GUMLA

Gumla located in the south-west portion of Jharkhand was carved out of Ranchi District in 1983.It is predominantly a rural(95%) and tribal (65%)

Table1: District Demographic Profile Variable Total area (In Hq. ) Blocks Total no. of Gram Panchayat Total no. of Revenue Villages Total no of Inaccessible Villages Total no. of villages having motorable roads Total Population (Source:- Projected as per census 2011) Male population (Source:- Projected as per census 2011) Female population (Source:- Projected as per census 2011) Sex Ratio (Calculated as per projected population ) ST Population (Source:- Projected as per census 2001) PTG Population (Source:- Block Data) BPL Population (Block Data) Literacy Rate Total Total Total Literacy rate Male Female Data (%) 90256953 11 153 943 92 776 1025656 514730 (50.2) 510926 (49.8) 993 661062 (65) 22753 (2) 213285 (21) 66.92 76.87 56.97

Resources and Infrastructure Gumla is rich in natural resources. Important minerals like Bauxite and Laterite (Aluminum ore) are found in abundance in 3 blocks.. China clay is also found in some parts of the district. Other economic activities like stone crushing and brick kilns are also found in different areas of the district. The district has 27 % of forest area. The main economy of the district depends upon agriculture, forest produce, cattle products, mining activities and other commercial activities. Agriculture is backward due to lack of irrigation facilities, scientific inputs, marketing and other infrastructure. Out of 3.296 lakh hectares of cultivable land, 22056 hectares of land is irrigated and majority is rain-fed. Among various indicators, access to electricity is a major issue. Out of 943 revenue villages, only 416(44.1) revenue villages have electricity. The district has no power generation facility and nonconventional energy sources are also not available. Table 2: Households and Amenities Variable Firewood as primary source of cooking Wells are main source of drinking water Open Defecation Electricity as a source of lighting % 91.1 65.6 88.8 16.8

Health Status The ratio of access to health services in Gumla is very low. Moreover, the status of the existing health infrastructure in the district is incapable to address the health needs of the people. Even if there is schemes to attract institutional delivery, it has recorded a majority of non-institutional deliveries. The percentage of quacks in the villages outnumbers the trained medical practitioners. The access of health centres in blocks like Gharghra, Verno, Kamdara, Basia,Palkot, Simdega, Kolebira, Jaldega and Bano are far below the district average which itself is very poor compared the state average. Table 3: Health Indicators Profile ,Annual Health Survey,2011 Infant Mortality rate Maternal mortality rate Crude birth rate Death rate Total Fertility Rate 48 294 26 7.1 2.3

Table 4: DLHS 3(2007-2008) Indicator Birth order 3+ Current use of any FP method Total unmet need Pregnant women who registered in the first trimester Pregnant women receive at least 1 TT injections Pregnant women receive 3 ANC Pregnant women receive 100 IFA Tablets Delivery assisted by a skilled attendant at home Institutional births Children with full immunization Children with Diarrhoea treated within last two weeks who received treatment Children with Acute Respiratory infections in the last two weeks who were given treatment % 52.9 32 38.1 36.4 62.6 30 30 6.6 10.3 68.6 28 42.1

Table 5: District Infrastructural Status Variable No. of CHC No. of Referral Hospital/FRUs No. of PHCs No. of HSCs Malnutrition Treatment Centre (MTC) New born corner No. of Anganwadi Centers (Source:-ICDS) No. of Anganwadi Workers(Source:- ICDS) No. of Village Health Committees( Source:- Internal record) No. of Sahiyya (Internal record) Blood Storage Bank Units 10 2 13 242 2 11 1670 3246 943 1746 1 42 41 Gaps 10

Table 6: Status of Human Resources for Health (HRH) Variable No. of Doctors (Govt) AYUSH Specialists MBBS multi skilled in EMOC/Anesthesia ANM Paramedicals MPW In Position 56 4 6 5 444 48 242 90 48 136 Gap 65 18 33

Table 7: Financial Progress Fund Routine immunization JSY Family planning Untied fund for VHC Untied fund for CHC & PHC untied fund of HSC AMG CHC AMG HSC HMS ANM Salary RCH Camp (Maternal Health) 2009-10 36.36 57.25 43.09 18.39 57.35 70.53 30.43 0 51.37 108 34.07 2010-11 80% 58% 73% 93.23 86% 97% 92% 72% 100 60% 64% 2011-12(till Nov11) 38% 39% 60% 32% 50% 69% 89% 35% 74% 32%

Priority Areas (Source: PIP 2012-2012)

Objective

(HMIS Data)

Current Level

Target for 20122013

1 2 3 4 5 6 1 2 3 4 5 1 2

MATERNAL HEALTH Increase in coverage of pregnant woman with ANC 1 services Increase in coverage of pregnant woman with ANC 3 services Increase in institutional deliveries FRU made functional Increase in Pregnant women receive at least 1 TT injection Increase in Pregnant women receive IFA CHILD HEALTH Increase coverage of full Immunization To established Operationalization of MTC To established & Operationalize SNCU Increase in New born given colostrums Increase in prevalence of exclusive breastfeeding FAMILY PLANNING(Base :DLHS) To reduce total unmet need Increase in contraceptive Use Rate

59% 39% 32% 1 85% 65% 89% 2 O 18.3% 3.2% 38% 34.9%

95% 65% 45% 3 95% 95% 95% 1 1 40% 20% 25% 55%