Maharashtra State - Health Status
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State 2001 Census Highlights
AIDS Control
National Anti-Malaria Programme
Basic Health Programme (BHP)
National Programme for Control of Blindness
Border District Project (BDP): (UNICEF)
National Cancer Control Programme
National Surveillance Programme for Communicable Diseases (NSPCD)
Demographic and Reproductive Health Situation
Maharashtra Health Systems Development Project
Epidemic Control Programme
National Filaria Control Programme
Health Programmes
Hospital Services
State Health Information, Education Communication Bureau (IEC)
Health Intelligence & Vital Statistics
Introduction
National Iodine Deficiency Disorder Control Programme
Public Health Laboratory Services
National Leprosy Eradication Programme (NLEP)
National Mental Health Programme (NMHP)
Minimum Needs Programme
Findings in National Family Health Survey-2
Organizational Structure
Integrated Population & Development Project (I.P.D) (UNFPA)
Population Policy
Reproductive Health and Child Health Programme
RTI/STI Sub-Project Nasik
Sector Investment Programme: (European Commission)
Revised National Tuberculosis Control Programme
Health Transport Organisation
Demographic and Reproductive Health Situation
- SIGNIFICANT IMPROVEMENTS IN THE HEALTH OF WOMEN AND CHILDREN
- SUBSTANTIAL FERTILITY DECLINE IN LAST FOUR DECADES
| TFR |
: |
2.52 |
| CBR |
: |
21.1 |
| IMR |
: |
48 |
| MMR |
: |
3.1 |
- HOWEVER CURRENT LEVELS OF FERTILITY, MORBIDITY AND MORTALITY ARE VERY HIGH BY INTERNATIONAL STANDARDS
- UNWANTED
FERTILITY : 26 %
- MEDIAN AGE AT FIRST BIRTH : 19 YRS
Vital Rates (Maharashtra)
| Sr. No. |
Year |
C.B.R. |
C.D.R. |
I.M.R. |
| 1 |
1981 |
28.5 |
9.6 |
79 |
| 2 |
1982 |
29.8 |
8.8 |
70 |
| 3 |
1983 |
29.8 |
9.2 |
79 |
| 4 |
1984 |
31.1 |
9.4 |
76 |
| 5 |
1985 |
29.0 |
1.4 |
68 |
| 6 |
1986 |
30.1 |
8.4 |
63 |
| 7 |
1987 |
28.9 |
8.3 |
66 |
| 8 |
1988 |
29.4 |
8.9 |
68 |
| 9 |
1989 |
28.5 |
8.0 |
59 |
| 10 |
1990 |
27.5 |
7.4 |
58 |
| 11 |
1991 |
26.2 |
8.2 |
60 |
| 12 |
1992 |
25.3 |
7.9 |
59 |
| 13 |
1993 |
25.2 |
7.3 |
50 |
| 14 |
1994 |
25.1 |
7.5 |
55 |
| 15 |
1995 |
24.5 |
7.5 |
55 |
| 16 |
1996 |
23.4 |
7.4 |
48 |
| 17 |
1997 |
23.1 |
7.3 |
47 |
| 18 |
1998 |
22.5 |
7.7 |
49 |
| 19 |
1999 |
21.1 |
7.5 |
48 |
| 20 |
2000 |
20.9 |
7.5 |
48 |
(SRS Bulletins
Sample Registration System / Registrar General of India)
Health status Indicators in some states:
(SRS Bulletins
Sample Registration System / Registrar General of India)
| State |
Crude Birth Rate |
Crude Death Rate |
Infant Mortality Rate |
| Kerala |
18 |
6.4 |
14 |
| Tamilnadu |
19.3 |
8 |
52 |
| Maharashtra |
21.1 |
7.5 |
48 |
| Andhra Pradesh |
21.7 |
8.2 |
66 |
|
Karnataka |
22.3 |
7.7 |
68 |
| INDIA |
26.1 |
8.7 |
70 |
(Source -
Sample Registration Scheme (SRS) 1999
Overview of Health Activities
- 1951-52 NATIONAL FAMILY PLANNING PROGRAMME
- 1957 FAMILY PLANNING PROGRAMME IN MAHARASTRA
- 1961-66 THIRD FIVE YEAR PLAN
- EXTENSION APPROACH
- TARGET ORIENTATED APPROACH
- 1970 POST PARTUM PROGRAMME
- 1972 M.T.P. ACT
- 1977 M.P.W. SCHEME
- 1975-80 FIFTH FIVE YEAR PLAN
- FAMILY PLANNING TO FAMILY WELFARE - 42nd AMENDMENT
- COMMUNITY INVOLVEMENT
- RURAL HEALTH SCHEME
- DAI SCHEME
- VILLAGE HEALTH GUIDE SCHEME
- 1978 EXPANDED PROGRAMME ON IMMUNISATION ( EPI )
- 1983 NATIONAL HEALTH POLICY
- 1985 UNIVERSAL IMMUNISATION PROGRAMME (UIP)
- 1992-93 CHILD SURVIVAL & SAFE MOTHERHOOD PROGRAMME (CSSM )
- 1994 INTERNATIONAL CONFERENCE ON
POPULATION & DEVELOPMENT (ICPD)
REPRODUCTIVE CHILD HEALTH PROGRAMME STARTED
- 1997 COMMUNITY NEED ASSESMENT APPROACH ( CNAA )
PARTICIPATORY PLANNING APPROACH
INVOLVEMENT OF COMMUNITY IN PLANNING, IMPLEMENTING & MONITORING
TARGET FREE APPROACH, LIFE CYCLE APPROACH, HEALTHY CHILD HEALTHY ADOLESCENT HEALTHY MOTHER/FATHER
Health Infrastructure:
Referral Network:
|
District Hospital |
(Secondary Referral) |
|
First Referral Unit |
(First Referral) |
|
Primary Health Centre |
(Per 30,000 population.) |
|
Sub-Centre |
(5,000 population) |
Health Personnel
|
MMHS Class I
|
1,177 |
|
MMHS Class II
|
5,075 |
|
GSS Class I
|
57 |
|
GSS Class II
|
384 |
|
Health Assistant (M)
|
4,642 |
|
Health Assistant (F)
|
3,586 |
|
MPW (M)
|
12,646 |
|
MPW (F)
|
11,915 |
|
Trained Traditional Birth
Attendant
|
45,681 |
DISTRICTWISE SEX RATIO - MAHARASHTRA 1991-2001
Sr. No. |
Name of the District |
1991 |
2001 |
| 1 |
Ratnagiri |
1205 |
1135 |
2 |
Sindhudurg |
1137 |
1077 |
3 |
Satara |
1029 |
995 |
4 |
Raigad |
1010 |
975 |
5 |
Gondia |
995 |
1005 |
6 |
Bhandara |
980 |
982 |
7 |
Gadchiroli |
976 |
976 |
8 |
Nandurbar |
975 |
975 |
9 |
Kolhapur |
961 |
949 |
10 |
Jalna |
958 |
952 |
11 |
Sangli |
958 |
957 |
12 |
Parbhani |
954 |
957 |
13 |
Buldhana |
953 |
946 |
14 |
Hingoli |
952 |
953 |
15 |
Yeotmal |
951 |
942 |
16 |
Ahmednagar |
949 |
941 |
17 |
Chandrapur |
948 |
961 |
18 |
Washim |
948 |
939 |
19 |
Nanded |
945 |
943 |
20 |
Dhule |
945 |
945 |
21 |
Beed |
944 |
927 |
22 |
Latur |
942 |
934 |
23 |
Jalgaon |
940 |
932 |
24 |
Nashlk |
940 |
924 |
25 |
Wardha |
939 |
936 |
26 |
Osmanabad |
937 |
930 |
27 |
Amravati |
936 |
940 |
28 |
Solapur |
934 |
937 |
29 |
Akola |
934 |
938 |
30 |
Pune |
933 |
917 |
31 |
Aurangabad |
922 |
919 |
32 |
Nagpur |
922 |
933 |
33 |
Thane |
879 |
857 |
34 |
Mumbai suburb |
831 |
826 |
35 |
Mumbai |
791 |
774 |
|
Maharashtra |
934 |
922 |
Districtwise Health Institutions
| Sr. No. |
District |
R.H. |
P.H.C |
Sub-Centre |
P.H.U |
M.H.U |
| 1 |
Thane |
14(9) |
77(50) |
470(314) |
23(21) |
3(3) |
2 |
Raigad |
12(1) |
54(3) |
277(19) |
4 |
- |
3 |
Ratnagiri |
10 |
67 |
374 |
- |
- |
4 |
Nasik |
25(10) |
100(46) |
530(256) |
10(10) |
7(7) |
5 |
Dhule |
5(3) |
41(41) |
174(54) |
- |
- |
6 |
Nandurbar |
11(7) |
49(46) |
257(240) |
7(7) |
11(11) |
7 |
Jalgaon |
18(1) |
80(2) |
397(16) |
- |
- |
8 |
Ahmednagar |
13(2) |
89(10) |
485(66) |
5(5) |
1 |
9 |
Pune |
15(1) |
86(6) |
501(58) |
19(5) |
2 |
10 |
Solapur |
11 |
68 |
329 |
1 |
- |
11 |
Satara |
12 |
71 |
309 |
5 |
- |
12 |
Kolhapur |
13 |
72 |
371 |
7 |
- |
13 |
Sangli |
9 |
59 |
270 |
2 |
- |
14 |
Sindhudurga |
10 |
38 |
246 |
- |
- |
15 |
Akola |
5 |
30 |
173 |
2 |
2 |
16 |
Washim |
6 |
25 |
153 |
1 |
1 |
17 |
Amravati |
12(3) |
56(11) |
320(95) |
12(6) |
8(8) |
18 |
Yavatmal |
15(3)10 |
62(17) |
374(60) |
2(1) |
2(2) |
19 |
Buldhana |
10 |
52 |
265 |
- |
- |
20 |
Aurangabad |
7 |
47 |
248 |
- |
1 |
21 |
Beed |
9 |
47 |
253 |
2 |
- |
22 |
Jalna |
7 |
38 |
171 |
2 |
- |
23 |
Parbhani |
8 |
31 |
216 |
4 |
- |
24 |
Hingoli |
5 |
20 |
135 |
4 |
- |
25 |
Nanded |
14(3 |
64(13) |
374(81) |
11(7) |
5(5) |
26 |
Latur |
9 |
46 |
234 |
1 |
- |
27 |
Osmanabad |
8 |
42 |
204 |
- |
- |
28 |
Nagpur |
9(1) |
48(3) |
300(22) |
1 |
4(3) |
29 |
Bhandara |
5 |
30 |
190 |
- |
- |
30 |
Gondia |
10(4) |
42(20) |
237(115) |
- |
4(4) |
31 |
Chandrapur |
13(3) |
58(8) |
336(104) |
1 |
7(6) |
32 |
Wardha |
8 |
27 |
180 |
7 |
- |
33 |
Gadchiroli |
12(12) |
45(45) |
372(372) |
34(34) |
3(3) |
| |
Total |
350(63) |
1764(294) |
9725(1872) |
167(96) |
61(52) |
Note - Figures in bracket indicate Tribal institutions.
04 March, 2008
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