FAMILY WELFARE PROGRAMME

Tamil Nadu is pioneer in the implementation of Family Welfare Programme in the country. It is viewed and implemented as a peoples programme involving the active co-operation of many sectors and participation of the community at large. The aim of the programme is to bring down fertility through improving maternal and child health care. Under Community Needs Assessment Approach the needs of the community have to be assessed based on the requirements of the people in the implementation of Family Welfare and Maternity Child Health Programmes.

Demographic Scenario

??????????? The Demographic Scenario of Tamil Nadu compared with India is as follows:

Sl. No.	Indicators		Current level
			Tamil Nadu	India
1.	Population		6,21,10,839	102,70,15,247
2.	Decennial Growth Rate (%)		11.19	21.35
3.	Sex Ratio (female per 1000 males)		986	933
4.	Density of population (per sq. K.M.)		478	324
5.	Percentage of Urban population		43.86	27.78
6.	Literacy Rate (%)	Male	82.33	75.85
		Female	64.55	54.16

Source: 2001 Census

7.	Crude Birth Rate (per 1000 population)	19.3	26.1
8.	Crude Death Rate (per 1000 population)	7.9	8.7
9.	Infant Mortality Rate (per 1000 live births)	51	70
10.	Natural Growth Rate (%)	1.14	1.74

Source: SRS 2000

The Infrastructure facilities under Family Welfare Programme

The Family Welfare and Maternity & Child Health Services are provided to the Eligible couples in the state, both rural and urban areas, through the following centers.

1	Primary Health Centres	1409
2	Health Sub-centres	8682
3	Rural Family Welfare Centres	382
4	Post Partum Centres	118
5	Urban Family Welfare Centres	101
6	Urban Health Posts	198
7	Voluntary Organisations	27
8	Private Approved Surgeries	1155

The Director of Family Welfare is incharge of implementing the Family welfare Programme in this State. He is assisted by two Joint Directors (one for MTP and another one for Administration), two deputy Directors (one for I.E.C and another for inspection), one Chief Accounts officer, one Demographer and other Officers of various programmes.? At the District level, the Deputy Director of Medical and Rural Health Services and Family welfare is implementing the Family welfare Programme with the co-ordination of Deputy Director of Health Services in the overall supervision of Joint Director of Health Services.

Impact of Family Welfare Programme

1.	Couple Protection Rate ( as on 31^st March 2001)	51.6 %
2.	Sterilisation acceptors with two and less than two living children 2002-2003 (Up to December 2002)	65.1 %
3.	Percentage of Higher Order Births	21.6 %
4.	Mean age at acceptance of sterilisation	27 Years
5.	Mean number of living children to the sterilisation acceptors	???? 2.5

?

Physical performance

The district wise Family Welfare performance in Tamil Nadu for 2001-2002 and 2002-2003 (up to December 2002)? are as follows.

ACHIEVEMENT UNDER FAMILY WELFARE PROGRAMME
FOR THE YEAR 2001-2002

SI.No.	Name of the District	Stern.	I.U.D.	O.P. Users	C.C. Users
1	Chennai	53010	55283	14405	38554
2	Coimbatore	25705	20123	11615	15117
3	Cuddalore	13494	15486	9621	12562
4	Dharmapuri	16192	15482	9786	6110
5	Dindigul	14923	14181	8562	7382
6	Erode	16171	18476	9548	11440
7	Kancheepuram	15974	12516	5471	5739
8	Kanyakumari	11292	11427	6085	6073
9	Karur	2958	6356	2463	2250
10	Madurai	19870	14824	8390	8838
11	Nagapattinam	4538	10038	3661	3221
12	Namakkal	5696	7433	1638	6271
13	Perambalur	4386	7458	3849	3169
14	Pudukkottai	6536	12616	5782	5712
15	Ramanathapuram	6698	9144	6548	8025
16	Salem	27875	9777	2181	7788
17	Sivagangai	5832	6454	5225	5130
18	Thanjavur	12159	15720	8859	8058
19	The Nilgiris	4903	4009	1072	1766
20	Theni	8052	7457	4047	3692
21	Thiruchirapalli	11600	13436	6485	5234
22	Thirunelveli	15207	20161	12535	10708
23	Thiruvallur	10543	10026	4444	5146
24	Thiruvannamalai	15244	13027	7107	5761
25	Thiruvarur	5377	7937	2451	2764
26	Thoothukudi	9115	10290	7396	6510
27	Vellore	23463	11911	6801	5592
28	Villupuram	13009	16709	9905	11303
29	Virudhunagar	10373	10811	5290	7222
?	Total	390195	388568	191222	227138

ACHIEVEMENT UNDER FAMILY WELFARE PROGRAMME
FOR THE YEAR 2002-2003 (UP TO DECEMBER 2002)

Sl.No.	District	Stern.	I.U.D.	O.P. Users	C.C. Users
1	Chennai	40463	39172	12256	24232
2	Coimbatore	18891	16461	10281	14285
3	Cuddalore	11524	12816	7493	9804
4	Dharmapuri	12177	11068	6781	4940
5	Dindigul	11291	12054	7166	4612
6	Erode	12384	14065	6474	11804
7	Kancheepuram	12594	10989	3704	4851
8	Kanyakumari	8393	8908	5489	4781
9	Karur	2826	5295	1904	1391
10	Madurai	14959	13033	5750	7134
11	Nagapattinam	3872	7823	1379	3247
12	Namakkal	4769	6120	2138	4428
13	Perambalur	4325	4941	1603	1734
14	Pudukkottai	5081	10334	6046	7045
15	Ramanathapuram	5249	7012	5164	8075
16	Salem	20428	7887	2002	5019
17	Sivagangai	4885	5715	4743	4078
18	Thanjavur	11141	12844	5773	6520
19	The Nilgiris	3589	3109	1135	1839
20	Theni	5740	5425	2637	2749
21	Thiruchirapalli	9138	11358	3937	2989
22	Thirunelveli	11702	15217	8056	8006
23	Thiruvallur	8576	8127	3174	4847
24	Thiruvannamalai	11919	11338	4653	5490
25	Thiruvarur	4502	7192	2262	3155
26	Thoothukudi	5655	6473	5674	3779
27	Vellore	18092	9617	3801	5562
28	Villupuram	11107	13664	5599	6921
29	Virudhunagar	8249	8932	3911	8412
?	Total	303521	306989	140987	181727

Sl. No	District	2001-2002		2002-2003 (Upto Dec.2002)
Sl. No	District	No. of Institution	Performance	No. of Institution	Performance
1	Chennai	73	12797	74	9232
2	Coimbatore	47	2414	47	1837
3	Cuddalore	37	3350	37	2571
4	Dharmapuri	42	2141	44	1738
5	Dindugal	34	3616	36	3078
6	Erode	72	1130	73	1076
7	Kanchipuram	71	2385	78	1769
8	Kanyakumari	26	1474	26	1166
9	Karur	14	296	17	412
10	Madurai	40	3863	55	3268
11	Nagappattinam	16	116	16	131
12	Namakkal	30	1690	30	1710
13	Nilagiri	10	2136	10	1453
14	Perambalur	7	149	7	769
15	Pudukkottai	31	590	31	469
16	Ramanathapuram	40	743	40	545
17	Salem	74	8015	74	6036
18	Sivagangai	34	835	42	572
19	Thanjavur	31	2367	31	2091
20	Theni	16	436	20	481
21	Thiruchirappalli	32	2723	31	1882
22	Thirunelveli	65	3273	71	2521
23	Thiruvallur	39	1337	46	955
24	Thiruvannamalai	29	1091	29	933
25	Thiruvarur	17	269	17	407
26	Toothukkudi	25	1978	26	1043
27	Vellore	56	2403	56	2144
28	Virudhunagar	29	764	34	552
29	Vizhuppuram	22	1705	23	1187
?	TOTAL	1059	66086	1121	52028

Government of India have released Rs. 71.19 lakhs to Tamil Nadu for carrying out IEC activities during 2002-2003 with a request to give emphasis for community based and local specific activities and that 30% of the total allocation are to be spent for publicity on local radio stations preferably on jingles in local languages and 20% to be used on outdoor publicity like wall paintings, bus back panels, hoarding etc., in local languages.? It has been spent/proposed to be spent as follows:

Sl. No	Details of Activity	Rs. in lakhs
1.	For observance of World population Day on 11.7.2002	2.00
2.	For participation in the Trade Fair 2003	1.00
3.	For Prize Award during 2002-03 to Best Feature Film in Tamil propagating FW messages	1.00
4.	For dissemination of FW, RCH messages through AIR, Doordharshan, Private TV Channels	20.00
5.	Procurement / Preparation of specimen IEC messages and AV materials by the Director of Family Welfare on all FW and RCH programmes for supply to districts	0.52
6.	Publicity on District Action Plan by District Collectors: ? ?For procurement of cloth banners, posters, iron / corrugated boards and pamphlets; for Wall painting and for publicity through Cable TV for creating awareness among public on the availability of Health and FW, RCH services in Govt. and Non-Govt. Medical instns.	7.00
7.	For Awards to best performing District Collectors	0.50
8.	For four Regional level seminars on monitoring IEC activities @ Rs. 0.25 lakhs per seminar	1.00
9.	Procurement of booklets, preparation of slides and transparency on IEC messages from private suppliers for distribution to continuing medical education, Health and FW Training Centres and Panchayat Raj institutions.	2.00
10.	For? MSS activities at district level	36.17
?	Total	71.19

FAMILY WELFARE PROGRAMME - OBJECTIVE CLASSIFICATION

???????????????????????????????????????????????????????????????????????????????????????????? (Rs. In thousands)

Sl.No	Details	Actuals 2001-2002	Budget Estimate 2002-2003	Revised Estimate 2002-2003
?	STATE PLAN	?	?	?
01	Salaries	900	-	303574
03	D.A	358	-	133004
04	Travel Expenses	62	-	10728
05	Office Expenses	42	-	1933
06	Rent Rates&Taxes	36	-	-
08	Advertising	-	-	-
09	Grants-in Aid	8617	92237	103737
17	Minor works	4044	-	-
19	Machinery and Equipments	-	-	2410
21	Maintenance of functional vehicles	12	-	919
33	Payments for Professional and Special Services	-	-	-
42	Service Commitment Charges	-	-	5000
45	Petrol oil & Lubricants	204	-	4629
46	Clothing,Tentage & Stores	2	-	925
49	Festival Advances	7235	-	4048
51	Compensation	-	-	-
59	Prizes and Awards	-	-	68
66	Medicines	-	6125	6125
72	Training	-	-	100
76	Purchase	67	-	-
77	Deduct Recoveries	(-) 21	-	(-) 4048
?	Total	21558	98362	573152

FAMILY WELFARE PROGRAMME - OBJECTIVE CLASSIFICATION

(Rs. In thousands)

Sl.No	Details	Actuals 2001-2002	Budget Estimate 2002-2003	Revised Estimate 2002-2003
?	CENTRALLY SPONSORED	?	?	?
01	Salaries	336164	364576	49937
03	D.A	136976	160959	21691
04	Travel Expenses	12198	13081	2316
05	Office Expenses	4676	5953	3083
06	Rent Rates&Taxes	381	560	560
08	Advertising	3761	6000	10052
09	Grants-in-aid	109322	173500	128300
10	Contribution	3429	4500	4500
19	Machinery and Equipments	7121	4585	-
21	Maintenance of functional vehicles	874	1384	280
24	Materials & Supplies	5588	41955	50000
33	Payments for Professional and Special Services	874	35	35
42	Service or Commitment Charges	6623	7606	112
45	Petrol oil & Lubricants	5657	7306	2677
46	Clothing, Tentage & Stores	979	2148	145
49	Festival Advances	149	4730	682
51	Compensation	57244	114401	114430
59	Prizes and Awards	42	95	27
66	Medicines	332971	132678	132678
67	Diet charges	2076	-	-
72	Training	73	100	-
73	Transport charges	2258	-	-
77	Deduct Recoveries	(- ) 4639	(-) 4730	(-) 682
?	Total	1024797	1041422	520823

The Infrastructure facilities under Family Welfare Programme

Impact of Family Welfare Programme

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Physical performance

Total

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