National Rural Health Mission

Health and Family Welfare Department Government of Gujarat

The Paradigm Shift under NRHM

Decentralised planning Outputs and Outcome based Pro-Poor Focus: Equitable systems Quality of Care and the IPHS norms Rights based service delivery Pre stated entitlements at all levels Inputs computed as function of the entitlements and estimated patient load Judicious mix of dedicated budget lines - untied funds Monitor quality

Community Participation
2

The Paradigm Shift under NRHM

Bringing the public back into public health
At hamlet level : ASHA, VHSC, SHGs, Panchayats. At the facility level: RKS At the management level : health societies

Governance reform
Manpower, Logistics & Procurement processes. Decision making processes Institutional design, Accountability framework

Convergence
Water and sanitation Nutrition Education

Our Goals
Reduce maternal and child mortality - address malnutrition

Address adverse sex ratio

Stabilize population Effectively implement the national health Programmes Enhance equity, quality, access, cost-effectiveness and satisfaction with health services Provide state of the art health and medical education relevant to local needs Provide an environment in which the health team blossoms fully to lead a fulfilling life and effectively achieves the above goals

Current Status
Indicator Maternal Mortality Ratio India 301 Gujarat 172

Infant Mortality Rate

57

50

Maternal Deaths in one year

81000

2000

Infant Deaths in one year

1539000

60000

Maternal Health
Objectives ( by 2010): Universalize coverage of antenatal care (100%) Increase the deliveries attended by SBAs 90% Increase institutional deliveries by 80% increase access to Emergency Obstetric Care for complicated deliveries Increase coverage of Post Natal Care (90%) Increase access to Early & Safe Abortion services Improve access to RTI/ STI services Introduce AFHS in all PHC/ CHCs.

Maternal Mortality (per lakh live births) in Gujarat

500

Maternal Dealth

400 300 200 100 0

389

202

172

Target

136 100

1989

1999-01 2001-03 2007-08

2010

SRS Maternal Mortality in India:1997-2003

Broad Issues
Non - availability of O & G specialists Accessibility of services-Tribal and urban slums Poor utilization of services Low felt need of health & medical services Lack of user friendly & quality public health services Costly private health and medical services No health insurance coverage

Strategies
Chiranjeevi Yojana Extended Chiranjeevi Yojana

Janani Suraksha Yojana

Operationalising FRUs/B/CEmOCs/, training of MOs in LSAS and training of SBA. Appointment of staff nurses at PHCs for safe delivery & specialists on call basis. Monitoring of each pregnant mother as per EDD and birth micro plan prepared & Involving EMRI.

Incentive to the staff in govt. for the better performance (state govt. initiative)
Outreach Primary health care through MAMTA Abhiyan

CRS (2007): 63.3% MICS (2008): 67.2%

Trend in deliveries

DLHS-III (2007 - 08): 56.5% NFHS-III (2005 - 06): 55%

90.00 80.00 70.00 60.00 50.00 40.00 30.00 20.00 10.00 0.00

77.83 53.21 55.87 57.03 63.24 67.63

80.58

51.43 48.57

46.79

44.13

42.97

36.76

32.37 22.17 18.95 200809 (avg as on Oct 08)

200102

200203

200304

200405

200506

200607

200708

Institutional deliveries %

Home %

Our Achievement: 54 poor performing talukas (having less than 70% institutional delivery rate) reduced to 39 as on (Oct 2008)
Above 80% 60 79.99 % Below 59.99 %

OCT 07

OCT 08

Effect of Chiranjivi on Institutional Delivery (Pilot District)

Kutchh

88.4 45.1
% Institutional Delivery - Current Status 79.8

Dahod

46.0
% Institutional Delivery at the time of Initiation of Chiranjivi

Panchmahals

69.5 36.5

Banaskantha

88.9 53.3

Sabarkantha

88.7 62.6

10

20

30

40

50

60

70

80

90

100

Chiranjeevi Performance (Month wise): 2007-08 & 2008-09 14000 12000 10000 8000 6000 4000 2000 0
Ap ril ay ly Au g No v O ct b Fe Ju Se ar ch M
2008-09

12727 11870 11203 11256 11404 11331 9351 8547 6857 7453 7540 6387
Chiranjeevi Yojana contributes on an average 14-16% to Institutional deliveries in the state every month 2008 - 09

10846 8924

11475 10507

11465 11628 10687

11404

ne

pt

De c

Ju

2007-08

Ja n

Outcome of Chiranjeevi Scheme:

Mothers & New Born babies saved ( Up to Nov-08)
Maternal death reported under Chiranje evi scheme Mothers saved under Chiranje evi scheme New born death Expected reported New born under death Chiranjee vi scheme

Total Deliveries under Chiranjeevi scheme

Expect ed Matern al Death

New born saved

258361 1033

50

983

9818

1028 8790

Normal Deliveries: 226538 C-Section: 15857 (6.14%) Complicated Deliveries: 15966 (6.18%) Private specialist enrolled: 869/2000

Tribal districts
100.0 90.0 80.0 70.0 60.0 50.0 40.0 30.2 30.0 20.1 20.0 10.0 0.0
Sa ba rk an th Ba a na sk an th a Va do da ra Pa nc hm ah al Na vs ar i Su ra t d Ta pi ad a Va ls ad h Da ho Bh ar uc Na rm Da ng s

88.7

88.9 79.7 79.8

93.4 88.4 83.0 76.0 70.1 83.0 78.3

44.1

40.4 25.5 18.0 7.2 8.6

22.0 7.2 11.9

14.7

10.0

% of Institutional delivery

% of CY deliveries against institutional delivery

EMRI No. of Medical Emergencies No. of Pregnancy Related Cases

80000 Total Emergencies Total Pregnancy related Emergencies 70000 50869 49888

2,91,026 79,406 (27.28%)

60000 40602 50000 34490 40000 28095 30000 20396 20000 13403 11656 10000 7027 3496 0 1851 1656 1448 1304 950 733 229 9 18 42 Sep- Oct-07 NovDec- Jan-08 Feb-08 Mar-08 Apr-08 07 07 07 1964 2881 4683 10075 8085 11274 13363 16780 16191 16974

May08

Jun-08 Jul-08

Aug08

Sep08

Oct-08

Nov08

Child Health

Objective
To reduce Neonatal mortality and Infant mortality
To ensure IYCF practices. Growth monitoring and Nutrition practices.

To ensure full immunization.

To reduce morbidity & mortality among children due to Diahorreal & ARI diseases.

To reduce the Low birth weight babies & malnutrition among child.

Infant Mortality Rate - Gujarat

80 70 60
Rate

69

63 50 30

50 40 30 20 10 0 NFHS-1 NFHS-2

NFHS-3

2010

Strategies : Child Health

Implementation of IMNCI/ENBC in 18 districts, started in 2006

Mamta Abhiyan (Divas,Mulakat, Nondh, Sandarbh) implementation & convergence of Health with ICDS. Started in 2006
Training of health workers in Immunization; Cold chain handlers training Immunization strengthening: RIMS, fully operational as from 2007

Upgrading skills of MBBS doctors in Emergency Newborn Care Strengthening Government facilities for newborn care (new born corner, Sick baby corners & neonatal care units ) The Bal Sakha Yojana PPP for newborn care under process Pediatrician on call scheme is launched in the entire state.

Infant Mortality
Dry Area IMR 71 Plain Mountain IMR - 69

Malnutrition
Saurashtra IMR - 39

South Eastern IMR- 65

40-49 % 30-39% 20-29%

Mamta Divas Outreach Performance- 2008-2009

MAMTA Divas Sessions Held No. of visits of Pregnant women % of Women weighed Total Delivered mothers with three PNC Visits No. of visits of children % of Children weighed Initiation of early & exclusive breast feeding in 1st hour 154824 874076 100 19 6074115 100 95.1

Source: Form No. 9, State report

MAMTA ABHIYAN

IMNCI Training & Implementation

Training Completed by Nov 08

Medical Officers trained AWW weighing a newborn within 1 hour of birth FHW trained

25391

1252 4052

AWW trained
ICDS Supervisors

17963
604

AWW checking child with diarrhoea for dehydration

% low birth weight babies given Kangroo care(Apr-Nov-08) (Souce:-- form-9 )

80.3
90 80 70 60 50

NFHS-III reported 47.4 lbw

22.1
40 30 20 10 0

% lbw

% LBW given kangroo care

Full immunization independent evaluation by Taleem

NFHS-3 (Rural) Dahod Banaskantha Narmada Jamnagar Tapi Ahmedabad TOTAL GUJARAT Mahesana Vadodara Kheda Valsad Kachchh The Dangs Porbandar Surat Patan Bhavnagar Rajkot Navsari 0 10 20 30 40 50 PERCENT 60 70 80 90 40.1 62.8 72.2 72.8 73.9 78.5 79.0 82.5 82.8 84.8 85.1 85.2 85.4 85.8 85.9 86.0 86.7 89.5 94.2 96.8 100

Routine Immunization Monitoring System (RIMS)

As on Nov 2008
Data Uploaded

Gujarat is the only state with all 25 districts reporting in RIMS.

Source: www.rimsindia.org

Ahmedabad Region

June08

Sept08

Nov08

Malnutrition management pyramid

STATE State Nutrition Cell Tertiary care nutrition rehabilitation centres (Teaching hospitals) Nutrition Support Units (Supervision, monitoring and training) Inter sectoral coordination

REGION

DISTRICT

BLOCK

Child Development & Nutrition Centres (Referral through Mamta Divas)

Growth monitoring MAMTA Abhiyan Micronutrient Supplementation ( IFA, Vit. A, Calcium) Distribution of iodized salt De worming twice/ year Growth, development and nutrition counseling

COMMUNITY

Child Development and Nutrition Centers

Districts Valsad

Name of CDNC Dharmpur Kaprada

Operational Status of CDNC Functional Functional Functional Functional Functional Functional Functional Functional Functional Functional

No of Children admitted & Patients Counseled

12 28 112

No of grade 3 children admitted

12 16 109

No of grade 4 children admitted

0 12 3

Dang

Vaghai District Hospital

19
3 16 0 0 0

10
3 11 0 0 0

9
0 5 0 0 0

Banaskantha

Danta Amirgadh

Narmada

Sagbara Dediapara

Dahod

Garbada Dahod

0 10 0

6 0 0

Panchmahal

Lunavada Halol

Functional no Functional

10 0

Vadodara

Savli Functional * Chota Udepur

98

96

44 348

40 307

4 41

Total

Bal Sakha Scheme 1 for Chiranjivi Beneficiaries [BPL]

Proposed charge to be paid to the pediatrician for 100 children

1. 2. 3. 4. 5.

Additional charge to the CY doctor for keeping the mother and neonate for 2 more days (@ Rs. 300*100) Consultation fees for the pediatrician for 100 children at CY clinic (@ Rs. 300*100) 20 cases to be transported to the pediatric clinic, transportation charges @ Rs. 100*20) Treatment fees for 20 children at the pediatricians clinic (@ Rs. 5000*20) Transportation of 5 critically ill children to the medical college under care of the pediatrician (@ Rs. 1000*5) Total:->>

Rs. 30,000 Rs. 30,000 Rs. 2000* Rs. 1,00,000 Rs. 5,000*

Rs. 1,67,000 * To be paid only if EMRI vehicle not available

Bal Sakha Scheme 2 for Other Beneficiaries [BPL]

Proposed charge to be paid to the pediatrician for 100 sick children referred

1. 2. 3. 4. 5.

Consultation fees for the pediatrician for 100 children at CY clinic (@ Rs. 200*100) 100 cases to be transported from the village to the pediatric clinic, transportation charges @ Rs. 100*200) Incentive to ASHA/ANM/ICDS worker for taking such child to the pediatrician (@ Rs. 50*100) Treatment fees for 25 children at the pediatricians clinic (@ Rs. 5000*25) Transportation of 5 critically ill children to the medical college under care of the pediatrician (@ Rs. 1000*5) Total:->>

Rs. 20,000 Rs. 20,000* Rs. 5000 Rs. 1,25,000 Rs. 5,000*

Rs. 1,75,000 * To be paid only if EMRI vehicle not available

Family Planning Program

Objective
Reduce TFR up to 2.1 Increase the couple protection rate Quality assurance in Family planning services Provision of safe abortion services Ensure Male participation.

Trend in Total Fertility Rate - Gujarat 4.5

2.99 3 2.72 2.4

Rate

2.1 1.5

0 NFHS-1 NFHS-2 NFHS-3 2010

Trend in CBR of Diffrent States as per SRS Data

40.0

35.0 31.7 30.0

34.5 33.0 29.9 28.5 29.0 27.5 26.2 26.0 24.2 26.7 24.5 25.0 23.7 20.7 21.0 19.0 19.1 18.5 18.9 23.5 23 18.1 18.7

25.0

20.0

15.0

10.0 GUJ AP MH

1981 34.5 31.7 28.5

1985 33.0 29.9 29.0

1991 27.5 26.0 26.2

1995 26.7 24.2 24.5

2001 25.0 21.0 20.7

2005 23.7 19.1 19.0

2006 23.5 18.9 18.5

2007 23 18.7 18.1

Ongoing Strategies
Training of surgeons for NSV/Laparoscopic TL: 150 surgeons trained in NSV and within 2007-08 state is going to have 250 trained surgeons 770 surgeons trained and certified for laparoscopic TL surgery Training of doctors and FHW in IUD: project initiated in all district Contraceptive update to FHW IEC/BCC campaigning and distribution of pills and condoms Block wise analysis of FP data and action Kalyan Chab CBD outlet for condoms, IFA tablets, ORS, Choroquine etc.

Sterilizations
Total
Sterilization
350000

300000 254904 250000 257335 242364 267549

310064

200000

150000

100000

50000

0 1991-92 1997-98 2001-02 2006-07 2007-08

IUD insertions

Family Planning Performance

135000

350000

339655
340000
130000

Nov 2007-08 Nov. 2008-09

129692

330000

Nov 2007-08 Nov. 2008-09

125000

320000

310000
120000

304414

116629

300000

115000

290000

110000 Sterilisation

280000

IUD

10.0

15.0

20.0

25.0

30.0

35.0

0.0

5.0

Patan Panchmahals Dohad Sabarkantha The Dangs Bhavnagar Banaskantha Kutch 26.4 25.2 25.3 23.1 26.7

27.5

31.7

29.2

3+ BO

Mahesana Surendranagar Junagadh Gandhinagar Amreli Anand Kheda Porbandar Rajkot Narmada Bharuch

20.9 27.9 23.5 22.2 22.0 22.6 21.4 19.2 19.1 28.9 20.5

% 3 & 3+ Birth order (CRS)

% of 3 & 3+ Births to total births

35 31.7 30 25 20 16.9 15 13.5 10 5

Source: SRS

32.6 27.9

31.4 26.4

32.1

33.2 30.9

29

24.4

25.2 22.2

14.4

14.7 12.6 12.4

0 AP GUJ MHA

2001 16.9 31.7 29

2002 13.5 32.6 27.9

2003 14.4 31.4 26.4

2004 14.7 32.1 24.4

2005 12.6 33.2 25.2

2006 12.4 30.9 22.2

Year-07-08
Year-08-09

2653 ANMs trained in safe IUD insertion

Trend performance

Addressing adverse sex ratio

Source:-- CRS

Sex Ratio at Birth

Average 3 yrs (2005-07)

1000

700 968

750

800

850

900

950

The Dangs
956

Valsad
953

Navsari
934

Narmada
925

Kachchh Bharuch
885

924

Junagadh Porbandar Kheda Vadodara Banas Kantha

867

885 883 882 879

Patan Jamnagar Panch Mahals Surendranagar Anand Ahmadabad Gandhinagar Dohad

846

District Wise Average Sex Ratio of 3 years (2005-2007)

866 866 864 864 860 857 856

Bhavnagar Amreli Mahesana

833

844 843

Rajkot Sabar Kantha

819

830

Surat

Umrala Talod Gondal Mansa Vijapur Kukavav Vadia Surat City Kotada Sangani Unjha Detroj - Rampura Patan Idar Bhavnagar Rajkot Mahesana Junagadh Anand Visnagar Gandhinagar Palanpur Kalol Chanasma Jetpur Prantij Amreli Jamkandorna Himatnagar Bagasara Nadiad Ahmedabad-City Dhoraji Upleta Sidhpur

700

720

740

753 760 767 769 784 785 797 798 801 811 811 811 812 812 813 814 817 817 819 821 826 827 827 829 830 835 835 840 843 845 846 847 849

760

780

800

820

840

860

Average Sex Ratio of 3 years of Poor Performing Talukas (200507)

Revised National Tuberculosis Control Programme Achievements of Gujarat

Gujarat state has been in the target zone, consecutively in last eleven quarters 25 / 29 (86%) reporting units are in the target zone 100/130 (77%) TB Units are in the target zone
NSP Case Detection Rate - 3q08 NSP Cure Rate - 3q07 NSP Conversion Rate - 2q08 Total TB patients put on treatment : 78% : 87% : 91% : 19,961

NSP Cases put on treatment : 8805 Gujarat State has achieved 3rd place in NSP case detection rate & cure rate during 2Q08 (As per National Performance report 2Q08)
Since the inception of RNTCP up to 30-9-08 Total TB Patients put on DOTS treatment, New Smear Positive patients put on treatment Total lives saved

: 6,07,062 : 2,46,212 : 1,09,271

Annualized New ear Positive C ase D etectionDetectionreatm ent Annu alized New Sm Smear Positive Case Rat e and T Rate and Treatment Success RateOTSDOTS areas of2000- 3Q08 2000-3Q08 Success R ate in D in areas of Gujarat, Gujarat,
100% 90% 80% 70% 60% 50% 40%
1st Q 00 2nd Q 00 3rd Q 00 4th Q 00 1st Q 01 2nd Q 01 3rd Q 01 4th Q 01 1st Q 02 2nd Q 02 3rd Q 02 4th Q 02 1st Q 03 2nd Q 03 3rd Q 03 4th Q 03 1st Q 04 2nd Q 04 3rd Q 04 4th Q 04 1st Q 05 2nd Q 05 3rd Q 05 4th Q 05 1st Q 06 2nd Q 06 3rd Q 06 4th Q 06 1st Q 07 2nd Q 07 3rd Q 07 4th Q 07 1st Q 08 2nd Q 08 3rd Q 08

Annualised New S+ve CDR

Success rate

Population projected from 2001 census Estimated no. of NSP cases - 80/100,000 population per year (based on recent ARTI report)

Cure Rate Vs Case Detection Rate (3Q07/3Q08) Cure Rate Vs Case Detection Rate (2Q05/2Q06)
HIGH CURE LOW DETECTION 95 93 91 89 87
Patan Amreli P'bandar Ahwa (Dang) AMC Mehsana Valsad, BK S'nagar, Bhavnagar Junagadh, SMC Gandhinagar Bharuch (Narmada)

HIGH CURE HIGH DETECTION

TARGET ZONE

Gujarat

Chhotaudepur Panchmahals (G) Surat-R Vyara Kheda Dahod

Navsari Vadodara-R Anand SK

Cure Rate (%)

85 83 81 79 77 75
Rajkot Kachchh

VMC

A'bad (R) Jamnagar

LOW CURE LOW DETECTION 55 60 65 70 75 80 85 90 95

LOW CURE HIGH DETECTION 100 105 110 115

Case Detection Rate (%)

National Programme for Control of Blindness

PHYSICAL PERFORMANCE 2008-09 (UP TO NOVEMBER.)

10000

20000

30000

40000

50000

60000

70000

DISTRICTWISE IOL PERFORMANCE UP TO NOV.08

District wise IOL performance up to Nov. 2008

SURGERIES DONE IOL

Ahmedabad Surat Vadodara Rajkot Bhavnagar Junagadh Kheda Panchmahal Jamanagar Gandhinagar Banaskantha Anand/Petla Mehsana Navsari Patan Amreli Sabarkantha Surendrang Dahod Valsad Bharuch Kutchh Porbandar Narmda Ahwa-Dang

SES ACTIVITY UP TO NOVEMBER 2008.

Children Examined Children Detected with RE Free Spects Provided

100000

80000

45585 43980

60000

39574 38297

518863 82989 75862

1273053
2008-09 1273053 27056 19165

468158

464553

120000

40000

20000

0 Children Examined Children Detected with RE Free Spects Provided

2005-06 4681583 45585 43980

2006-07 4645530 39574 38297

2007-08 5188638 82989 75862

27056 19165

EYE DONATION ACTIVITIES (UP TO NOVENBER-2008) No of Eyes Collected No of Eyes Utilized :3861 :2918

No of Eyes sent to other Eye Banks : 943

Integrated Disease Surveillance Project Progress : Reporting units 1544

99% Reporting every week.

Feed-back provided through weekly alert. Concerned authority informed to take actions for

increasing trend in disease in respective reporting unit. Microbiologist are appointed at General Hospital

Gandhinagar & General Hospital Sola Ahmedabad.

Interview of Entomologist, Microbiologist & Epidemiologist was held on Dt.21-22 November-08 by NHSRC.

IDSP Major Outbreaks Investigated Jan. to Nov.- 08

Progressive Disease Jaundice Dia-Vomiting
Food Poisoning

No. of Outbreak 5 16 20 3 12

Cases 295 829 1187 667 227

Death 1 5 3 0 0

Diarrhoea Measles

Cholera
Typhoid Total

3
2 61

6
23 3234

0
0 9

Wk47 Wk45 Wk43 Wk41 Wk39 Wk37 Wk35 Wk33 Wk31 Wk29 Wk27 Wk25 Wk23 Wk21 Wk19 Wk17 Wk15 Wk13 Wk11 Wk9 Wk7 Wk5 Wk3 Wk1 Wk51 Wk49 Wk47 Wk45 Wk43 Wk41 Wk39 Wk37 Wk35 Wk33 Wk31 Wk29 Wk27 Wk25 Wk23 Wk21 Wk19 Wk17 Wk15 Wk13 Wk11 Wk9 Wk7 Wk5 Wk3 Wk1

Weekwise Information about Cases of Acute Watery Diarrhoea under IDSP Year - 2007-2008(upto Wk-48)

Year 2007

Year 2008

25000

20000

15000

10000

5000

National Vector Born Disease Control Programme

Constant decline in malaria incidence Annual Parasitic Incidence declined from 4.1 in 2004 to 1.2 in 2007
Year wise comparision of malaria incidence from 2004 to 2007
250000 222807
6000 7000

Malaria Situation of Gujarat state till March-08

6020

200000 177936
Malaria positive and P.F. cases

5000

Malaria and P.F. case

150000

4000

3937

3000

100000 66440 50000 31199

93071 71296

2000

1834 1179

1000

19570

18406
0

0 2004' 2005' 2006' 2007'

Malaria Case

P.F.cases

Chikungunya situation till March 2008 in comparison with 2007

70

60

58

50

2006 2007 42

Number of cases

40

30 23 20 12 10

0 Suspected Chikungunya cases Confirm cases

Overall work done through Sickle Cell Anemia Control Project. during Feb 2006 to March-08.
Screened by Total DTT Sickle Test Valsad Raktdan Kendra & Other NGOs Govt. Medical Collage, Surat PHCs/CHCs Civil Hospital, Navsari, Valsad, Dang Comprehensive Sickle Cell Clinic Chikhli & Valsad Total Percentage 30380 11229 45382 6616 6404 100011 Sickle Gene Positive 4285 1838 4607 366 2777 **13873 13.87 % Sickle Trait 4046 1572 1762 266 2329 *9975 8.84 % Sickle Disease 236 248 319 15 385 *1203 1.20 % Sickle Beta Thalesse mia 2 18 1 0 63 **84 0.08 % Thal. Trait 2 41 0 0 101 144 0.14 %

** Differentiation of sickle Disease and Trait by HB electrophoresis was not possible in initial phases at CHC, PHC and General Hospital hence only 11,262 samples were further tested out of 13,873 Sickle positive Samples.

Work done through NGOs : Work Done through Government institutes :

36.8 % 63.2 %

National Iodine Disorder Deficiency Control Programme

Analysis of Iodized Salt Samples tested with STK

Iodized Salt Sample Tested
800000 700000

600000

500000

Number

400000

300000

200000

100000

0 2001 2002 2003 2004 Year 2005 2006 7-Sep

Total No of samples tested

Samples with Nil iodine

Samples with < 15 ppm iodine

Samples with > 15 ppm iodine

Six regional IDDCP monitoring Laboratories have been developed

National Leprosy Elimination Programme

14000 12000 10000 8000 6000 4000 2000 0

New Case Detection

10949 11554 10232 6900

7652 6399

7228

2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08

Gujarat : Endemicity of Leprosy March-08 State P.R.- 0.82

PM Dahod 1.90 2.40 Vadodara 1.42

P.R.

>5
3-5 2-3 1-2 <1

BharuchNarmada 2.83 2.16 Surat

1.62
Dang Navsari 2.61 2.54 Valsad 2.91

Present status as on March-2008

Sr.No 1 2 3 4 5 6 7 8 Indicators NCD ANCDR MB Rate Child Rate Deformity Rate Female Rate Pts. on Treatment Prevalence Rate 2006-07 7652 1.34 46.1 (3528) 11.34 (868) 2.72 (208) 44.64 (3416) 4332 0.76 2007-08 7228 1.24 46.8 (3382) 10.21 (738) 2.71 (196) 44.54 (3219) 4752 0.82

Declining Trend of crude death rate

8.0 7.9 7.9 7.8 7.8 7.6 7.6 7.6 7.5 7.7 7.6

7.4

7.3

7.2

7.1

7.1

7.0

6.9

6.8

6.6

6.4 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

CDR

Risk Categorization of Districts 2006

-6 -4

Scaling up of core Targeted Interventions

104 120

108

91
100

77

80 60 40 13 20
0

31

2007-08
Core Bridge

2008-09

Performance indicators
Component 2005 - 06 Achievement 2006 - 07 2007 - 08 2008 09 (Oct 08)

ICTC general (% positivity)

ICTC PPTCT (% positivity

67525 (10.3)
22193 (0.8)

74557 (10.7)
48982 (0.6)

131714 (9.8)
118197 (0.5)

104040 (6.4)
11251 (0.3)

Blood collection
% VBD STI cases treated (No of clinics)

509966
63.3 50564 (33)

576932
60.7 72923 (35)

588850
68.3 75603 (42)

340991
68.9 47080 (42)

IEC, Mainstreaming & Social Mobilization

PPP with Divya Bhaskar

Hon Health Minister addressing WAD 2008 at Surat also attended by Ms. Prachi Desai & Mr. Snehal Dabbhi film & TV artists.

Victorious Journey of RRE in Gujarat

641336 640394
800000 700000 600000 464650 408398 374397 500000 400000 300000 132354 167290 127816 118743 404100

Train Visitors Cycle Carvan

Bus Carvan Total Benificiaries

637039
599183

345288

109898

78982

88726

200000 100000 0

106357

Gujarat

Tamil Nadu

Uttar Pradesh

Maharashtra

Andhra Pradesh

65051

77759

517207

Care, support & Treatment (CS & T) 7000 patients are being treated through Nodal ART Centers 6 (3 proposed) & LAC 14 (2 proposed)

Operationalization of DAPCU
11 districts & Surat city,

Staff appointed including 5 HIV positives