) against estimated deliveries
50% 60% 68%
Institutional Delivery
98.5
Met need for EmOC * 6.80% 8% 249.02%
Home Delivery 1.5
Reported Live Births against estimated Live Births
54% 65% 75%
Home Delivery by SBA
0.4
BCG to Measles dropout rate
-1% -1% -3%
New born & post natal care
Fully Immunised against estimated Live Births
43% 51% 69%
Abortion (Induced + Spontaneous)
Immunisation session held as % of required VHNDs
38% 38% 25%
Still Birth 87.8
Childhood Disease Diphtheria
0 0 0
Live Birth 4.2
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 72.3
Childhood Disease Measles
0 0 1
PNC within 48 hrs of delivery 95.2
Childhood Disease Malaria 0 0 15 Immunisation
Sterilization - Female per 1000 eligible couple
16.46
19.75
25.80
BCG 100
Sterilization - Male per 1000 eligible couple
0.11
0.13
0.13
DPT3 95.8
Reported Abortion Rate per 1000 Estimated live births
48.3
58.0 95.7
Measeles
89.7
OPD All (per 1000 population)
969.3
1,163.1 819.3
Full immunisation
81.6
IPD (per 1000 population) 18.4
22.0 16.6
Unmet need for Family
Planning Operation Major (per Lakh population)
29.6
35.5 244.202 Spacing 4.7
Reported Infant and Child Deaths
2
2.4 154 Limiting 9.7
pg. 38 NHSRC
Reported Maternal Deaths 0 -
9 Total 14.4 * Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Kancheepuram - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
39,90,897
Estimated Pregnancies
70,638
ANC
CBR (SRS-2011) 15.9 Estimated Deliveries 64,217
ANC Check-up in first trimester 80.7
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 1523 Estimated Live Births 63,455
3 or more ANC Check-up 93.2
Estimated Eligible couples ( 17% of population)
6,78,452
Estimated Maternal Complications( 15% of
Estimated pregnancies)
10,596
Atleast 1 TT received
100
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
46.8
3ANC Check up against estimated pregnancies
50% 60% 60%
Deliveries
Institutional Deliveries (Public+Private) against estimated deliveries
53% 64% 63%
Institutional Delivery
94.7
Met need for EmOC * 16.63% 20% 98.30%
Home Delivery 5.3
Reported Live Births against estimated Live Births
63% 76% 72%
Home Delivery by SBA
1.2
BCG to Measles dropout rate
-1% -1% 4%
New born & post natal care
Fully Immunised against estimated Live Births
53% 64% 66%
Abortion (Induced + Spontaneous)
Immunisation session held as % of required VHNDs
29% 29% 27%
Still Birth 92.5
Childhood Disease Diphtheria
0 0 0
Live Birth 0
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 57.3
Childhood Disease Measles
0 0 0
PNC within 48 hrs of delivery 92.4
Childhood Disease Malaria 12 14.4 21 Immunisation
Sterilization - Female per 1000 eligible couple
12.40
14.88
17.54
BCG 100
pg. 39 NHSRC
Sterilization - Male per 1000 eligible couple
0.02
0.02
0.06
DPT3 95.9
Reported Abortion Rate per 1000 Estimated live births
43.2
51.9 47.0
Measeles
95.8
OPD All (per 1000 population)
620.2
744.3 1073.4
Full immunisation
85.9
IPD (per 1000 population) 6.1
7.4 21.7
Unmet need for Family
Planning Operation Major (per Lakh population)
31.5
37.9 344.158 Spacing 4
Reported Infant and Child Deaths
0 -
269 Limiting 8.6
Reported Maternal Deaths 0 -
12 Total 12.6 * Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Kankyakumari - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
18,63,174
Estimated Pregnancies
32,978
ANC
CBR (SRS-2011) 15.9 Estimated Deliveries 29,980
ANC Check-up in first trimester 86.2
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 711 Estimated Live Births 29,624
3 or more ANC Check-up 98
Estimated Eligible couples ( 17% of population)
3,16,740
Estimated Maternal Complications( 15% of
Estimated pregnancies)
4,947
Atleast 1 TT received
92.8
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
71
3ANC Check up against estimated pregnancies
30% 36% 47%
Deliveries
Institutional Deliveries (Public+Private) against estimated deliveries
53% 63% 74%
Institutional Delivery
98.9
Met need for EmOC * 1.23% 1% 104.21%
Home Delivery 1.1
Reported Live Births against estimated Live Births
49% 58% 70%
Home Delivery by SBA
1.1
BCG to Measles dropout rate
0% 0% 3%
New born & post natal care
Fully Immunised against estimated Live Births
48% 58% 64%
Abortion (Induced + Spontaneous)
pg. 40 NHSRC
Immunisation session held as % of required VHNDs
37% 37% 20%
Still Birth 84.2
Childhood Disease Diphtheria
0 0 0
Live Birth 0.8
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 64.4
Childhood Disease Measles
0 0 99
PNC within 48 hrs of delivery 90.1
Childhood Disease Malaria 10 12 0 Immunisation
Sterilization - Female per 1000 eligible couple
17.88
21.45
33.51
BCG 98.7
Sterilization - Male per 1000 eligible couple
0.03
0.04
0.04
DPT3 83.8
Reported Abortion Rate per 1000 Estimated live births
24.8
29.8 60.0
Measeles
97.6
OPD All (per 1000 population)
649.5
779.4 1369.3
Full immunisation
77.3
IPD (per 1000 population) 10.9
13.1 18.5
Unmet need for Family
Planning Operation Major (per Lakh population)
8.3
10.0 577.455 Spacing 3.6
Reported Infant and Child Deaths
0 -
127 Limiting 5.6
Reported Maternal Deaths 0 -
0 Total 9.2 * Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Karur - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
10,76,588
Estimated Pregnancies
19,055
ANC
CBR (SRS-2011) 15.9 Estimated Deliveries 17,323
ANC Check-up in first trimester 81.8
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 411 Estimated Live Births 17,118
3 or more ANC Check-up 98.3
Estimated Eligible couples ( 17% of population)
1,83,020
Estimated Maternal Complications( 15% of
Estimated pregnancies)
2,858
Atleast 1 TT received
98.9
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
53.7
3ANC Check up against estimated pregnancies
52% 62% 68%
Deliveries
pg. 41 NHSRC
Institutional Deliveries (Public+Private) against estimated deliveries
55% 66% 74%
Institutional Delivery
91.7
Met need for EmOC * 0.42% 1% 133.23%
Home Delivery 7.1
Reported Live Births against estimated Live Births
63% 76% 83%
Home Delivery by SBA
0.7
BCG to Measles dropout rate
-5% -5% 2%
New born & post natal care
Fully Immunised against estimated Live Births
60% 73% 79%
Abortion (Induced + Spontaneous)
Immunisation session held as % of required VHNDs
59% 59% 42%
Still Birth 92.2
Childhood Disease Diphtheria
0 0 0
Live Birth 0
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 69.9
Childhood Disease Measles
0 0 0
PNC within 48 hrs of delivery 86.2
Childhood Disease Malaria 0 0 0 Immunisation
Sterilization - Female per 1000 eligible couple
13.79
16.54
18.07
BCG 100
Sterilization - Male per 1000 eligible couple
0.05
0.06
0.15
DPT3 89.3
Reported Abortion Rate per 1000 Estimated live births
68.3
82.0 105.0
Measeles
94.5
OPD All (per 1000 population)
1351.6
1,621.9 2692.3
Full immunisation
83.6
IPD (per 1000 population) 16.1
19.3 41.2
Unmet need for Family
Planning Operation Major (per Lakh population)
76.4
91.7 421.052 Spacing 4.8
Reported Infant and Child Deaths
0 -
235 Limiting 14.6
Reported Maternal Deaths 0 -
10 Total 19.4 * Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Krishnagiri - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
18,83,731
Estimated Pregnancies
33,342
ANC
pg. 42 NHSRC
CBR (SRS-2011) 15.9 Estimated Deliveries 30,311
ANC Check-up in first trimester 80.2
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 719 Estimated Live Births 29,951
3 or more ANC Check-up 93.9
Estimated Eligible couples ( 17% of population)
3,20,234
Estimated Maternal Complications( 15% of
Estimated pregnancies)
5,001
Atleast 1 TT received
96.2
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
70.2
3ANC Check up against estimated pregnancies
51% 61% 71%
Deliveries
Institutional Deliveries (Public+Private) against estimated deliveries
58% 70% 85%
Institutional Delivery
86.9
Met need for EmOC * 1.62% 2% 82.76%
Home Delivery 13
Reported Live Births against estimated Live Births
66% 80% 93%
Home Delivery by SBA
3.2
BCG to Measles dropout rate
-2% -2% -1%
New born & post natal care
Fully Immunised against estimated Live Births
58% 69% 85%
Abortion (Induced + Spontaneous)
Immunisation session held as % of required VHNDs
41% 41% 39%
Still Birth 87.1
Childhood Disease Diphtheria
0 0 0
Live Birth 0.9
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 84.5
Childhood Disease Measles
0 0 0
PNC within 48 hrs of delivery 73.4
Childhood Disease Malaria 0 0 0 Immunisation
Sterilization - Female per 1000 eligible couple
16.59
19.91
24.25
BCG 99.8
Sterilization - Male per 1000 eligible couple
0.03
0.03
0.07
DPT3 88.6
Reported Abortion Rate per 1000 Estimated live births
34.7
41.6 67.3
Measeles
90.2
OPD All (per 1000 population)
900.8
1,081.0 1636.2
Full immunisation
79.7
IPD (per 1000 population) 30.1
36.1 64.8
Unmet need for Family
Planning Operation Major (per Lakh population)
89.6
107.5 505.539 Spacing 6.5
Reported Infant and Child Deaths
0 -
352 Limiting 15.3
pg. 43 NHSRC
Reported Maternal Deaths 0 -
12 Total 21.8 * Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Madurai - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
30,41,038
Estimated Pregnancies
53,826
ANC
CBR (SRS-2011) 15.9 Estimated Deliveries 48,933
ANC Check-up in first trimester 68.4
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 1160 Estimated Live Births 48,353
3 or more ANC Check-up 92.4
Estimated Eligible couples ( 17% of population)
5,16,976
Estimated Maternal Complications( 15% of
Estimated pregnancies)
8,074
Atleast 1 TT received
93.8
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
56.3
3ANC Check up against estimated pregnancies
42% 50% 80%
Deliveries
Institutional Deliveries (Public+Private) against estimated deliveries
58% 69% 79%
Institutional Delivery
95.4
Met need for EmOC * 4.60% 6% 93.87%
Home Delivery 3.7
Reported Live Births against estimated Live Births
65% 78% 89%
Home Delivery by SBA
0.7
BCG to Measles dropout rate
-2% -2% -2%
New born & post natal care
Fully Immunised against estimated Live Births
44% 53% 80%
Abortion (Induced + Spontaneous)
Immunisation session held as % of required VHNDs
32% 32% 26%
Still Birth 81.5
Childhood Disease Diphtheria
0 0 0
Live Birth 2.7
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 67.7
Childhood Disease Measles
0 0 0
PNC within 48 hrs of delivery 86.6
Childhood Disease Malaria 0 0 0 Immunisation
Sterilization - Female per 1000 eligible couple
15.54
18.64
22.67
BCG 100
pg. 44 NHSRC
Sterilization - Male per 1000 eligible couple
0.08
0.10
0.11
DPT3 86.5
Reported Abortion Rate per 1000 Estimated live births
51.5
61.7 98.9
Measeles
92.9
OPD All (per 1000 population)
862.2
1,034.7 1446.1
Full immunisation
62.5
IPD (per 1000 population) 11.5
13.8 24.0
Unmet need for Family
Planning Operation Major (per Lakh population)
52.3
62.7 110.390 Spacing 4.1
Reported Infant and Child Deaths
3
3.6 558 Limiting 7.7
Reported Maternal Deaths 0 -
37 Total 11.8 * Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Nagapattinam - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
16,14,069
Estimated Pregnancies
28,569
ANC
CBR (SRS-2011) 15.9 Estimated Deliveries 25,972
ANC Check-up in first trimester 71.3
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 616 Estimated Live Births 25,664
3 or more ANC Check-up 98.2
Estimated Eligible couples ( 17% of population)
2,74,392
Estimated Maternal Complications( 15% of
Estimated pregnancies)
4,285
Atleast 1 TT received
99.5
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
37.7
3ANC Check up against estimated pregnancies
49% 59% 66%
Deliveries
Institutional Deliveries (Public+Private) against estimated deliveries
53% 64% 83%
Institutional Delivery
98.4
Met need for EmOC * 0.14% 0% 67.18%
Home Delivery 1.6
Reported Live Births against estimated Live Births
66% 79% 80%
Home Delivery by SBA
0.4
BCG to Measles dropout rate
-1% -1% 1%
New born & post natal care
Fully Immunised against estimated Live Births
58% 70% 73%
Abortion (Induced + Spontaneous)
pg. 45 NHSRC
Immunisation session held as % of required VHNDs
40% 40% 37%
Still Birth 87.5
Childhood Disease Diphtheria
0 0 0
Live Birth 0
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 76.1
Childhood Disease Measles
0 0 0
PNC within 48 hrs of delivery 97.9
Childhood Disease Malaria 36 43.2 8 Immunisation
Sterilization - Female per 1000 eligible couple
12.50
15.00
15.51
BCG 100
Sterilization - Male per 1000 eligible couple
0.20
0.24
0.29
DPT3 96.8
Reported Abortion Rate per 1000 Estimated live births
63.2
75.9 66.9
Measeles
99.9
OPD All (per 1000 population)
1135.0
1,362.0 2749.5
Full immunisation
95
IPD (per 1000 population) 24.1
28.9 70.8
Unmet need for Family
Planning Operation Major (per Lakh population)
0.0 -
450.910 Spacing 6.8 Reported Infant and Child Deaths
0 -
327 Limiting 21.2
Reported Maternal Deaths 0 -
12 Total 28 * Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Namakkal - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
17,21,179
Estimated Pregnancies
30,465
ANC
CBR (SRS-2011) 15.9 Estimated Deliveries 27,695
ANC Check-up in first trimester 75.7
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 657 Estimated Live Births 27,367
3 or more ANC Check-up 96.7
Estimated Eligible couples ( 17% of population)
2,92,600
Estimated Maternal Complications( 15% of
Estimated pregnancies)
4,570
Atleast 1 TT received
97.8
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
65.9
3ANC Check up against estimated pregnancies
58% 69% 78%
Deliveries
pg. 46 NHSRC
Institutional Deliveries (Public+Private) against estimated deliveries
51% 61% 73%
Institutional Delivery
94.8
Met need for EmOC * 7.09% 9% 158.08%
Home Delivery 5.2
Reported Live Births against estimated Live Births
56% 67% 76%
Home Delivery by SBA
1.4
BCG to Measles dropout rate
-2% -2% -1%
New born & post natal care
Fully Immunised against estimated Live Births
50% 60% 74%
Abortion (Induced + Spontaneous)
Immunisation session held as % of required VHNDs
623% 623% 22%
Still Birth 88.5
Childhood Disease Diphtheria
0 0 0
Live Birth 0.7
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 75.5
Childhood Disease Measles
0 0 7
PNC within 48 hrs of delivery 88.2
Childhood Disease Malaria 0 0 0 Immunisation
Sterilization - Female per 1000 eligible couple
14.91
17.89
23.77
BCG 95.2
Sterilization - Male per 1000 eligible couple
0.08
0.10
0.16
DPT3 85.2
Reported Abortion Rate per 1000 Estimated live births
54.1
64.9 133.7
Measeles
95.2
OPD All (per 1000 population)
1127.1
1,352.5 2469.1
Full immunisation
81
IPD (per 1000 population) 16.9
20.3 89.8
Unmet need for Family
Planning Operation Major (per Lakh population)
68.6
82.3 244.484 Spacing 3.6
Reported Infant and Child Deaths
2
2.4 282 Limiting 10.4
Reported Maternal Deaths 1
1.2 15 Total 14
* Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Peramablur - Apr'12 - Jan'13
DLHSIII
Population (Census-2011) 5,64,511
Estimated Pregnancies
9,992 ANC
pg. 47 NHSRC
CBR (SRS-2011) 15.9 Estimated Deliveries 9,083
ANC Check-up in first trimester 74.3
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 215 Estimated Live Births 8,976
3 or more ANC Check-up 98.5
Estimated Eligible couples ( 17% of population)
95,967
Estimated Maternal Complications( 15% of
Estimated pregnancies)
1,499
Atleast 1 TT received
98.2
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
52.9
3ANC Check up against estimated pregnancies
61% 74% 66%
Deliveries
Institutional Deliveries (Public+Private) against estimated deliveries
60% 72% 80%
Institutional Delivery
92.3
Met need for EmOC * 0.33% 0% 58.65%
Home Delivery 7.7
Reported Live Births against estimated Live Births
70% 85% 92%
Home Delivery by SBA
3.8
BCG to Measles dropout rate
-4% -4% 6%
New born & post natal care
Fully Immunised against estimated Live Births
66% 79% 85%
Abortion (Induced + Spontaneous)
Immunisation session held as % of required VHNDs
157% 157% 31%
Still Birth 89.5
Childhood Disease Diphtheria
0 0 0
Live Birth 1.3
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 77.6
Childhood Disease Measles
0 0 0
PNC within 48 hrs of delivery 92.3
Childhood Disease Malaria 0 0 5 Immunisation
Sterilization - Female per 1000 eligible couple
11.34
13.60
15.67
BCG 100
Sterilization - Male per 1000 eligible couple
0.01
0.01
0.07
DPT3 90
Reported Abortion Rate per 1000 Estimated live births
53.9
64.7 85.2
Measeles
96
OPD All (per 1000 population)
1392.5
1,671.0 2319.4
Full immunisation
83.1
IPD (per 1000 population) 22.0
26.4 56.1
Unmet need for Family
Planning Operation Major (per Lakh population)
0.0 -
459.867 Spacing 6 Reported Infant and Child Deaths
0 -
33 Limiting 17.2
pg. 48 NHSRC
Reported Maternal Deaths 0 -
4 Total 23.2 * Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Pudukkotai - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
16,18,725
Estimated Pregnancies
28,651
ANC
CBR (SRS-2011) 15.9 Estimated Deliveries 26,047
ANC Check-up in first trimester 72.2
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 618 Estimated Live Births 25,738
3 or more ANC Check-up 98
Estimated Eligible couples ( 17% of population)
2,75,183
Estimated Maternal Complications( 15% of
Estimated pregnancies)
4,298
Atleast 1 TT received
99.2
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
43.6
3ANC Check up against estimated pregnancies
62% 74% 83%
Deliveries
Institutional Deliveries (Public+Private) against estimated deliveries
60% 72% 81%
Institutional Delivery
97.9
Met need for EmOC * 0.70% 1% 135.79%
Home Delivery 2.1
Reported Live Births against estimated Live Births
70% 84% 99%
Home Delivery by SBA
0.9
BCG to Measles dropout rate
-1% -1% 2%
New born & post natal care
Fully Immunised against estimated Live Births
63% 76% 96%
Abortion (Induced + Spontaneous)
Immunisation session held as % of required VHNDs
61% 61% 48%
Still Birth 91.5
Childhood Disease Diphtheria
0 0 0
Live Birth 1
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 75.4
Childhood Disease Measles
1 1.2 1
PNC within 48 hrs of delivery 72.8
Childhood Disease Malaria 10 12 26 Immunisation
Sterilization - Female per 1000 eligible couple
11.19
13.43
16.69
BCG 100
pg. 49 NHSRC
Sterilization - Male per 1000 eligible couple
0.01
0.01
0.15
DPT3 98.4
Reported Abortion Rate per 1000 Estimated live births
46.7
56.0 57.9
Measeles
93.3
OPD All (per 1000 population)
1257.1
1,508.5 1867.4
Full immunisation
89.9
IPD (per 1000 population) 22.0
26.4 37.4
Unmet need for Family
Planning Operation Major (per Lakh population)
7.6
9.1 166.242 Spacing 5.7
Reported Infant and Child Deaths
0 -
319 Limiting 15.3
Reported Maternal Deaths 0 -
7 Total 21 * Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Ramanathapuram - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
13,37,560
Estimated Pregnancies
23,675
ANC
CBR (SRS-2011) 15.9 Estimated Deliveries 21,522
ANC Check-up in first trimester 86.4
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 510 Estimated Live Births 21,267
3 or more ANC Check-up 95.9
Estimated Eligible couples ( 17% of population)
2,27,385
Estimated Maternal Complications( 15% of
Estimated pregnancies)
3,551
Atleast 1 TT received
97.9
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
43.6
3ANC Check up against estimated pregnancies
63% 75% 87%
Deliveries
Institutional Deliveries (Public+Private) against estimated deliveries
65% 78% 72%
Institutional Delivery
97.5
Met need for EmOC * 8.36% 10% 124.94%
Home Delivery 2.5
Reported Live Births against estimated Live Births
72% 86% 104%
Home Delivery by SBA
0.5
BCG to Measles dropout rate
-5% -5% 0%
New born & post natal care
Fully Immunised against estimated Live Births
60% 72% 97%
Abortion (Induced + Spontaneous)
pg. 50 NHSRC
Immunisation session held as % of required VHNDs
68% 68% 45%
Still Birth 84.5
Childhood Disease Diphtheria
0 0 0
Live Birth 1.8
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 67.9
Childhood Disease Measles
0 0 0
PNC within 48 hrs of delivery 77.4
Childhood Disease Malaria 5 6 36 Immunisation
Sterilization - Female per 1000 eligible couple
16.14
19.37
26.12
BCG 96.5
Sterilization - Male per 1000 eligible couple
0.09
0.11
0.08
DPT3 91.7
Reported Abortion Rate per 1000 Estimated live births
68.4
82.0 95.5
Measeles
96.1
OPD All (per 1000 population)
1244.8
1,493.8 1400.5
Full immunisation
88.6
IPD (per 1000 population) 26.5
31.9 19.4
Unmet need for Family
Planning Operation Major (per Lakh population)
29.8
35.8 8.598 Spacing 7.9
Reported Infant and Child Deaths
0 -
309 Limiting 19.6
Reported Maternal Deaths 0 -
2 Total 27.5 * Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Salem - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
34,80,008
Estimated Pregnancies
61,596
ANC
CBR (SRS-2011) 15.9 Estimated Deliveries 55,996
ANC Check-up in first trimester 73.7
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 1328 Estimated Live Births 55,332
3 or more ANC Check-up 96.2
Estimated Eligible couples ( 17% of population)
5,91,601
Estimated Maternal Complications( 15% of
Estimated pregnancies)
9,239
Atleast 1 TT received
97
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
59.9
3ANC Check up against estimated pregnancies
52% 62% 77%
Deliveries
pg. 51 NHSRC
Institutional Deliveries (Public+Private) against estimated deliveries
61% 74% 87%
Institutional Delivery
95.6
Met need for EmOC * 2.21% 3% 107.38%
Home Delivery 3.6
Reported Live Births against estimated Live Births
66% 79% 92%
Home Delivery by SBA
2
BCG to Measles dropout rate
2% 2% 0%
New born & post natal care
Fully Immunised against estimated Live Births
52% 62% 89%
Abortion (Induced + Spontaneous)
Immunisation session held as % of required VHNDs
34% 34% 31%
Still Birth 92
Childhood Disease Diphtheria
0 0 0
Live Birth 0
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 70.2
Childhood Disease Measles
0 0 8
PNC within 48 hrs of delivery 90.5
Childhood Disease Malaria 0 0 0 Immunisation
Sterilization - Female per 1000 eligible couple
14.92
17.90
22.10
BCG 100
Sterilization - Male per 1000 eligible couple
0.02
0.02
0.04
DPT3 74.1
Reported Abortion Rate per 1000 Estimated live births
60.8
72.9 129.2
Measeles
95.6
OPD All (per 1000 population)
814.0
976.8 1908.0
Full immunisation
67.2
IPD (per 1000 population) 10.9
13.1 113.5
Unmet need for Family
Planning Operation Major (per Lakh population)
31.1
37.4 260.833 Spacing 4.3
Reported Infant and Child Deaths
0 -
803 Limiting 12.9
Reported Maternal Deaths 1
1.2 41 Total 17.2
* Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Sivaganga - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
13,41,250
Estimated Pregnancies
23,740
ANC
pg. 52 NHSRC
CBR (SRS-2011) 15.9 Estimated Deliveries 21,582
ANC Check-up in first trimester 61
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 512 Estimated Live Births 21,326
3 or more ANC Check-up 97.7
Estimated Eligible couples ( 17% of population)
2,28,013
Estimated Maternal Complications( 15% of
Estimated pregnancies)
3,561
Atleast 1 TT received
95.8
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
64.2
3ANC Check up against estimated pregnancies
51% 61% 67%
Deliveries
Institutional Deliveries (Public+Private) against estimated deliveries
53% 64% 85%
Institutional Delivery
94
Met need for EmOC * 0.48% 1% 138.98%
Home Delivery 5.1
Reported Live Births against estimated Live Births
60% 72% 89%
Home Delivery by SBA
4.2
BCG to Measles dropout rate
-2% -2% -1%
New born & post natal care
Fully Immunised against estimated Live Births
52% 63% 88%
Abortion (Induced + Spontaneous)
Immunisation session held as % of required VHNDs
66% 66% 60%
Still Birth 86.9
Childhood Disease Diphtheria
0 0 0
Live Birth 1.1
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 66.1
Childhood Disease Measles
0 0 0
PNC within 48 hrs of delivery 92.6
Childhood Disease Malaria 0 0 0 Immunisation
Sterilization - Female per 1000 eligible couple
15.79
18.95
26.18
BCG 100
Sterilization - Male per 1000 eligible couple
0.08
0.10
0.27
DPT3 86.9
Reported Abortion Rate per 1000 Estimated live births
45.1
54.1 90.1
Measeles
94.6
OPD All (per 1000 population)
1379.9
1,655.9 3057.2
Full immunisation
82.5
IPD (per 1000 population) 17.8
21.4 49.9
Unmet need for Family
Planning Operation Major (per Lakh population)
21.0
25.1 430.494 Spacing 6.9
Reported Infant and Child Deaths
0 -
304 Limiting 13.9
pg. 53 NHSRC
Reported Maternal Deaths 0 -
15 Total 20.8 * Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Thanjavur - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
24,02,781
Estimated Pregnancies
42,529
ANC
CBR (SRS-2011) 15.9 Estimated Deliveries 38,663
ANC Check-up in first trimester 61.2
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 917 Estimated Live Births 38,204
3 or more ANC Check-up 95.4
Estimated Eligible couples ( 17% of population)
4,08,473
Estimated Maternal Complications( 15% of
Estimated pregnancies)
6,379
Atleast 1 TT received
98.7
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
69.3
3ANC Check up against estimated pregnancies
58% 70% 77%
Deliveries
Institutional Deliveries (Public+Private) against estimated deliveries
52% 63% 84%
Institutional Delivery
99.1
Met need for EmOC * 0.67% 1% 233.79%
Home Delivery 0.9
Reported Live Births against estimated Live Births
61% 73% 83%
Home Delivery by SBA
0.1
BCG to Measles dropout rate
-1% -1% -1%
New born & post natal care
Fully Immunised against estimated Live Births
49% 59% 81%
Abortion (Induced + Spontaneous)
Immunisation session held as % of required VHNDs
42% 42% 54%
Still Birth 90.3
Childhood Disease Diphtheria
0 0 0
Live Birth 0.9
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 75
Childhood Disease Measles
0 0 16
PNC within 48 hrs of delivery 93.4
Childhood Disease Malaria 0 0 33 Immunisation
Sterilization - Female per 1000 eligible couple
21.04
25.25
29.24
BCG 100
pg. 54 NHSRC
Sterilization - Male per 1000 eligible couple
0.06
0.07
0.14
DPT3 91.4
Reported Abortion Rate per 1000 Estimated live births
73.9
88.6 79.2
Measeles
90.9
OPD All (per 1000 population)
1028.0
1,233.6 1396.3
Full immunisation
75.4
IPD (per 1000 population) 15.9
19.1 151.6
Unmet need for Family
Planning Operation Major (per Lakh population)
7.5
9.0 79.616 Spacing 7.9
Reported Infant and Child Deaths
0 -
378 Limiting 18.8
Reported Maternal Deaths 0 -
13 Total 26.7 * Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
The Nilgiris - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
7,35,071
Estimated Pregnancies
13,011
ANC
CBR (SRS-2011) 15.9 Estimated Deliveries 11,828
ANC Check-up in first trimester 93.3
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 281 Estimated Live Births 11,688
3 or more ANC Check-up 99.1
Estimated Eligible couples ( 17% of population)
1,24,962
Estimated Maternal Complications( 15% of
Estimated pregnancies)
1,952
Atleast 1 TT received
100
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
72.2
3ANC Check up against estimated pregnancies
45% 55% 70%
Deliveries
Institutional Deliveries (Public+Private) against estimated deliveries
38% 45% 75%
Institutional Delivery
90.7
Met need for EmOC * 0.87% 1% 69.38%
Home Delivery 9.3
Reported Live Births against estimated Live Births
45% 54% 76%
Home Delivery by SBA
0.7
BCG to Measles dropout rate
-8% -8% -5%
New born & post natal care
Fully Immunised against estimated Live Births
41% 49% 14%
Abortion (Induced + Spontaneous)
pg. 55 NHSRC
Immunisation session held as % of required VHNDs
58% 58% 30%
Still Birth 90
Childhood Disease Diphtheria
0 0 0
Live Birth 0.8
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 74.9
Childhood Disease Measles
0 0 0
PNC within 48 hrs of delivery 93.4
Childhood Disease Malaria 4 4.8 0 Immunisation
Sterilization - Female per 1000 eligible couple
11.15
13.38
18.92
BCG 100
Sterilization - Male per 1000 eligible couple
0.08
0.10
0.57
DPT3 93.7
Reported Abortion Rate per 1000 Estimated live births
45.9
55.1 65.8
Measeles
98.9
OPD All (per 1000 population)
643.9
772.7 761.1
Full immunisation
90.3
IPD (per 1000 population) 12.2
14.7 230.6
Unmet need for Family
Planning Operation Major (per Lakh population)
12.1
14.5 0.000 Spacing 3.5
Reported Infant and Child Deaths
0 -
0 Limiting 5.9
Reported Maternal Deaths 0 -
0 Total 9.4 * Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Theni - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
12,43,684
Estimated Pregnancies
22,013
ANC
CBR (SRS-2011) 15.9 Estimated Deliveries 20,012
ANC Check-up in first trimester 77.9
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 475 Estimated Live Births 19,775
3 or more ANC Check-up 95
Estimated Eligible couples ( 17% of population)
2,11,426
Estimated Maternal Complications( 15% of
Estimated pregnancies)
3,302
Atleast 1 TT received
96.2
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
48.3
3ANC Check up against estimated pregnancies
54% 64% 63%
Deliveries
pg. 56 NHSRC
Institutional Deliveries (Public+Private) against estimated deliveries
53% 64% 77%
Institutional Delivery
93.3
Met need for EmOC * 0.76% 1% 111.15%
Home Delivery 6
Reported Live Births against estimated Live Births
65% 78% 87%
Home Delivery by SBA
0
BCG to Measles dropout rate
-7% -7% 0%
New born & post natal care
Fully Immunised against estimated Live Births
44% 53% 76%
Abortion (Induced + Spontaneous)
Immunisation session held as % of required VHNDs
30% 30% 28%
Still Birth 81.4
Childhood Disease Diphtheria
0 0 0
Live Birth 1.4
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 76.5
Childhood Disease Measles
0 0 603
PNC within 48 hrs of delivery 80.9
Childhood Disease Malaria 0 0 0 Immunisation
Sterilization - Female per 1000 eligible couple
14.09
16.91
25.65
BCG 95.9
Sterilization - Male per 1000 eligible couple
0.04
0.05
0.08
DPT3 76.1
Reported Abortion Rate per 1000 Estimated live births
44.3
53.2 66.2
Measeles
93.1
OPD All (per 1000 population)
1114.0
1,336.8 2782.8
Full immunisation
72.1
IPD (per 1000 population) 11.0
13.2 34.9
Unmet need for Family
Planning Operation Major (per Lakh population)
4.9
5.9 190.241 Spacing 4.4
Reported Infant and Child Deaths
5
6.0 309 Limiting 8
Reported Maternal Deaths 0 -
6 Total 12.4 * Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Thiruvallur - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
37,25,697
Estimated Pregnancies
65,944
ANC
pg. 57 NHSRC
CBR (SRS-2011) 15.9 Estimated Deliveries 59,949
ANC Check-up in first trimester 85.1
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 1422 Estimated Live Births 59,239
3 or more ANC Check-up 99.2
Estimated Eligible couples ( 17% of population)
6,33,368
Estimated Maternal Complications( 15% of
Estimated pregnancies)
9,892
Atleast 1 TT received
98.7
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
56.4
3ANC Check up against estimated pregnancies
46% 55% 74%
Deliveries
Institutional Deliveries (Public+Private) against estimated deliveries
51% 62% 69%
Institutional Delivery
97.4
Met need for EmOC * 10.50% 13% 122.38%
Home Delivery 2.6
Reported Live Births against estimated Live Births
59% 71% 75%
Home Delivery by SBA
0
BCG to Measles dropout rate
-5% -5% -1%
New born & post natal care
Fully Immunised against estimated Live Births
46% 55% 71%
Abortion (Induced + Spontaneous)
Immunisation session held as % of required VHNDs
31% 31% 31%
Still Birth 91.6
Childhood Disease Diphtheria
0 0 0
Live Birth 0
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 82.6
Childhood Disease Measles
0 0 0
PNC within 48 hrs of delivery 93.5
Childhood Disease Malaria 13 15.6 60 Immunisation
Sterilization - Female per 1000 eligible couple
13.52
16.22
17.35
BCG 99.5
Sterilization - Male per 1000 eligible couple
0.05
0.06
0.15
DPT3 94.2
Reported Abortion Rate per 1000 Estimated live births
40.9
49.0 53.8
Measeles
96.7
OPD All (per 1000 population)
715.9
859.1 1281.4
Full immunisation
90.1
IPD (per 1000 population) 12.1
14.5 37.1
Unmet need for Family
Planning Operation Major (per Lakh population)
82.8
99.4 186.542 Spacing 4.7
Reported Infant and Child Deaths
2
2.4 340 Limiting 7.1
pg. 58 NHSRC
Reported Maternal Deaths 0 -
15 Total 11.8 * Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Thiruvarur - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
12,68,094
Estimated Pregnancies
22,445
ANC
CBR (SRS-2011) 15.9 Estimated Deliveries 20,405
ANC Check-up in first trimester 67.1
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 484 Estimated Live Births 20,163
3 or more ANC Check-up 96.3
Estimated Eligible couples ( 17% of population)
2,15,576
Estimated Maternal Complications( 15% of
Estimated pregnancies)
3,367
Atleast 1 TT received
97.9
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
54.1
3ANC Check up against estimated pregnancies
41% 49% 61%
Deliveries
Institutional Deliveries (Public+Private) against estimated deliveries
54% 65% 65%
Institutional Delivery
96.5
Met need for EmOC * 0.12% 0% 113.28%
Home Delivery 3.5
Reported Live Births against estimated Live Births
64% 77% 78%
Home Delivery by SBA
0.7
BCG to Measles dropout rate
0% 0% 1%
New born & post natal care
Fully Immunised against estimated Live Births
48% 58% 72%
Abortion (Induced + Spontaneous)
Immunisation session held as % of required VHNDs
32% 32% 160%
Still Birth 87.1
Childhood Disease Diphtheria
0 0 0
Live Birth 0.6
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 77.5
Childhood Disease Measles
0 0 0
PNC within 48 hrs of delivery 86.7
Childhood Disease Malaria 0 0 0 Immunisation
Sterilization - Female per 1000 eligible couple
11.46
13.75
21.56
BCG 100
pg. 59 NHSRC
Sterilization - Male per 1000 eligible couple
0.18
0.22
0.73
DPT3 96.7
Reported Abortion Rate per 1000 Estimated live births
55.7
66.8 101.0
Measeles
98.6
OPD All (per 1000 population)
1246.2
1,495.4 1498.5
Full immunisation
93.8
IPD (per 1000 population) 28.0
33.6 36.4
Unmet need for Family
Planning Operation Major (per Lakh population)
2.5
3.0 196.673 Spacing 8
Reported Infant and Child Deaths
2
2.4 172 Limiting 17.4
Reported Maternal Deaths 0 -
9 Total 25.4 * Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Thoothukkudi - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
17,38,376
Estimated Pregnancies
30,769
ANC
CBR (SRS-2011) 15.9 Estimated Deliveries 27,972
ANC Check-up in first trimester 84.8
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 663 Estimated Live Births 27,640
3 or more ANC Check-up 96.3
Estimated Eligible couples ( 17% of population)
2,95,524
Estimated Maternal Complications( 15% of
Estimated pregnancies)
4,615
Atleast 1 TT received
93.2
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
46.7
3ANC Check up against estimated pregnancies
52% 62% 74%
Deliveries
Institutional Deliveries (Public+Private) against estimated deliveries
63% 76% 85%
Institutional Delivery
97.8
Met need for EmOC * 115.05% 138% 132.60%
Home Delivery 2.2
Reported Live Births against estimated Live Births
63% 76% 85%
Home Delivery by SBA
0.2
BCG to Measles dropout rate
-7% -7% -3%
New born & post natal care
Fully Immunised against estimated Live Births
62% 74% 83%
Abortion (Induced + Spontaneous)
pg. 60 NHSRC
Immunisation session held as % of required VHNDs
58% 58% 41%
Still Birth 95.8
Childhood Disease Diphtheria
0 0 0
Live Birth 0
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 77.8
Childhood Disease Measles
7 8.4 60
PNC within 48 hrs of delivery 74.9
Childhood Disease Malaria 0 0 0 Immunisation
Sterilization - Female per 1000 eligible couple
21.63
25.95
30.10
BCG 100
Sterilization - Male per 1000 eligible couple
0.06
0.08
0.11
DPT3 98.4
Reported Abortion Rate per 1000 Estimated live births
57.5
69.0 72.2
Measeles
94.8
OPD All (per 1000 population)
2139.2
2,567.0 2546.2
Full immunisation
86.8
IPD (per 1000 population) 52.9
63.5 64.7
Unmet need for Family
Planning Operation Major (per Lakh population)
291.9
350.3 409.290 Spacing 6.1
Reported Infant and Child Deaths
200
240.0 351 Limiting 16.9
Reported Maternal Deaths 19
22.8 21 Total 23
* Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Tiruchirappalli - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
27,13,858
Estimated Pregnancies
48,035
ANC
CBR (SRS-2011) 15.9 Estimated Deliveries 43,668
ANC Check-up in first trimester 63.5
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 1036 Estimated Live Births 43,150
3 or more ANC Check-up 91.9
Estimated Eligible couples ( 17% of population)
4,61,356
Estimated Maternal Complications( 15% of
Estimated pregnancies)
7,205
Atleast 1 TT received
98.8
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
56.9
3ANC Check up against estimated pregnancies
51% 61% 74%
Deliveries
pg. 61 NHSRC
Institutional Deliveries (Public+Private) against estimated deliveries
56% 67% 76%
Institutional Delivery
95.1
Met need for EmOC * 1.61% 2% 67.59%
Home Delivery 4.3
Reported Live Births against estimated Live Births
60% 72% 79%
Home Delivery by SBA
0.6
BCG to Measles dropout rate
2% 2% 2%
New born & post natal care
Fully Immunised against estimated Live Births
42% 50% 75%
Abortion (Induced + Spontaneous)
Immunisation session held as % of required VHNDs
52% 52% 30%
Still Birth 82.3
Childhood Disease Diphtheria
0 0 0
Live Birth 0.5
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 79
Childhood Disease Measles
0 0 9
PNC within 48 hrs of delivery 91.6
Childhood Disease Malaria 0 0 0 Immunisation
Sterilization - Female per 1000 eligible couple
11.48
13.78
18.95
BCG 100
Sterilization - Male per 1000 eligible couple
0.05
0.06
0.16
DPT3 91.8
Reported Abortion Rate per 1000 Estimated live births
52.6
63.2 110.4
Measeles
95.2
OPD All (per 1000 population)
1038.4
1,246.1 2054.1
Full immunisation
90.7
IPD (per 1000 population) 21.7
26.0 59.5
Unmet need for Family
Planning Operation Major (per Lakh population)
0.1
0.1 302.853 Spacing 4.8
Reported Infant and Child Deaths
0 -
402 Limiting 16.7
Reported Maternal Deaths 0 -
28 Total 21.5 * Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Tirunelveli - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
30,72,880
Estimated Pregnancies
54,390
ANC
pg. 62 NHSRC
CBR (SRS-2011) 15.9 Estimated Deliveries 49,445
ANC Check-up in first trimester 73
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 1173 Estimated Live Births 48,859
3 or more ANC Check-up 94.5
Estimated Eligible couples ( 17% of population)
5,22,390
Estimated Maternal Complications( 15% of
Estimated pregnancies)
8,158
Atleast 1 TT received
91.8
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
56.8
3ANC Check up against estimated pregnancies
36% 43% 69%
Deliveries
Institutional Deliveries (Public+Private) against estimated deliveries
50% 60% 79%
Institutional Delivery
98.4
Met need for EmOC * 2.51% 3% 139.13%
Home Delivery 1.6
Reported Live Births against estimated Live Births
64% 77% 83%
Home Delivery by SBA
0.6
BCG to Measles dropout rate
3% 3% 0%
New born & post natal care
Fully Immunised against estimated Live Births
49% 58% 79%
Abortion (Induced + Spontaneous)
Immunisation session held as % of required VHNDs
61% 61% 29%
Still Birth 84.6
Childhood Disease Diphtheria
0 0 0
Live Birth 0.8
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 63.5
Childhood Disease Measles
0 0 0
PNC within 48 hrs of delivery 92.3
Childhood Disease Malaria 9 10.8 0 Immunisation
Sterilization - Female per 1000 eligible couple
24.06
28.87
23.02
BCG 100
Sterilization - Male per 1000 eligible couple
0.04
0.05
0.03
DPT3 77.3
Reported Abortion Rate per 1000 Estimated live births
60.4
72.4 80.0
Measeles
91.7
OPD All (per 1000 population)
990.0
1,187.9 1715.3
Full immunisation
66.1
IPD (per 1000 population) 15.1
18.2 43.4
Unmet need for Family
Planning Operation Major (per Lakh population)
9.7
11.7 109.571 Spacing 4.8
Reported Infant and Child Deaths
0 -
529 Limiting 15.8
pg. 63 NHSRC
Reported Maternal Deaths 0 -
42 Total 20.6 * Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Tiruvanamalai - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
24,68,965
Estimated Pregnancies
43,700
ANC
CBR (SRS-2011) 15.9 Estimated Deliveries 39,728
ANC Check-up in first trimester 83.7
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 942 Estimated Live Births 39,257
3 or more ANC Check-up 96.3
Estimated Eligible couples ( 17% of population)
4,19,724
Estimated Maternal Complications( 15% of
Estimated pregnancies)
6,555
Atleast 1 TT received
96.6
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
45
3ANC Check up against estimated pregnancies
68% 81% 20%
Deliveries
Institutional Deliveries (Public+Private) against estimated deliveries
61% 73% 86%
Institutional Delivery
75.9
Met need for EmOC * 1.83% 2% 41.83%
Home Delivery 23.5
Reported Live Births against estimated Live Births
78% 93% 92%
Home Delivery by SBA
2.9
BCG to Measles dropout rate
-3% -3% 9%
New born & post natal care
Fully Immunised against estimated Live Births
67% 80% 77%
Abortion (Induced + Spontaneous)
Immunisation session held as % of required VHNDs
56% 56% 178%
Still Birth 90.6
Childhood Disease Diphtheria
0 0 0
Live Birth 2.1
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 90.8
Childhood Disease Measles
0 0 9
PNC within 48 hrs of delivery 70.7
Childhood Disease Malaria 1 1.2 20 Immunisation
Sterilization - Female per 1000 eligible couple
16.89
20.27
23.86
BCG 100
pg. 64 NHSRC
Sterilization - Male per 1000 eligible couple
0.05
0.06
0.10
DPT3 90.2
Reported Abortion Rate per 1000 Estimated live births
56.9
68.3 72.3
Measeles
97.6
OPD All (per 1000 population)
1433.1
1,719.7 1620.3
Full immunisation
83.4
IPD (per 1000 population) 13.6
16.4 93.1
Unmet need for Family
Planning Operation Major (per Lakh population)
32.5
39.0 283.763 Spacing 5.2
Reported Infant and Child Deaths
1
1.2 472 Limiting 7.5
Reported Maternal Deaths 0 -
25 Total 12.7 * Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Vellore - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
39,28,106
Estimated Pregnancies
69,527
ANC
CBR (SRS-2011) 15.9 Estimated Deliveries 63,206
ANC Check-up in first trimester 76.7
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 1499 Estimated Live Births 62,457
3 or more ANC Check-up 88.9
Estimated Eligible couples ( 17% of population)
6,67,778
Estimated Maternal Complications( 15% of
Estimated pregnancies)
10,429
Atleast 1 TT received
96.3
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
58.8
3ANC Check up against estimated pregnancies
56% 67% 67%
Deliveries
Institutional Deliveries (Public+Private) against estimated deliveries
55% 66% 67%
Institutional Delivery
93
Met need for EmOC * 0.71% 1% 71.89%
Home Delivery 6.9
Reported Live Births against estimated Live Births
64% 76% 80%
Home Delivery by SBA
4
BCG to Measles dropout rate
-1% -1% 2%
New born & post natal care
Fully Immunised against estimated Live Births
55% 66% 76%
Abortion (Induced + Spontaneous)
pg. 65 NHSRC
Immunisation session held as % of required VHNDs
9681% 9681% 259%
Still Birth 95.3
Childhood Disease Diphtheria
0 0 0
Live Birth 1.2
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 85.8
Childhood Disease Measles
0 0 3
PNC within 48 hrs of delivery 86.4
Childhood Disease Malaria 2 2.4 0 Immunisation
Sterilization - Female per 1000 eligible couple
11.12
13.34
26.34
BCG 100
Sterilization - Male per 1000 eligible couple
0.03
0.03
0.03
DPT3 87.7
Reported Abortion Rate per 1000 Estimated live births
52.2
62.7 69.7
Measeles
98.5
OPD All (per 1000 population)
967.7
1,161.3 1763.8
Full immunisation
79.9
IPD (per 1000 population) 15.5
18.6 41.8
Unmet need for Family
Planning Operation Major (per Lakh population)
4.7
5.7 343.041 Spacing 5.3
Reported Infant and Child Deaths
0 -
575 Limiting 12.9
Reported Maternal Deaths 1
1.2 33 Total 18.2
* Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Viluppuram - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
34,63,284
Estimated Pregnancies
61,300
ANC
CBR (SRS-2011) 15.9 Estimated Deliveries 55,727
ANC Check-up in first trimester 81.7
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 1322 Estimated Live Births 55,066
3 or more ANC Check-up 92
Estimated Eligible couples ( 17% of population)
5,88,758
Estimated Maternal Complications( 15% of
Estimated pregnancies)
9,195
Atleast 1 TT received
97.9
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
43.5
3ANC Check up against estimated pregnancies
63% 76% 68%
Deliveries
pg. 66 NHSRC
Institutional Deliveries (Public+Private) against estimated deliveries
63% 75% 87%
Institutional Delivery
94.3
Met need for EmOC * 0.80% 1% 53.95%
Home Delivery 5
Reported Live Births against estimated Live Births
72% 87% 94%
Home Delivery by SBA
0.3
BCG to Measles dropout rate
-1% -1% 4%
New born & post natal care
Fully Immunised against estimated Live Births
62% 75% 81%
Abortion (Induced + Spontaneous)
Immunisation session held as % of required VHNDs
10980% 10980% 14332%
Still Birth 96
Childhood Disease Diphtheria
0 0 0
Live Birth 0.8
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 91.7
Childhood Disease Measles
0 0 0
PNC within 48 hrs of delivery 73.5
Childhood Disease Malaria 2 2.4 40 Immunisation
Sterilization - Female per 1000 eligible couple
12.61
15.13
16.87
BCG 100
Sterilization - Male per 1000 eligible couple
0.03
0.03
0.04
DPT3 99.3
Reported Abortion Rate per 1000 Estimated live births
59.2
71.1 106.1
Measeles
96
OPD All (per 1000 population)
1097.6
1,317.1 1839.1
Full immunisation
94.7
IPD (per 1000 population) 17.6
21.1 51.6
Unmet need for Family
Planning Operation Major (per Lakh population)
5.4
6.4 191.495 Spacing 3.5
Reported Infant and Child Deaths
0 -
592 Limiting 12.6
Reported Maternal Deaths 1
1.2 22 Total 16.1
* Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication
Virudhnagar - Apr'12 - Jan'13
DLHSIII
Population (Census-2011)
19,43,309
Estimated Pregnancies
34,396
ANC
pg. 67 NHSRC
CBR (SRS-2011) 15.9 Estimated Deliveries 31,269
ANC Check-up in first trimester 67.3
Apprehended Infant Deaths ( IMR = 24 taken
from SRS - 2011 ) 742 Estimated Live Births 30,899
3 or more ANC Check-up 90.5
Estimated Eligible couples ( 17% of population)
3,30,363
Estimated Maternal Complications( 15% of
Estimated pregnancies)
5,159
Atleast 1 TT received
98.4
Indicator Apr'12 - Jan'13
Projected for 2012 - 13 Last Year 2011
- 12 100 IFA Tablets
58.2
3ANC Check up against estimated pregnancies
47% 56% 79%
Deliveries
Institutional Deliveries (Public+Private) against estimated deliveries
52% 62% 68%
Institutional Delivery
91.7
Met need for EmOC * 54.89% 66% 151.08%
Home Delivery 8.3
Reported Live Births against estimated Live Births
59% 70% 89%
Home Delivery by SBA
2.4
BCG to Measles dropout rate
2% 2% 1%
New born & post natal care
Fully Immunised against estimated Live Births
43% 51% 78%
Abortion (Induced + Spontaneous)
Immunisation session held as % of required VHNDs
37% 37% 32%
Still Birth 77.2
Childhood Disease Diphtheria
0 0 0
Live Birth 4.7
Childhood Disease Pertussis
0 0 0
Breastfed within 1 hour of birth 73.7
Childhood Disease Measles
0 0 24
PNC within 48 hrs of delivery 78.2
Childhood Disease Malaria 0 0 2 Immunisation
Sterilization - Female per 1000 eligible couple
26.73
32.08
34.15
BCG 100
Sterilization - Male per 1000 eligible couple
0.05
0.06
0.11
DPT3 69.5
Reported Abortion Rate per 1000 Estimated live births
68.4
82.1 93.4
Measeles
93.6
OPD All (per 1000 population)
817.5
981.0 2350.9
Full immunisation
56.1
IPD (per 1000 population) 13.7
16.4 33.6
Unmet need for Family
Planning Operation Major (per Lakh population)
31.5
37.9 390.417 Spacing 7.1
Reported Infant and Child Deaths
252
302.4 463 Limiting 9.3
pg. 68 NHSRC
Reported Maternal Deaths 11
13.2 24 Total 16.4
* Total Maternal complications ( C-section deliveries + Eclampsia cases )treated against estimated maternal complication